Echographic evaluation of primary cysts of the iris pigment epithelium.

作者: PAUL A. SIDOTI , MARCELA VALENCIA , NANCY CHEN , GEORGE BAERVELDT , RONALD L. GREEN

DOI: 10.1016/S0002-9394(14)72603-0

关键词: Iris pigment epitheliumEye diseaseIris surfacePhysical examinationPeripheral irisAnatomyMedicineCystSagittal plane

摘要: Purpose Primary cysts of the iris pigment epithelium frequently appear to be focal elevations peripheral iris. To differentiate them from other anterior segment tumors requires ability assess distribution, tissue characteristics, and progression such lesions, which we accomplished by using echography. Methods We reviewed medical records 49 consecutive patients referred Doheny Eye Institute for echographic evaluation bulging Echography was performed on each patient an immersion technique. Clinical examination also 20 (41%) at time initial examination. Results identified 52 epithelial in eyes studied. All lesions were single, localized posterior surface, demonstrated a well-circumscribed, echolucent structure B-scan Average maximal sagittal thickness 1.6 ± 0.4 mm. Cysts most located inferotemporal quadrant (31%). Minimal increase size or regression noted nine (ten eyes) whom follow-up examinations available. Conclusions possess characteristic features with regard location, size, internal structure, can accurately documented Clinically evident tend between 1 4 mm maximum thickness, conform contour chamber structures without distortion, produce iris, are preferentially quadrant, demonstrate limited potential growth.

参考文章(14)
Harold G. Scheie, Gonioscopy in the diagnosis of tumors of the iris and ciliary body, with emphasis on intraepithelial cysts. Transactions of the American Ophthalmological Society. ,vol. 51, pp. 313- 331 ,(1953)
Angela Vela, John C. Rieser, David G. Campbell, The Heredity and Treatment of Angle-closure Glaucoma Secondary to Iris and Ciliary Body Cysts Ophthalmology. ,vol. 91, pp. 332- 337 ,(1984) , 10.1016/S0161-6420(84)34287-7
Charles J. Pavlin, John A. McWhae, Hugh D. McGowan, F. Stuart Foster, Ultrasound Biomicroscopy of Anterior Segment Tumors Ophthalmology. ,vol. 99, pp. 1220- 1228 ,(1992) , 10.1016/S0161-6420(92)31820-2
A. M. Verbeek, P. Mitropoulos, Diagnostic ultrasound: an aid in the differentiation of anterior segment lesions of the eye. International Ophthalmology. ,vol. 15, pp. 205- 212 ,(1991) , 10.1007/BF00153930
S. Davidson, SPONTANEOUS CYSTS OF THE CILIARY BODY British Journal of Ophthalmology. ,vol. 44, pp. 461- 466 ,(1960) , 10.1136/BJO.44.8.461
KARL C. OSSOINIG, Standardized echography: basic principles, clinical applications, and results. International Ophthalmology Clinics. ,vol. 19, pp. 127- 210 ,(1979) , 10.1097/00004397-197901940-00007
Charles J. Pavlin, Kasia Harasiewicz, Michael D. Sherar, F. Stuart Foster, CLINICAL USE OF ULTRASOUND BIOMICROSCOPY Ophthalmology. ,vol. 98, pp. 287- 295 ,(1991) , 10.1016/S0161-6420(91)32298-X
Alfred Cowan, Congenital and Familial Cysts and Flocculi of the Iris American Journal of Ophthalmology. ,vol. 19, pp. 287- 291 ,(1936) , 10.1016/S0002-9394(36)91208-4
Scott R. Sneed, Spontaneous Collapse of a Primary Iris Cyst Associated With an Iris Nevus Archives of Ophthalmology. ,vol. 109, pp. 21- 22 ,(1991) , 10.1001/ARCHOPHT.1991.01080010023015
Jerry A. Shields, George E. Sanborn, James J. Augsburger, The differential diagnosis of malignant melanoma of the iris. A clinical study of 200 patients. Ophthalmology. ,vol. 90, pp. 716- 720 ,(1983) , 10.1016/S0161-6420(83)34500-0