Implantable contact lens icl implantation in eyes with iridociliary cyst
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Implantable Contact Lens (ICL) Implantation In Eyes With Iridociliary Cyst. Sung-Ho Choi M.D., Eui-Sang Chung M.D., PhD, Tae-Young Chung M.D., PhD. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

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Implantable contact lens icl implantation in eyes with iridociliary cyst l.jpg

Implantable Contact Lens (ICL) Implantation In Eyes With Iridociliary Cyst

Sung-Ho Choi M.D., Eui-Sang Chung M.D., PhD, Tae-Young Chung M.D., PhD.

Department of Ophthalmology, Samsung Medical Center,

Sungkyunkwan University School of Medicine, Seoul, Korea

Authors have no financial interest.


Purpose l.jpg
Purpose Iridociliary Cyst

  • To report 3 cases of implantable contact lens (ICL) implantation in eyes with iridociliary cyst.


Case report l.jpg
Case Report Iridociliary Cyst

  • An iridociliary cyst was discovered by chance in 3 eyes of 2 patients during preoperative ultrasound biomicroscopy (UBM).

  • ICL size was determined by measuring the sulcus to sulcus diameter with UBM (UBM 840, Zeiss-Humphrey, Germany).

  • At 2 months after ICL implantation, UBM was performed again to check the cyst and the position of the ICL.


Case 1 2 f 25 yr ou l.jpg
Case 1 & 2 (F/25 yr(OU)) Iridociliary Cyst

OD (case 1)

OS (case 2)

  • Preop

    • UCVA/BCVA: 0.02/1.0

    • IOP: 17mmHg

    • MR: -10.0 Dsph=-0.5Dcyl180

    • White to white: 11.4mm

    • Sulcus to sulcus: 11.4mm

  • Implanted ICL

    • Size/Power: 12.omm/-14.0D

  • Postop 2mo

    • UCVA: 1.0

    • MR: +0.25Dsph

    • IOP: 18mmHg

    • ICL Vault: 799um

  • Preop

    • UCVA/BCVA: 0.02/1.0

    • IOP: 19mmHg

    • MR: -10.5Dsph=-0.25Dcyl180

    • White to white: 11.3mm

    • Sulcus to sulcus: 11.4mm

  • Implanted ICL

    • Size/Power: 12.0mm/-14.5D

  • Postop 2mo

    • UCVA: 1.0

    • MR: +0.25Dsph

    • IOP: 20mmHg

    • ICL Vault: 949um


Case 1 l.jpg
Case 1. Iridociliary Cyst

Preop (OD - 10 ½ O/C)

Postop (OD - 10 ½ O/C)

  • Preop UBM. A ciliary cyst (540um in diameter) is discovered by chance. Postop 2 month UBM. The cyst disappeared and the ICL haptic is set over the ciliary body.


Case 2 l.jpg
Case 2. Iridociliary Cyst

Preop (OS - 9 O/C)

Postop (OS - 9 O/C)

  • Preop UBM. A relatively large and thin walled cyst (1103um in diameter) is located at the iridociliary junction. Postop 2 month UBM. The cyst disappeared and the ICL haptic is placed over the ciliary body.


Case 3 f 28 yr os l.jpg
Case 3 (F/28 yr(OS)) Iridociliary Cyst

OS (case 3)

  • Preop

    • UCVA/BCVA: 0.01/0.9

    • IOP: 15mmHg

    • MR: -9.50 Dsph=-1.0Dcyl180

    • White to white: 11.5mm

    • Sulcus to sulcus: 11.9mm

  • Implanted ICL

    • Size/Power: 12.5mm/-15.5Dsph=+1.0Dcyl (Toric ICL)

  • Postop 2mo

    • UCVA: 1.0

    • MR: +0.5Dsph

    • IOP: 13mmHg

    • ICL Vault: 1088um


Case 3 l.jpg
Case 3. Iridociliary Cyst

Preop (OS 10 O/C)

Postop (OS 10 O/C)

  • Preop UBM. A ciliary cyst (455um in diameter) is located at the ciliary body. Postop 2 month UBM. The ICL haptic is on the ciliary body over the cyst.


Conclusion l.jpg
Conclusion Iridociliary Cyst

  • Two cases of iridociliary cysts disappeared and one remained after ICL implantation.

  • The presence of iridociliary cyst does not seem to affect the clinical outcomes after ICL implantation.

  • Although limited in number, our cases demonstrated safe clinical results of ICL implantation in case of iridociliary cysts in terms of visual acuity, refraction, IOP, and vaulting.


Slide10 l.jpg

Thank you. Iridociliary Cyst


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