Denny Matthew R, Seider Michael I
California Pacific Medical Center, San Francisco, California, USA.
The Permanente Medical Group, San Francisco, California, USA.
Ocul Oncol Pathol. 2019 Feb;5(2):119-121. doi: 10.1159/000490778. Epub 2018 Jul 25.
Surgical intervention is indicated for large primary iris pigment epithelial cysts that significantly affect vision or compromise adjacent structures. Methods described in the literature include laser photocoagulation, needle aspiration, and complete resection.
We describe a novel surgical technique in which a surgical cystotomy is created for a large, symptomatic iris pigment epithelial cyst using microsurgical instruments for a patient in whom needle aspiration was unsuccessful.
The patient's visual symptoms had largely resolved within 1 week postoperatively, no complications were encountered, and there was no clinical or sonographic evidence of cyst recurrence after 14 months.
Surgical cystotomy with microinstrumentation may be an effective tool for management of primary iris pigment epithelial cysts, especially as an alternative after needle aspiration fails.
对于显著影响视力或危及相邻结构的大型原发性虹膜色素上皮囊肿，需进行手术干预。文献中描述的方法包括激光光凝、针吸术和完整切除术。
我们描述了一种新颖的手术技术，对于一名针吸术失败的患者，使用显微手术器械为一个大型、有症状的虹膜色素上皮囊肿进行手术造口。
患者的视觉症状在术后1周内基本缓解，未出现并发症，并且在14个月后没有临床或超声检查证据表明囊肿复发。
使用显微器械进行手术造口可能是治疗原发性虹膜色素上皮囊肿的一种有效工具，特别是在针吸术失败后的替代方法。
