痨眼非色素睫状上皮腺瘤

Adenoma of the nonpigmented ciliary epithelium in the phthisic eye.

作者信息

Takahashi Yasuhiro, Takahashi Emiko, Goto Hiroshi, Kakizaki Hirohiko

机构信息

Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi, Japan.

出版信息

Orbit. 2013 Jun;32(3):184-6. doi: 10.3109/01676830.2013.771677. Epub 2013 Mar 20.

DOI:10.3109/01676830.2013.771677

PMID:23514049

Abstract

PURPOSE

To report a case of adenoma of the nonpigmented ciliary epithelium (NPCE) in a phthisic eye.

METHODS

The clinical and histopathological findings of the case were reported.

RESULTS

A 79-year-old man with a left phthisic eye had suffered from severe left ocular pain for 2 months. At the first examination, the intraocular pressure was 48 mm Hg OS. Slit lamp examination of the left eye revealed an opaque cornea with a band-shaped keratopathy and a hematoma in the anterior chamber, precluding further intraocular examination. Computed tomography revealed a left intraocular heterogeneous lesion with posterior expansion, which was consistent with a hematoma. Evidence of an intraocular tumor before the evisceration was not found. However, histopathological examination of the eviscerated specimen disclosed a tumor comprising tubular components with papillary epithelial proliferation, which was classified as adenoma of the NPCE.

CONCLUSIONS

The current case suggests a necessity for histopathological examination after evisceration to detect components related to a phthisis bulbi, including adenoma of the NPCE.

摘要

目的

报告一例痨眼非色素睫状上皮（NPCE）腺瘤病例。

方法

报告该病例的临床及组织病理学检查结果。

结果

一名79岁男性，左眼痨眼，伴严重左眼疼痛2个月。首次检查时，左眼眼压为48 mmHg。左眼裂隙灯检查显示角膜混浊，伴有带状角膜病变，前房有血肿，无法进行进一步的眼内检查。计算机断层扫描显示左眼眼内有一个异质性病变，向后扩展，与血肿相符。摘除眼球前未发现眼内肿瘤的证据。然而，对摘除眼球标本的组织病理学检查发现一个肿瘤，由管状成分和乳头样上皮增生组成，被分类为NPCE腺瘤。