Kassa Enoch, Li Helen, Sun Yang
Glick Eye Institute, Indianapolis, USA.
GMS Ophthalmol Cases. 2014 Apr 17;4:Doc03. doi: 10.3205/oc000016. eCollection 2014.
A healthy 12 month old infant without significant medical history presented with left eye redness for one week. Ophthalmic examination showed elevated intraocular pressure with iris neovascularization in the affected eye with increased optic nerve cupping. Scleral depression revealed a ciliary body mass in the supratemporal quadrant. A large, non-pigmented, vascular mass was noted; biopsy results showed multilayered cords, tubules, and sheets resembling primitive medullary epithelium arising from the ciliary body. The patient was diagnosed with medulloepithelioma. The patient underwent enucleation of the affected eye. Medulloepithelioma is a rare but important cause of neovascular glaucoma in the pediatric population. This case will focus on the characteristics of medulloepthelioma and the differential diagnosis for a non-pigmented ciliary body mass in a child.
一名健康的12个月大婴儿，无重大病史，出现左眼发红一周。眼科检查显示患眼眼压升高，伴有虹膜新生血管形成，视神经杯状凹陷增加。巩膜压迫显示颞上象限有睫状体肿物。可见一个大的、无色素的、血管性肿物；活检结果显示多层条索、小管和薄片，类似于起源于睫状体的原始髓上皮。该患者被诊断为髓上皮瘤。患者接受了患眼眼球摘除术。髓上皮瘤是儿童人群中新血管性青光眼的一种罕见但重要的病因。本病例将重点关注髓上皮瘤的特征以及儿童非色素性睫状体肿物的鉴别诊断。
