Katsushima H, Suzuki J, Adachi J, Nakagawa T, Satoh M
Department of Ophthalmology, Sapporo Medical University School of Medicine, Japan.
Jpn J Ophthalmol. 1996;40(2):244-50.
Non-rubeotic angle-closure glaucoma associated with ciliary medulloepithelioma was reported in a 3-year-old boy. On the first visit, a free-floating white mass was observed in the anterior chamber of his right eye. The mass disappeared spontaneously after 5 months of observation. One year later, angle-closure glaucoma with peripheral anterior synechia occurred in the same eye and intraocular pressure rose to 55 mmHg. After glaucoma surgery, the white mass appeared again in the anterior chamber of his right eye. By cycloscopy, numerous small grayish-white masses could be seen on the ciliary body and in the posterior chamber. Histopathological examination of one mass confirmed medulloepithelioma and the eye was enucleated. Disseminated tumor cells in the anterior chamber had caused the cornea and the peripheral iris to adhere to each other, resulting in the formation of peripheral anterior synechia.
一名3岁男孩被报道患有与睫状体髓上皮瘤相关的非虹膜炎性闭角型青光眼。初诊时,在其右眼前房观察到一个漂浮的白色肿物。观察5个月后肿物自行消失。1年后,同一只眼睛发生了伴有周边前粘连的闭角型青光眼,眼压升至55 mmHg。青光眼手术后,白色肿物再次出现在右眼前房。通过房角镜检查,在睫状体和后房可见许多灰白色小肿物。对其中一个肿物进行组织病理学检查确诊为髓上皮瘤,遂行眼球摘除术。前房内播散的肿瘤细胞导致角膜与周边虹膜相互粘连,从而形成周边前粘连。