Dr Jahanzaib Rao

Dr Jahanzaib Rao

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02/01/2026

Iris cyst —

1. An iris cyst is a benign fluid-filled lesion arising from the iris pigment epithelium or stroma.

2. It may be primary (congenital/acquired) or secondary (trauma, surgery, drugs).

3. Usually asymptomatic and detected incidentally on slit-lamp examination.

4. Large cysts can cause pupil distortion, secondary glaucoma, or visual symptoms.

5. Management is observation, with treatment (laser/surgery) only if complicated.

16/12/2025

BPES – only in 5 lines..🙂

BPES is a congenital, autosomal dominant eyelid syndrome due to FOXL2 mutation.

Characterized by blepharophimosis, severe bilateral ptosis, epicanthus inversus, and telecanthus.

Ptosis is usually associated with poor levator function.

Stage 1 surgery: correction of telecanthus and epicanthus (medial canthoplasty).

Stage 2 surgery: ptosis correction, usually by frontalis sling.

03/12/2025

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