_biomicroscopy diagnosis of benign iris cyst in 超声生物显微镜诊断良性虹膜囊肿课件

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1、UltrasoundBiomicroscopyDiagnosisofBenignIrisCystsinPatientPresentingforImplantationofCopolymerPhakicIOLMuhammadAman-UllahMDHowardV.GimbelMDGimbelEyeCentreCalgaryABCanadaASCRSSanDiego2011AuthorsHaveNoFinancialInterestUBMofIrisCystsinICLSurgeryPurposeToreportacasewithaperipheraliriscystdiagnose

2、dincidentallyduringpreoperativetestingforSTAARVisianposteriorchambertoricimplantablecopolymerphakicIOLMethodRoutineultrasoundbiomicroscopy(UBMSonomed)ofthesulcusfordeterminationoftoricICL(TICL)lengthrevealedaperipheraliriscystineacheyethatwasotherwiseundetectedduringslitlampexaminationUBMofIr

3、isCystsinICLSurgeryOD/OS-11.25–1.00X01520/15-2-11.25–1.00X01520/15-2PupilsizeMesopic2.89/3.09mmScotopic5.22/4.64mmACD3.22mmOUWTW11.6mmOUPachymetry506/513umResults32year-oldmalePresentedforTICLImplantationOUNov2009UBMofIrisCystsinICLSurgeryHighfrequencyUBMexam(SonomedVuMaxII)showedbilateralper

4、ipheraliris(iridociliary)cystsjunctionbetweentheirisandciliarybodyCystinODisunilateralat9o’clockmeridianRound,1.03mmindiameterCystinOSisunilateralat2:30o’clockOvoid,1.22x1.54mmUBMOUrevealsinternalecholucencyandthinwallstypicalofneuroepithelialcystsUBMSTSOD11.41mmOS11.53mmResultsUBMofIrisCysts

5、inICLSurgeryPre-opcystOSPre-opcystODResultsUBMofIrisCystsinICLSurgeryPre-opcystOSResultsUBMofIrisCystsinICLSurgeryPostYAGattempteddrainageOSOnedaypre-opOpenangleResultsUBMofIrisCystsinICLSurgery7wkspost-opUCVA20/20OUIOP12OUTICLtemporalhapticinsulcusODTICLtemporalhapticpressingintothecystOSOpe

6、nangleTICLtemporalhaptichassettledposteriorwithnopressureonthecystOSTICLtemporalhapticremainsstableinthesulcusODResults7mospost-opUCVA20/15;20/20IOP15/18UBMofIrisCystsinICLSurgeryResultsUBMofIrisCystsinICLSurgery2.25yrspost-opUCVA20/15;20/20IOP18OUTICLtemporalhapticpressingintothecystOSTICLte

7、mporalhapticremainsstableinthesulcusODTICLtemporalhapticpressingintothecystOSDiscussionThiscasereportdemonstratesthefeasibilityofimplantinganICLwithperipheralIriscysts.Nootherreportsofsuchsurgerieswerefoundtocompare.UBMsystemsaresuitableforim