Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Int Ophthalmol. 2024 Oct 4;44(1):402. doi: 10.1007/s10792-024-03320-5.
Phakic lens implantation in the ciliary sulcus of the eye can be complicated by coincident ciliary body cysts (CBC). We developed an ultrasound imaging and mapping protocol for these cysts.
This is a retrospective case series of all patients who underwent ICL workup at a single institution from April 2015 to October 2019. A standardized ultrasound biomicroscopy (UBM) imaging protocol was developed to screen for CBCs in either the ciliary body or sulcus. The locations and dimensions of all CBCs were graphically represented.
The prevalence of CBCs in 158 patients undergoing ICL workup was 34.8%. Among the 159 CBCs detected in 55 patients, 83 were in the sulcus (52%) and 76 were restricted to the ciliary body (48%). ICLs were implanted in 40 eyes with CBCs and 3 eyes with CBCs located within the sulcus horizontally required ICL repositioning due to ICL rotation or iris chafing.
CBCs were incidentally found in 34.8% of patients undergoing ICL workup. ICL implantation was complicated in 3 of the eyes with CBCs in the horizontal sulcus. Although CBCs are not an absolute contraindication for ICL surgery, we recommend preoperative UBM screening of the ciliary sulcus.
在眼睫状沟内植入有晶状体眼人工晶状体可能会并发睫状体囊肿（CBC）。我们为此开发了一种针对这些囊肿的超声成像和绘图方案。
这是一项回顾性病例系列研究，纳入了 2015 年 4 月至 2019 年 10 月期间在一家机构接受 ICL 检查的所有患者。制定了标准化的超声生物显微镜（UBM）成像方案，以筛查睫状体或睫状沟中是否存在 CBC。以图形方式表示所有 CBC 的位置和尺寸。
在接受 ICL 检查的 158 名患者中，CBC 的患病率为 34.8%。在 55 名患者的 159 个 CBC 中，83 个位于睫状沟（52%），76 个局限于睫状体（48%）。在 40 只眼植入了 ICL，其中 3 只眼因 ICL 旋转或虹膜擦伤而需要重新定位 ICL，这 3 只眼的 CBC 位于水平睫状沟内。
在接受 ICL 检查的患者中，34.8%的患者意外发现了 CBC。在 3 只眼的 CBC 位于水平睫状沟内，ICL 植入术变得复杂。尽管 CBC 不是 ICL 手术的绝对禁忌症，但我们建议在术前对睫状沟进行 UBM 筛查。
