Shields J A, Kline M W, Augsburger J J
Br J Ophthalmol. 1984 Mar;68(3):152-66. doi: 10.1136/bjo.68.3.152.
The authors present their experience with the evaluation and follow-up of 62 patients with primary cysts of the iris, discuss their clinical and pathological features, and propose a simple classification for these lesions. The results suggest that the great majority of primary iris cysts, particularly those which arise from the iris pigment epithelial layers, are stationary lesions which rarely progress or cause visual complications. This finding is contradictory to the belief of certain authorities who stress that many such lesions lead to severe complications, with blindness and loss of the eye. The natural course of primary epithelial cysts differs from that of secondary iris cysts which follow surgical or nonsurgical trauma. The latter lesions do frequently enlarge and lead to severe complications such as inflammation and glaucoma. The major clinical importance of primary iris cysts lies in their similarity to neoplasms of the iris and ciliary body. It is concluded that the great majority of them are ophthalmic curiosities which require no treatment.
作者介绍了他们对62例原发性虹膜囊肿患者进行评估和随访的经验，讨论了其临床和病理特征，并对这些病变提出了一种简单的分类方法。结果表明，绝大多数原发性虹膜囊肿，尤其是那些起源于虹膜色素上皮层的囊肿，是静止性病变，很少进展或引起视觉并发症。这一发现与某些权威观点相矛盾，这些权威强调许多此类病变会导致严重并发症，如失明和眼球丧失。原发性上皮囊肿的自然病程与继发于手术或非手术创伤的继发性虹膜囊肿不同。后者病变确实经常扩大并导致严重并发症，如炎症和青光眼。原发性虹膜囊肿的主要临床重要性在于它们与虹膜和睫状体肿瘤相似。结论是，它们中的绝大多数是眼科罕见病，无需治疗。
