Katsimpris J M, Petropoulos I K, Sunaric-Mégevand G
Department of Ophthalmology, General Hospital of Patras "O Agios Andreas", Patras, Greece.
Klin Monbl Augenheilkd. 2007 Apr;224(4):324-7. doi: 10.1055/s-2007-962951.
The aim of this study was to describe the findings of ultrasound biomicroscopy (UBM) in a case with bilateral, multilobulate primary iridociliary cysts presenting as chronic angle-closure glaucoma.
An 82-year-old woman was admitted to a tertiary ophthalmological centre for a thorough exploration of the gradual deterioration of her visual fields and optic discs. Clinical evaluation of the patient revealed angle-closure glaucoma and cataract in both eyes. The use of UBM disclosed the presence of bilateral, multilobulate iridociliary cysts in all quadrants. The presence of multiple and bilateral iridociliary cysts was the cause of iris anterior displacement and the subsequent angle closure in this patient.
Primary iridociliary cysts may rarely progress to a size that can compromise the angle. They are usually considered as benign and stationary lesions. The advent of UBM is an invaluable tool for the contemporary ophthalmologist in order to set the diagnosis and follow the evolution of those lesions.
本研究旨在描述一例表现为慢性闭角型青光眼的双侧多叶状原发性虹膜睫状体囊肿的超声生物显微镜（UBM）检查结果。
一名82岁女性因视野和视盘逐渐恶化而入住三级眼科中心进行全面检查。对该患者的临床评估显示双眼均有闭角型青光眼和白内障。UBM检查发现所有象限均存在双侧多叶状虹膜睫状体囊肿。双侧多个虹膜睫状体囊肿的存在是该患者虹膜向前移位及随后房角关闭的原因。
原发性虹膜睫状体囊肿很少发展到可累及房角的大小。它们通常被认为是良性的静止性病变。UBM的出现为当代眼科医生诊断和追踪这些病变的演变提供了一个非常宝贵的工具。
