病例报告：眼内镜下完整切除症状性虹膜色素上皮囊肿
Case Report: Ophthalmic endoscopy for complete resection of a symptomatic iris pigment epithelial cyst.
摘要(中文译文)
报告一例有症状的后部虹膜色素上皮（IPE）囊肿导致房角关闭，并成功通过眼内镜进行处理的病例。一名女性患者，右眼（RE）视物模糊1周。裂隙灯和UBM检查显示双眼虹膜囊肿，右眼颞侧一个较大的主导性囊肿导致睫状体轻度前移和虹膜根部膨隆。诊断为双眼虹膜囊肿。在眼内镜辅助下，完整切除囊肿壁，未损伤周围组织或晶状体。术后第一天，患者最佳矫正视力（BCVA）提高，眼压（IOP）下降。随访3个月时，患者BCVA和IOP保持稳定，无囊肿复发。本病例提示，内镜下虹膜囊肿切除术是治疗有症状虹膜囊肿的一种良好、可行且微创的选择。
Abstract
To report a case of symptomatic posterior iris pigment epithelial (IPE) cyst causing angle closure that was successfully managed with ophthalmic endoscopy. A female with a 1-week history of blurred vision in right eye (RE). Slit lamp and UBM examination revealed iris cysts in both eyes, and a large dominant temporal cyst in the RE produced mild forward displacement of the ciliary body and bulging of the iris root. Diagnosis was iris cyst in both eyes. Assisted by ophthalmic endoscopy, the cyst wall was removed completely without damaging the surrounding tissues or the lens. On postoperative day one, the patient's best-corrected visual acuity (BCVA) improved, and her intraocular pressure (IOP) decreased. At the 3-months follow-up, the patient's BCVA and IOP remained stable, and there was no cyst recurrence. This case suggests that endoscopic iridocystectomy is a good, viable, and minimally invasive option to treat symptomatic iris cysts.
如何引用
AMA
Yuan Tao, Xing Du, Mengdi Wang, Chenming Zhang, Xu Wang. Case Report: Ophthalmic endoscopy for complete resection of a symptomatic iris pigment epithelial cyst.. Frontiers in medicine. 2026; doi:10.3389/fmed.2026.1807287.
APA
Yuan Tao, Xing Du, Mengdi Wang, Chenming Zhang, Xu Wang (2026). Case Report: Ophthalmic endoscopy for complete resection of a symptomatic iris pigment epithelial cyst.. Frontiers in medicine. https://doi.org/10.3389/fmed.2026.1807287
GB/T 7714
Yuan Tao, Xing Du, Mengdi Wang, Chenming Zhang, Xu Wang. Case Report: Ophthalmic endoscopy for complete resection of a symptomatic iris pigment epithelial cyst.[J]. Frontiers in medicine, 2026 doi:10.3389/fmed.2026.1807287.
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