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Ultrasound biomicroscopy of cystic lesions of the iris and ciliary body.

机译:虹膜和睫状体囊性病变的超声生物显微镜检查。

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OBJECTIVES: To describe and illustrate the ultrasound biomicroscopic findings in patients with one or more cystic lesions of the iris, ciliary body, or both. METHODS: Retrospective study of 263 ultrasound biomicroscopic studies performed at one institution during a 20-month period, May 1994 through December 1995. All studies were performed using the Humphrey ultrasound biomicroscope model 840. RESULTS: Thirty-nine of the 263 evaluated patients had one or more cystic lesions. Four different types of cysts were detected. Twenty-seven patients had one or more primary neuroepithelial cysts of the iris or ciliary body. These cysts were frequently multifocal and bilateral. All contained clear fluid and had a thin but highly reflective wall. Three patients had a stratified squamous epithelial implantation cyst. These cysts were all unifocal and unilateral. The intracavitary fluid contained multiple suspended particles (presumably desquamated epithelial cells), and the walls were relatively thick. Six patientshad a neuroepithelial cyst associated with a solid tumor. Each of these cysts resembled the primary neuroepithelial cysts. Three patients had focal intratumoral cavitation. The cavity in each case contained clear fluid. The surrounding tumor tissue in each case appeared homogeneous. CONCLUSIONS: Ultrasound biomicroscopy appears to be a valuable clinical tool for evaluating and differentiating cystic lesions of the iris and ciliary body.
机译:目的:描述和说明虹膜,睫状体或两者兼有的一个或多个囊性病变的患者的超声生物显微镜检查结果。方法:回顾性研究在1994年5月至1995年12月的20个月中在一间机构中进行的263次超声生物显微镜研究。所有研究均使用840型汉弗莱超声生物显微镜进行。结果:在263名接受评估的患者中,有39人进行了一项超声生物显微镜研究。或更多的囊性病变。检测到四种不同类型的囊肿。二十七名患者患有虹膜或睫状体的一个或多个原发性神经上皮囊肿。这些囊肿经常是多灶性和双侧的。所有的容器都含有透明的液体,并且壁薄但反射性强。 3例患者有分层的鳞状上皮植入囊肿。这些囊肿都是单灶的和单侧的。腔内液包含多个悬浮颗粒(可能是上皮细胞脱落),并且壁相对较厚。六名患者患有与实体瘤相关的神经上皮囊肿。这些囊肿均类似于原发性神经上皮囊肿。三例患者出现局灶性瘤内空化。在每种情况下,空腔都含有透明液体。在每种情况下,周围的肿瘤组织均质。结论:超声生物显微镜似乎是评估和区分虹膜和睫状体囊性病变的有价值的临床工具。

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