Epithelial Cyst of Posterior Capsule
JE is a 43-year-old man who was born with congenital cataracts. He underwent bilateral lens needling procedures as a teenager. He had vision in the 20/80 range in both eyes until a few months before presentation to an ophthalmologist with complaints of a reduction of vision in his right eye. Examination showed vision of 20/100 in that eye and 20/80 in the left eye. The pupils were under 3 mm, updrawn, and minimally reactive to direct light. Slit-lamp examination showed a bulge in the temporal iris with the appearance of a pigmented mass on transillumination. The posterior pole could be visualized on fundus examination but the peripheral retina and ciliary body could not be seen.