Schmalfuss Tiago Ribeiro, Picetti Egidio, Pakter Helena Messinger
Hospital Nossa Senhora da Conceição, Porto Alegre, RS, Brazil.
Glaucoma Service, Hospital Nossa Senhora da Conceição, Porto Alegre, RS, Brazil.
Arq Bras Oftalmol. 2018 Jun;81(3):254-261. doi: 10.5935/0004-2749.20180051.
The diagnosis of angle-closure glaucoma secondary to iridociliary cysts is challenging and lacks compiled literature support. We present a rare case of bilateral angle-closure glaucoma associated with pseudoplateau iris due to multiple ciliary cysts and conducted a systematic review of the literature to find similar case reports published between November 2006 and November 2016. Only 19 case reports present treatment modalities, and most cases required more than one therapeutic approach for controlling the intraocular pressure. Pseudoplateau iris attributed to iridociliary cysts should be considered in the differential diagnosis of patients with narrow angles, particularly those with ocular hypertension and glaucoma, in which management is complex. In addition to gonioscopy, ultrasound biomicroscopy is considered the conclusive method for accurate diagnosis.
继发于虹膜睫状体囊肿的闭角型青光眼的诊断具有挑战性且缺乏文献支持。我们报告了一例罕见的双侧闭角型青光眼病例，该病例与多个睫状体囊肿导致的假性房角高原综合征相关，并对2006年11月至2016年11月期间发表的类似病例报告进行了系统回顾。仅19例病例报告介绍了治疗方式，且大多数病例需要不止一种治疗方法来控制眼压。在窄角患者，尤其是眼压升高和青光眼患者的鉴别诊断中，应考虑虹膜睫状体囊肿所致的假性房角高原综合征，此类患者的治疗较为复杂。除了前房角镜检查外，超声生物显微镜检查被认为是准确诊断的决定性方法。
