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儿童睫状体髓上皮瘤的伪装:一例慢性葡萄膜炎、白内障和继发性青光眼病例

The masquerades of a childhood ciliary body medulloepithelioma: a case of chronic uveitis, cataract, and secondary glaucoma.

作者信息

Chua Jocelyn, Muen Wisam J, Reddy Ashwin, Brookes John

机构信息

Moorfields Eye Hospital, City Road, London EC1V 2PD, UK.

出版信息

Case Rep Ophthalmol Med. 2012;2012:493493. doi: 10.1155/2012/493493. Epub 2012 Apr 4.

Abstract

Ciliary body medulloepitheliomas in childhood often masquerade other intraocular conditions due to its insidious nature as well as its secondary effects on proximal intraocular tissues in the anterior chamber. We report a case where a ciliary body medulloepithelioma in a two-year-old boy presents with chronic uveitis, cataract, and an uncontrolled secondary glaucoma after an innocuous blunt ocular trauma. The diagnosis was only made after the occurrence of a ciliary body mass. We discuss the clinical features of ciliary body medulloepitheliomas, the implications of a delayed diagnosis and treatment as well as the concern of periorbital tumor seeding with the use of an aqueous shunt implant in this case.

摘要

儿童睫状体髓上皮瘤因其隐匿性以及对眼前房近端眼内组织的继发影响,常表现为其他眼内疾病。我们报告一例两岁男孩的睫状体髓上皮瘤病例,该患儿在眼部受到轻微钝挫伤后,出现慢性葡萄膜炎、白内障以及无法控制的继发性青光眼。直到出现睫状体肿物后才得以确诊。我们讨论了睫状体髓上皮瘤的临床特征、延迟诊断和治疗的影响,以及在该病例中使用房水分流植入物时眶周肿瘤播散的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4c/3350208/fe69ebdbedaf/CRIM.OPHMED2012-493493.001.jpg

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