经瞳孔氩激光光凝术及钕:钇铝石榴石激光晶状体囊切开术治疗周边虹膜色素上皮囊肿
Transpupillary argon laser photocoagulation and Nd:YAG laser cystotomy for peripheral iris pigment epithelium cyst.
作者信息
Xiao Yang, Wang Yuhong, Niu Gailing, Li Kun
机构信息
Department of Ophthalmology, Beijing Chaoyang Hospital (West Campus), Affiliate of Capital University of Medical Sciences, Beijing, People's Republic of China.
出版信息
Am J Ophthalmol. 2006 Oct;142(4):691-3. doi: 10.1016/j.ajo.2006.04.050.
PURPOSE
To report the use of a combination of transpupillary argon laser photocoagulation and Nd:YAG laser cystotomy in the treatment of peripheral iris pigment epithelium (IPE) cyst.
DESIGN
Case report.
METHODS
A 23-year-old man presented with a one-month history of blurred vision and pain in the right eye. Slit-lamp biomicroscopy and gonioscopy revealed, in the iridociliary sulcus, a large clear IPE cyst, which was demonstrated by ultrasound biomicroscopy (UBM). A combination of transpupillary photocoagulation to devitalize the epithelial lining and neodymium-doped yttrium aluminum garnet (Nd:YAG) laser cystotomy to drain the cyst was engaged.
RESULTS
Laser treatment resulted in vanishing of the cyst and disappearance of the subject symptoms. Two months postoperatively, no evidence existed of the iris pigment cyst regrowth.
CONCLUSIONS
The minimal invasiveness of the combination of transpupillary laser photocoagulation and cystotomy yielded a favorable result. This procedure may be an alternative to conservative regimen if IPE cyst is clearly defined and readily seen.
目的
报告经瞳孔氩激光光凝术联合Nd:YAG激光造瘘术治疗周边虹膜色素上皮（IPE）囊肿的应用情况。
设计
病例报告。
方法
一名23岁男性，右眼视力模糊和疼痛1个月。裂隙灯生物显微镜检查和前房角镜检查显示，在虹膜睫状体沟处有一个大的透明IPE囊肿，超声生物显微镜（UBM）证实了这一点。采用经瞳孔光凝使上皮衬里失活，联合掺钕钇铝石榴石（Nd:YAG）激光造瘘术引流囊肿。
结果
激光治疗后囊肿消失，患者症状消失。术后两个月，无虹膜色素囊肿复发迹象。
结论
经瞳孔激光光凝术联合造瘘术的微创性产生了良好的效果。如果IPE囊肿明确且易于观察，该手术可能是保守治疗方案的替代方法。
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