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

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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 Authors have no financial interest.

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

Case Report 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)) Preop Implanted ICL Postop 2mo Preop 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. 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. 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)) Preop Implanted ICL Postop 2mo OS (case 3) 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. 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 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.

Thank you.