Baile Rahul, Sahasrabuddhe Meghana, Nadkarni Snehal, Karira Vasudeo, Kelkar Juilee, Bhonde Snehal
Department Of Ophthalmology, B.A.R.C. Hospital, Anushaktinagar, Chembur, Mumbai 400 085, India.
Saudi J Ophthalmol. 2011 Jan;25(1):89-91. doi: 10.1016/j.sjopt.2010.10.002. Epub 2010 Dec 10.
Iridociliary cysts are often found in patients as an incidental finding during a routine ophthalmic evaluation and if asymptomatic do not require any treatment per se. However, these are often mistaken as iris melanoma and the patient is managed accordingly causing a great deal of inconvenience to the patient as well as the doctor.
A 69 year old male presented to the ophthalmic out-patients department for routine ophthalmic evaluation. On examination, he is best corrected visual acuity was 6/9, N6 in both eyes. Post-mydriasis evaluation showed a Grade II nuclear cataract in both eyes. There was a smooth, pigmented mass with a rounded surface projecting from behind the iris resembling an iris melanoma. On further evaluation, he was found to have multiple ciliary body cysts.
Ultrasound biomicroscopy is a valuable technique in diagnosing iridociliary cysts.
虹膜睫状体囊肿常在患者进行常规眼科检查时被偶然发现,若无症状则本身无需任何治疗。然而,这些囊肿常被误诊为虹膜黑色素瘤,从而导致患者和医生都面临诸多不便。
一名69岁男性前往眼科门诊进行常规眼科检查。检查发现,他双眼最佳矫正视力均为6/9,近视力为N6。散瞳后评估显示双眼均有II级核性白内障。虹膜后方有一个表面光滑、有色素沉着、呈圆形突出的肿块,类似虹膜黑色素瘤。进一步评估发现他有多个睫状体囊肿。
超声生物显微镜检查在诊断虹膜睫状体囊肿方面是一项有价值的技术。