Kim Bong Hyun, Henderson Bonnie A
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USA.
Semin Ophthalmol. 2005 Oct-Dec;20(4):223-9. doi: 10.1080/08820530500354052.
Choristomas have been reported in the orbit, cornea, conjunctiva, uvea, retina, and optic nerve. Many reports have described the choristoma mainly in the epibulbar area, but little is known of the choristoma that occurs intraocularly. We reviewed the literature and summarized the reports that described the choristoma inside the eyes. Iris, ciliary body, choroid, and optic nerve head are the commonly affected tissues. In the anterior uveal tissue, an ectopic lacrimal gland is common and appears as a pinkish, nodular, fleshy mass. Its clinical course largely depends on the enlargement of the accompanying cyst. Osseous choristoma is mainly found in the choroid in young female patients. Although it is regarded as a benign tumor, it grows progressively and can decrease visual function. Treatment consists of close observation and possibly surgical intervention. Fortunately, most of the intraocular choristomas do not need aggressive treatment.
迷离瘤已在眼眶、角膜、结膜、葡萄膜、视网膜和视神经中被报道。许多报告主要描述了眼球表面区域的迷离瘤,但对于眼内发生的迷离瘤却知之甚少。我们回顾了文献并总结了描述眼内迷离瘤的报告。虹膜、睫状体、脉络膜和视神经乳头是常见的受累组织。在前部葡萄膜组织中,异位泪腺很常见,表现为粉红色、结节状、肉质肿块。其临床病程很大程度上取决于伴随囊肿的增大。骨迷离瘤主要见于年轻女性患者的脉络膜。尽管它被视为良性肿瘤,但会逐渐生长并可能降低视功能。治疗包括密切观察,可能还需要手术干预。幸运的是,大多数眼内迷离瘤不需要积极治疗。