Pedemonte-Sarrias E, Pascual Batlle L, Fusté Fusares C, Salvador Playà T
Servei d'Oftalmologia, Hospital Universitari Mútua Terrassa, Fundació de Docència i Recerca Mútua Terrassa, Universitat de Barcelona, Terrassa, Barcelona, España; Departament de Cirurgia i Ciències Morfològiques, Universitat Autònoma de Barcelona, Barcelona, España.
Servei d'Oftalmologia, Hospital Universitari Mútua Terrassa, Fundació de Docència i Recerca Mútua Terrassa, Universitat de Barcelona, Terrassa, Barcelona, España.
Arch Soc Esp Oftalmol. 2015 Jul;90(7):324-6. doi: 10.1016/j.oftal.2015.02.020. Epub 2015 Apr 4.
A 45 year-old woman with unknown ophthalmology history complained of pain, redness and visual acuity (VA) loss in her left eye for the last three weeks. A serous iris cyst with an overlying peripheral corneal leukoma was located in the iris stroma using ultrasonic biomicroscopy. It was assumed that it was secondary to a penetrating trauma from her childhood. The cyst healed and VA improved after fine-needle aspiration and partial posterior synechiolysis.
Iris inclusion cysts may appear many years after penetrating trauma or surgery. Fine-needle aspiration is a good choice for its diagnosis and treatment.
一名45岁女性,既往眼科病史不详,自述在过去三周内左眼出现疼痛、发红及视力下降。通过超声生物显微镜检查,在虹膜基质中发现一个浆液性虹膜囊肿,囊肿上方伴有周边角膜白斑。推测该囊肿继发于其儿童时期的穿透性外伤。经细针抽吸及部分后粘连松解术后,囊肿愈合,视力改善。
虹膜植入性囊肿可能在穿透性外伤或手术后数年出现。细针抽吸是其诊断和治疗的一种不错选择。