Tsai J C, Arrindell E L, O'Day D M
Department of Ophthalmology and Visual Sciences, Vanderbilt University School of Medicine, 8000 Medical Center East, Nashville, TN 37232, USA.
Am J Ophthalmol. 2001 Feb;131(2):263-5. doi: 10.1016/s0002-9394(00)00707-8.
To report a case of recurrent epithelial inclusion cyst of the iris treated with needle aspiration and endodiathermy.
Case report. A 27-year-old man with a history of congenital cataracts, congenital nystagmus, cataract surgery in each eye at 3 years of age, and a long-standing iris epithelial cyst presented with decreased vision of 20/400 in the better seeing left eye. The reduced vision was diagnosed secondary to growth of the iris inclusion cyst over the pupil.
The iris cyst, which occluded the chamber angle and pupil, was treated with aspiration, separation of the cyst wall from the cornea, and endodiathermy. Twelve months after cyst surgery, no evidence existed of epithelial cyst regrowth. The visual function was significantly improved, although Snellen visual acuity was unchanged at 20/400.
The minimal invasiveness of needle aspiration and diathermy can result in a satisfactory outcome without undertaking more extensive and invasive surgical treatments for epithelial inclusion cysts of the anterior chamber.
报告1例采用针吸和透热疗法治疗的复发性虹膜上皮植入性囊肿病例。
病例报告。一名27岁男性，有先天性白内障、先天性眼球震颤病史，3岁时每只眼睛均接受过白内障手术，长期患有虹膜上皮囊肿，较好的左眼视力下降至20/400。视力下降被诊断为继发于瞳孔上方虹膜植入性囊肿的生长。
该虹膜囊肿阻塞了房角和瞳孔，采用抽吸、囊肿壁与角膜分离及透热疗法进行治疗。囊肿手术后12个月，无上皮囊肿复发的迹象。尽管斯内伦视力仍为20/400未变，但视觉功能有显著改善。
针吸和透热疗法的微创性可带来满意的结果，而无需对前房上皮植入性囊肿进行更广泛、侵入性更强的手术治疗。
