植入性虹膜囊肿11例临床分析及手术治疗  

Clinical analysis and surgical treatment of implantation epithelial iris cyst of 11 cases

作　　者：王炳亮[1] 陈家祺[2] 周世有[2] 袁进[2] 

机构地区：[1]河南省安阳市眼科医院,455000 [2]中山大学中山眼科中心,广东省广州市640041

出　　处：《眼科新进展》2008年第10期782-783,共2页Recent Advances in Ophthalmology

摘　　要：目的分析植入性虹膜囊肿的临床特点及其手术治疗的方法。方法收集11例植入性虹膜囊肿患者临床资料,分析其临床特点。术前超声生物显微镜明确囊肿病变范围及毗邻关系,施行虹膜囊肿切除或联合手术,切除组织行HE染色。结果囊肿切除联合节段虹膜切除术5例;囊肿切除联合穿透性角膜移植手术4例,其中1例联合前部玻璃体切割术;囊肿切除联合异体巩膜修补1例;内窥镜下经睫状体切除囊肿1例。术后平均视力0.3,眼压14-22mmHg（1kPa=7.5mmHg）,观察期内所有病例均无复发。结论彻底的联合手术摘除是植入性虹膜囊肿首选的治疗方法,超声生物显微镜指导下囊肿彻底切除是防止复发的关键。Objective To analyze the clinical features and surgical treatment of implantation epithelial iris cyst. Methods Eleven eases with implantation epithelial iris cyst were studied, UBM examination provided the location and extention of cyst before surgery.All patients were treated with combined surgery. The excision tissue used HE staining. Results Five case performed cyst excision combined with segmental iris excision, 4 cases combined with penetrating keratoplasty, 1 ease combined with scleral repair, 1 case performed cyst excision through ciliary body under endoscope. Postoperative visual acuity were 0.3, intraocular pressure ranged from 14 mmHg to 22 mmHg（ 1 kPa = 7.5 mmHg）,no recurrence were observed. Conclusion The complete excision by combined surgery is the preferred treatment for iris cyst. Surgical excision is key method to prevent recurrence.

关 键 词：虹膜囊肿 超声生物显微镜 囊肿切除 

分 类 号：R774.1[医药卫生—眼科]