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TitelPrimary vitreous cysts: two case reports
DoelTo report two cases of primary vitreous cysts with discussion of their pathophysiology and management.
MethodesClinical examination with fundus photography, ultrasound and optical coherence tomography. Histopathology was performed in the first case.
ResultatenThe first case illustrates a pigmented, free-floating cyst, which was removed during a 27g vitrectomy. Histopathology shows a single layer of pigmented epithelium and confirms the previously reported presence of a PAS-positive basement membrane. The second case shows a sessile, non-pigmented cyst associated with significant anisometropia.
ConclusiePrimary vitreous cysts are rare and can have a wide range in their clinical aspect. This likely reflects whether they originate either from the pigment epithelium or the primary hyaloidal system. Management of vitreous cysts is mostly conservative, but pars plana vitrectomy can be used safely, if the symptoms are debilitating.
BelangenverstrengelingNee
Auteur 1
NaamROBBEN
InitialenP
InstituutUZ Leuven
StadLeuven
Auteur 2
NaamVan Ginderdeuren
InitialenR
InstituutUZ Leuven
StadLeuven
Auteur 3
NaamThoma
InitialenD
InstituutUZ Leuven
StadLeuven
Auteur 4
NaamDehislage
InitialenC
InstituutZiekenhuis Oost Limburg
StadGenk
Auteur 5
NaamVan Calster
InitialenJ
InstituutUZ Leuven
StadLeuven
Auteur 6
NaamBlanckaert
InitialenJ
InstituutJan Yerman ziekenhuis
StadIeper
Auteur 7
NaamCasteels
InitialenI
InstituutUZ Leuven
StadLeuven
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