Long-term Follow-up of 14 Eyes With Bilateral and Multiple Ciliary Body Cysts: Prognosis of this Rare Entity
- Resource Type
- Authors
- Adèle Morin; Charles Feumi; Michelle Nguyen; Yves Lachkar; J Hugo
- Source
- Journal of glaucoma. 30(1)
- Subject
- medicine.medical_specialty
genetic structures
Open angle glaucoma
medicine.medical_treatment
Ultrasound biomicroscopy
Gonioscopy
Glaucoma
Iris
Trabeculectomy
03 medical and health sciences
0302 clinical medicine
Ciliary body
Ophthalmology
medicine
Humans
Intraocular Pressure
Retrospective Studies
business.industry
Cysts
Ultrasound
Ciliary Body
Retrospective cohort study
medicine.disease
Prognosis
eye diseases
Visual field
medicine.anatomical_structure
030221 ophthalmology & optometry
sense organs
Laser Therapy
business
Glaucoma, Angle-Closure
030217 neurology & neurosurgery
Follow-Up Studies
- Language
- ISSN
- 1536-481X
PURPOSE To describe the long-term outcomes of eyes with bilateral and multiple ciliary body cysts (CBC). METHODS This retrospective study included patients with multiple and bilateral CBC diagnosed by high-resolution ultrasound biomicroscopy and followed by a single glaucoma specialist from 2000 to 2020. All patients underwent complete ophthalmic examination including dynamic indentation gonioscopy, retinal nerve fiber layer (RNFL) measurement by optic coherence tomography and automated perimetry. RESULTS Seven patients (14 eyes) with bilateral and multiple CBC were included with a mean follow-up of 98±39 months. Four eyes of 2 patients had complete angle closure at first examination and 3 of them underwent trabeculectomy with good visual outcomes. Four eyes of 2 patients had a reversible angle-closure at first examination and underwent a ultrasound biomicroscopy-guided laser peripheral iridotomy (LPI) which reopened the irido-corneal angles. Two of these eyes needed intensification of hypotensive drops during the follow-up. Among the 6 eyes (3 patients) with open angle at first examination, all had had LPI at last follow-up visit, 5 had normal RNFL and visual field and 1 received an additional hypotensive drop because of RNFL progression. CONCLUSION Our long-term cohort of bilateral and multiple CBC demonstrates that this rare entity may have a good prognosis if LPI is performed before extension of peripheral anterior synechiae. Irreversible angle closure required trabeculectomy in 75% of cases in our cohort with however good visual outcomes.