DOI: 10.25881/20728255_2024_19_4_S1_6

Authors

Baitokova T.M., Usanova G.Yu., Uzunyan D.G., Antonova O.P.

S. Fyodorov Eye Microsurgery Federal State Institution

Abstract

This article presents a clinical case of bilateral ophthalmic hypertensin a patient at the presbyopic age with cysts of iridocyliary processes. A bilateral lentectomy was carried out with the implant of multifocal IOLs for refractive purposes. To evaluate the сlinico-functional performance of the treatment, an ultrasound biopsy of the anterior segment of the eye was performed and a hydrodynamic assessment was carried out before and after the operation. The remote results of the treatment allow to conclude that timely extraction of native lens can significantly reduce the risk of open-closure glaucoma in patients with cysts of iridocyliary processes.

Keywords: open-closure glaucoma, iridociliary cysts, refractive lenectomy, clinical case.

References

1. Avetisov S.E. Oftal’mologiya. Natsional’noe rukovodstvo. Pod red. S.E. Avetisova, E.A. Egorova, L.K. Moshetovoi, V.V. Neroeva, Kh.P. Takhchidi. – M.: GEOTAR-Media, 2008. – 944 s. (In Russ.)

2. Egorova E.V., Faizieva U.S. Phacoemulsification is an operation of choice in primary angle closure glaucoma with block induced by the lens. Glaukoma. Zhurnal NII GB RAMN. 2012; 3: 36–41. (In Russ.)

3. Faizieva U.S. Zakrytougol’naya glaukoma: diagnostika, klinika i lechenie. Rossiiskaya oftal’mologiya onlain. – 2012. [URL] (In Russ.)

4. Hadiri Kh. Assessment of prognostic coefficients as predictors of primary angle-closure glaucoma development. National Journal glaucoma. 2020;19(1):35-38. (In Russ.)

5. Prognostic possibilities revealing high risk factors of phacomorphic glaucoma in individuals with hyperopic refraction A.N. Marchenko, E.L. Sorokin, V.D. Posvalyuk, O.V. Danilov The Khabarovsk Branch of the S. Fyodorov Eye Microsurger y Federal State Institutionl Ophthalmosurgery.— 2011.— No. 3.— P. 57-62. (In Russ.)

6. Marchenko AN, Sorokin EL, Pashentcev YaE. Effectiveness of the system for predicting the risk of developing an acute angle closure glaucoma attack. Russian Annals of Ophthalmology. 2019;135(1):47 52. (In Russ.)

7. Azuara-Blanco A., Spaeth G.L., Araujo S.V., et al. Plateau iris syndrome associated with multiple ciliary body cysts. Report of three cases // Arch Ophthalmol. – 1996. – Т. 114, № 6. – С. 666–668.

8. Baba T., Hirooka K., Takagishi M., et al. Plateau iris syndrome associated with cysts and nocturnal elevation of intraocular pressure // Can J Ophthalmol. – 2008. – Т. 43, № 6. – С. 725.

9. Hildreth T., Maino J., Hartong T. Primary and secondary iris cysts // J Am Optom Assoc. – 1991. – Т. 62, № 8. – С. 588–592.

10. Jayaram H., et al. Glaucoma: current realities and future directions // The Lancet. – 2023. – Vol. 402, No. 10414. – P. 1788-1801. doi:10.1016/ S0140-6736(23)01289-8.

11. Kunimatsu S., Araie M., Ohara K., Hamada C. Ultrasound biomicroscopy of ciliary body cysts // Am J Ophthalmol. – 1999. – Т. 127, № 1. – С. 48–55.

12. Llinas A., Dorairaj S., Libman J., Rich R. Plateau iris syndrome in a child // Eye. – 2008. – Vol. 22, No. 4. – P. 597-602. doi:org/10.1038/sj.eye.6703088.

13. Rao A., Gupta V., Bhadange Y., et al. Iris cysts: a review. Semin Ophthalmol. – 2011. – Т. 26, № 1. – С. 11–22.

14. Sarigul Sezenoz A., Gungor S.G., Kiratli H., Akman A. Circumferential ciliary body cysts presenting as acute pigment dispersion and ocular hypertension // Ocul Immunol Inflamm. – 2018. – Т. 26, № 8. – С. 1261–1263.

15. Schmalfuss T.R., Picetti E., Pakter H.M. Glaucoma due to ciliary body cysts and pseudoplateau iris: a systematic review of the literature // Arq Bras Oftalmol. – 2018. – Т. 81, № 3. – С. 254–261.

16. Shukla S., Damji K.F., Harasymowycz P., et al. Clinical features distinguishing angle closure from pseudoplateau versus plateau iris // Br J Ophthalmol. – 2008. – Т. 92, № 3. – С. 340–344.

17. Tanihara H., Akita J., Honjo M., Honda Y. Angle closure caused by multiple, bilateral iridociliary cysts // Acta Ophthalmol Scand. – 1997. – Т. 75, № 2. – С. 216–217.

For citation

Baitokova T.M., Usanova G.Yu., Uzunyan D.G., Antonova O.P. Timely refractive lancesectomy should be considered as a prophylactic treatment for open-closure glaucoma in patients with multiple cysts of the iridociliary processes. Bulletin of Pirogov National Medical & Surgical Center. 2024;19(4,supplement):6-8. (In Russ.) https://doi.org/10.25881/20728255_2024_19_4_S1_6