J Korean Ophthalmol Soc.  2021 Mar;62(3):405-407. 10.3341/jkos.2021.62.3.405.

A Pediatric Lenticular Cyst

• Jun TH
• Park JY
• Park DJ

• KMID: 2514257
• DOI: http://doi.org/10.3341/jkos.2021.62.3.405

Abstract

Purpose
We report a lenticular cyst in an 8-year-old boy.
Case summary
An 8-year-old boy visited our clinic with reduced visual acuity. On slit lamp examination, an immobile lenticular cyst was evident on the posterior lens capsule of the left eye. There was no other abnormality. He had no history of ocular trauma or surgery. His Snellen best-corrected visual acuities (BCVAs) were 1.0 (-0.50 Dsph 0.50 Dcyl ×180°) in the right eye and 0.3 (+3.25 Dsph 1.00 Dcyl ×180°) in the left. After diagnosis of a primary lenticular cyst and anisometropic amblyopia, the child was prescribed glasses and occlusion therapy (8 hours daily). After 3 months, the BCVA improved to 0.9 in the left eye and was maintained. No change in lenticular cyst size was observed during 8 months of follow-up.
Conclusions
Primary lenticular cysts are very rare in children. When the cyst is too small to occlude the visual axis, amblyopia treatment (glasses and occlusion therapy) is preferable to surgery, being both non-invasive and effective.

Keyword

Pediatric lenticular cyst, Primary lenticular cyst