双侧先天性基质性虹膜囊肿伴继发性青光眼。
Bilateral congenital stromal iris cyst with secondary glaucoma.
作者信息
Varshney Toshit, Gupta Shikha, Mahalingam Karthikeyan, Gupta Viney, Kashyap Seema
机构信息
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India.
出版信息
Am J Ophthalmol Case Rep. 2022 Jan 20;25:101261. doi: 10.1016/j.ajoc.2022.101261. eCollection 2022 Mar.
PURPOSE
To report a case of bilateral congenital stromal iris cyst in a neonate.
OBSERVATIONS
A one-month-old male child was brought with complaints of watering in both eyes and enlargement of the left eye since birth. Examination under anesthesia revealed an elevated IOP in both the eyes. The left eye had buphthalmos with hazy cornea and central corneal scarring. Ultrasound biomicroscopy revealed the presence of a stromal cyst in both the eyes and a cataractous lens in the left eye. While the right eye responded to topical glaucoma medications, the left eye continued to have a high IOP and hence, it was managed surgically.
CONCLUSIONS AND IMPORTANCE
This rare case of bilateral stromal iris cyst in a neonate presented with a unique diagnostic and management challenge.
目的
报告一例新生儿双侧先天性基质性虹膜囊肿病例。
观察结果
一名1个月大的男童因双眼流泪及自出生以来左眼增大前来就诊。麻醉下检查发现双眼眼压升高。左眼有牛眼，角膜模糊且中央角膜瘢痕形成。超声生物显微镜检查显示双眼均存在基质囊肿，左眼有白内障晶状体。右眼对局部青光眼药物有反应，而左眼眼压持续较高，因此接受了手术治疗。
结论及重要性
该例新生儿双侧基质性虹膜囊肿罕见，带来了独特的诊断和治疗挑战。
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