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台盼蓝辅助虹膜囊肿切除术。

Trypan blue-assisted iris cyst excision.

作者信息

Borgia Alfredo, Airaldi Matteo, Semeraro Francesco, Patel Sanjay V, Romano Vito

机构信息

St. Paul's Eye Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom.

Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom.

出版信息

Am J Ophthalmol Case Rep. 2025 Feb 7;38:102275. doi: 10.1016/j.ajoc.2025.102275. eCollection 2025 Jun.

DOI:10.1016/j.ajoc.2025.102275
PMID:40094033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11907482/
Abstract

PURPOSE

To describe a novel surgical technique using trypan blue assistance for iris cyst excision.

METHODS

With viscoelastic in the anterior chamber, the cyst contents are aspirated with a 27G needle. Trypan blue is then injected into the residual cyst cavity to stain its walls. Forceps and anterior vitrectomy are utilized to ensure complete removal of the cyst wall with a safe margin of surrounding iris tissue.

RESULTS

The trypan blue-assisted technique facilitates cyst visualization, enabling precise and complete cyst removal.

CONCLUSIONS

Trypan blue-assisted excision provides an effective approach for iris stromal cyst removal, minimizing recurrence risk and enhancing surgical precision.

摘要

目的

描述一种使用台盼蓝辅助进行虹膜囊肿切除术的新型手术技术。

方法

在前房注入粘弹剂后,用27G针头抽吸囊肿内容物。然后将台盼蓝注入残留的囊肿腔内以染色其壁。使用镊子和前部玻璃体切除术确保完整切除囊肿壁,并保留周围虹膜组织的安全边缘。

结果

台盼蓝辅助技术有助于囊肿可视化,从而能够精确、完整地切除囊肿。

结论

台盼蓝辅助切除术为虹膜基质囊肿切除提供了一种有效的方法,可将复发风险降至最低并提高手术精度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0b/11907482/3c035c2c9bed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0b/11907482/37c4b8d1a53a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0b/11907482/3c035c2c9bed/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0b/11907482/37c4b8d1a53a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0b/11907482/3c035c2c9bed/gr2.jpg

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本文引用的文献

1
Iris cysts: A comprehensive review on diagnosis and treatment.虹膜囊肿:诊断与治疗的全面综述。
Surv Ophthalmol. 2018 May-Jun;63(3):347-364. doi: 10.1016/j.survophthal.2017.08.009. Epub 2017 Sep 5.
2
Cysts of the Iris Pigment Epithelium. What Is New and Interesting? The 2016 Jose Rizal International Medal Lecture.虹膜色素上皮囊肿。有哪些新的和有趣的发现?2016年何塞·黎刹国际奖章讲座。
Asia Pac J Ophthalmol (Phila). 2017 Jan-Feb;6(1):64-69. doi: 10.22608/APO.201613.
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Iris cysts: a review.虹膜囊肿:综述
Semin Ophthalmol. 2011 Jan;26(1):11-22. doi: 10.3109/08820538.2010.541319.
4
The use of vital dyes in ocular surgery.活性染料在眼科手术中的应用。
Surv Ophthalmol. 2009 Sep-Oct;54(5):576-617. doi: 10.1016/j.survophthal.2009.04.011.
5
Epithelial iris cyst treatment with intracystic ethanol irrigation.上皮性虹膜囊肿的囊内乙醇灌注治疗。
Ophthalmology. 2003 Aug;110(8):1601-5. doi: 10.1016/s0161-6420(03)00543-8.