Usefulness of optical coherence tomography in the diagnosis of the vitreous cavity dislocated by an iridociliary cyst

Abreu-González, R.; Hernández-Marrero, D.; Kalitovics-Nobregas, N.; Abdul-Razzak Sultan, H.

doi:10.1016/j.oftale.2016.04.025

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Abreu-González, D. Hernández-Marrero, N. Kalitovics-Nobregas, H. Abdul-Razzak Sultan" "autores" => array:4 [ 0 => array:4 [ "nombre" => "R." "apellidos" => "Abreu-González" "email" => array:2 [ 0 => "rodrigoabreug@gmail.com" 1 => "rabreugonzalez@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Hernández-Marrero" ] 2 => array:2 [ "nombre" => "N." "apellidos" => "Kalitovics-Nobregas" ] 3 => array:2 [ "nombre" => "H." "apellidos" => "Abdul-Razzak Sultan" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Oftalmología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Utilidad de la tomografía de coherencia óptica en el diagnóstico de la dislocación a cavidad vítrea de un quiste iridociliar" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 500 "Ancho" => 751 "Tamanyo" => 33953 ] ] "descripcion" => array:1 [ "en" => "Colour image of the iridociliary cyst located in the retrocrystalline plane." ] ] ] "textoCompleto" => "We have read with great interest Rivero et al.’s<a class="elsevierStyleCrossRef" href="#bib0020">1</a> paper entitled «Hemovítreo secundario a quiste iridociliar» (Vitreous haemorrhage secondary to an iridociliary cyst), which presents the case of an 18-year-old patient with an episode of vitreous haemorrhage as a rare complication of an iridociliary cyst located in the union of the iris with the ciliary body.As discussed by the authors, this uncommon clinical condition can be diagnosed by means of ultrasound biomicroscopy (UBM)<a class="elsevierStyleCrossRef" href="#bib0025">2</a> when it is located in a retroiridal position or close to the iridocorneal angle, as it can penetrate up to 4mm, although it generally causes the formation of small bumps in the margins of the iris, which can be visible with mydriasis, and in some cases go unnoticed if UBM is not used. Dislocations of iridociliary cysts into the vitreous cavity have been described,<a class="elsevierStyleCrossRef" href="#bib0030">3</a> which hampers differential diagnosis with UBM, with other imaging techniques of standard use in ophthalmological services being more useful, such as optical coherence tomography (OCT).We present the case of a 12-year-old female patient, without a relevant general or ophthalmological history, who underwent a routine follow-up ophthalmological evaluation during which a cystic structure was detected in her left eye as an incidental asymptomatic finding: lobulated, with a pigmented surface and transparent content in the anterior vitreous cavity, only a few millimetres away from the posterior side of the crystalline lens, with certain degree of mobility on movement of the eyeball towards different positions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), thus being suggestive of a benign finding.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>A UBM study was carried out revealing the presence of normal iridociliary structures in both eyes, without being able to examine the cyst due to its location. Given its small size, the lesion could not be examined with a conventional ocular ultrasound. In order to thoroughly study the cyst's internal structure and characteristics, we decided to carry out an OCT by means of the Cirrus® HD-OCT system (Carl Zeiss Meditec, Dublin, CA, U.S.), following the Anterior Segment 5-Line Raster acquisition protocol. The scan was passed over the vitreous cavity in order to achieve a correct focus and acquire tomographic images of the cyst (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The images revealed a round lesion located in the posterior side of the crystalline lens, with 2 hemilobes (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>: tomographic slice 3), one of them being multilobal and the other one, of greater size, consisting of a single lobe with an internal hyporeflective signal (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>: tomographic slice 4). The internal and external walls of the cyst had a hyperreflective signal due to the presence of pigment. Both the cyst's clinical characteristics and the results of the tomographic study were compatible with a diagnosis of a dislocated benign iridociliary cyst, for which no treatment was recommended.<elsevierMultimedia ident="fig0010"></elsevierMultimedia>The versatility of OCT enables the study of the internal and external characteristics of a cyst in a quick and simple manner if the cyst is dislocated and located in a non-retroiridal position, which would prevent obtaining a tomographic image, in which case the Swept-Source OCT technology would be more useful.Conflicts of interestThe authors of this paper declare no conflict of interest." "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Abreu-González R, Hernández-Marrero D, Kalitovics-Nobregas N, Abdul-Razzak Sultan H. Utilidad de la tomografía de coherencia óptica en el diagnóstico de la dislocación a cavidad vítrea de un quiste iridociliar. Arch Soc Esp Oftalmol. 2016;91:298–299." ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 500 "Ancho" => 751 "Tamanyo" => 33953 ] ] "descripcion" => array:1 [ "en" => "Colour image of the iridociliary cyst located in the retrocrystalline plane." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2643 "Ancho" => 2333 "Tamanyo" => 382572 ] ] "descripcion" => array:1 [ "en" => "Tomographic study of the iridociliary cyst following the Cirrus® HD-OCT (Carl Zeiss Meditec, Dublin, CA, U.S.) acquisition protocol." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hemovítreo secundario a quiste iridociliar" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V. Rivero" 1 => "M.J. Aparicio" 2 => "M. Suárez-Leoz" 3 => "A. Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Soc Esp Oftamol" "fecha" => "2015" "volumen" => "90" "paginaInicial" => "600" "paginaFinal" => "603" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary cysts in the iridociliary sulcus: ultrasound biomicroscopic features of 210 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N. Fine" 1 => "C.J. Pavlin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Can J Ophthalmol" "fecha" => "1999" "volumen" => "34" "paginaInicial" => "325" "paginaFinal" => "329" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10604053" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary iris cysts: a review of the literature and report of 62 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.A. Shields" 1 => "M.W. Kline" 2 => "J.J. Augsburger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Ophthalmol" "fecha" => "1984" "volumen" => "68" "paginaInicial" => "152" "paginaFinal" => "166" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6696869" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009100000006/v1_201606030016/S217357941630041X/v1_201606030016/en/main.assets" "Apartado" => array:4 [ "identificador" => "5813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009100000006/v1_201606030016/S217357941630041X/v1_201606030016/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357941630041X?idApp=UINPBA00004N"]

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Archivos de la Sociedad Española de Oftalmología is the official journal of the Ophthalmology Society of Spain, that has over 4,000 members. It gives priority to the publication of basic, translational and clinic research including reviews, original articles, short communications, editorials, letters to the editor and clinic practice guides related to Ophthalmology and its subspecialties. A small section of the journal is reserved for the most relevant papers presented at the annual Congress of the Society. All manuscripts considered for publication are reviewed by expert examiner peers (double blind). The journal is published monthly and even though its official language is Spanish all articles are translated into English to increase the dissemination of scientific information. At present, Archivos is the only Spanish language Ophthalmology journal indexed in PubMed/MEDLINE in addition to other prestigious international databases such as Scopus.

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Vol. 91. Issue 6.

Pages 298-299 (June 2016)

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