Surgical Management of Encapsulated Lens Cyst 15 Years After Refractive Lensectomy
Narrative Responses:
Purpose
To present the surgical management of an encapsulated lens cyst in an aphakic patient 15 years after refractive lensectomy.
Methods
Lens cyst drainage and cortex removal was performed with an anterior segment approach. The capsule of the cyst was stained with trypan blue dye followed by viscoelastic placement into the anterior chamber. The cyst was opened with a cystotome. The cloudy fluid expelled from the cyst was sent for culture. Residual cortical material was removed with irrigation and aspiration. The patient was treated with topical moxifloxacin for one-week and underwent a 4-week taper of difluprednate and bromfenac post-operatively.
Results
At presentation, visual acuity of the eye with a lens cyst was a “cloudy” 20/30. On post-operative day one, the visual acuity was 20/25+, which was the best visual acuity the patient had at any point in the 15 years post refractive lensectomy. The rest of the exam was notable for trace anterior chamber cells, which resolved after 7 days. The culture results of the cystic cloudy fluid were negative.
Conclusion
This case suggests that a lens cyst following refractive lensectomy can be successfully treated with surgical drainage using an anterior segment approach.