_Biomicroscopy Diagnosis of Benign Iris Cyst in 超声生物显微镜诊断良性虹膜囊肿课件.ppt

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2018-06-20 发布于贵州
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_Biomicroscopy Diagnosis of Benign Iris Cyst in 超声生物显微镜诊断良性虹膜囊肿课件.ppt

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_Biomicroscopy Diagnosis of Benign Iris Cyst in 超声生物显微镜诊断良性虹膜囊肿课件

Ultrasound Biomicroscopy Diagnosis of Benign Iris Cysts in Patient Presenting for Implantation of Copolymer Phakic IOL Muhammad Aman-Ullah MD Howard V. Gimbel MD Gimbel Eye Centre Calgary AB Canada ASCRS San Diego 2011 UBM of Iris Cysts in ICL Surgery Purpose To report a case with a peripheral iris cyst diagnosed incidentally during preoperative testing for STAAR Visian posterior chamber toric implantable copolymer phakic IOL UBM of Iris Cysts in ICL Surgery Method Routine ultrasound biomicroscopy (UBM Sonomed) of the sulcus for determination of toric ICL (TICL) length revealed a peripheral iris cyst in each eye that was otherwise undetected during slit lamp examination UBM of Iris Cysts in ICL Surgery OD/OS -11.25 –1.00 X 015 20/15-2 -11.25 –1.00 X 015 20/15-2 Pupil size Mesopic 2.89/3.09 mm Scotopic 5.22/4.64 mm ACD 3.22 mm OU WTW 11.6 mm OU Pachymetry 506/513 um UBM of Iris Cysts in ICL Surgery High frequency UBM exam (Sonomed VuMaxII) showed bilateral peripheral iris (iridociliary) cysts junction between the iris and ciliary body Cyst in OD is unilateral at 9 o’clock meridian Round, 1.03 mm in diameter Cyst in OS is unilateral at 2:30 o’clock Ovoid, 1.22 x 1.54 mm UBM OU reveals internal echolucency and thin walls typical of neuroepithelial cysts UBM STS OD 11.41 mm OS 11.53 mm UBM of Iris Cysts in ICL Surgery UBM of Iris Cysts in ICL Surgery UBM of Iris Cysts in ICL Surgery UBM of Iris Cysts in ICL Surgery UBM of Iris Cysts in ICL Surgery UBM of Iris Cysts in ICL Surgery UBM of Iris Cysts in ICL Surgery * Authors Have No Financial Interest Results 32 year-old male Presented for TICL Implantation OU Nov 2009 Results Pre-op cyst OS Pre-op cyst OD Results Pre-op cyst OS Results Post YAG attempted drainage OS One day pre-op Open angle Results 7 wks post-op UCVA 20/20 OU IOP 12 OU TICL temporal haptic in sulcus OD TICL temporal haptic pressing into the cyst OS Open angle TICL temporal haptic has settled posterior with no pressure on the cyst OS TIC