DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.011

Pages: 60-63

Vitreous cysts, whether congenital or acquired, are rare ocular malformations. We report the case of a 70- year-old patient who sustained multiple traumas following a severe road traffic accident. Brain magnetic resonance imaging revealed an intravitreal cyst associated with intravitreal hemorrhage and a subluxated left lens. The remaining findings were unremarkable. Two months later, a combined procedure involving phacoemulsification, vitrectomy, and implantation of a posterior iris-claw intraocular lens was performed. Histopathological analysis of the cyst identified a ciliary epithelial cyst with no evidence of malignancy. Postoperatively, the patient’s visual acuity improved significantly, from hand motion to 10/10. Pigmented or non-pigmented vitreous cysts are exceptionally rare and originate from the pars ciliaris or the hyaloid system. They are often asymptomatic and incidentally discovered, requiring no specific treatment. Management of vitreous cysts should be undertaken with caution and tailored to the clinical indications.