Pseudo-plateau iris secondary to multiple peripheral pigment epithelial cysts: A case report

Iris epithelial cysts are rare, spontaneous, epithelium-lined spaces that arise from the iris-pigmented epithelial layer and ciliary body and can cause a narrowing of the anterior chamber angle leading to a pseudo-plateau iris configuration (PPI). We present the case of an 80-year-old female patient with a history of decreased visual acuity, diagnosed with bilateral cataracts and pseudo-plateau iris secondary to multiple peripheral pigment cysts. This report describes the detection process, management strategy and course of treatment of a patient with bilateral cataracts who underwent cataract surgery by manual incision, and clinically presented with Pseudo-plateau iris secondary to Iris epithelial cyst. It highlights the importance of early detection and correct differentiation from malignant conditions, and anterior segment pathologies to prevent associated permanent complications.