Multiple bilateral iridociliary cysts: ultrasound biomicroscopy and clinical characteristics.
BACKGROUND
To describe the utility of ultrasound biomicroscopy in diagnosing multiple bilateral iridociliary cysts and to determine the clinical significance of this condition.


METHODS
A retrospective review of 73 patients referred for ultrasound biomicroscopy who were found to have bilateral iridociliary cysts.


RESULTS
Seventy-three patients were identified who demonstrated 2 or more cysts in 1 eye and at least 1 in the other with ultrasound biomicroscopy. A solitary iris elevation was the most common reason for referral (84.9%). There were 44 patients for whom sufficient follow-up data were available, with a mean follow-up of 40.4 months. Clinical sequelae included 1 case of sectoral cataract (2.3%) and 4 cases of cyst-related glaucoma (9.1%).


CONCLUSIONS
Multiple bilateral iridociliary cysts is a common condition with occasional clinical significance. Ultrasound biomicroscopy is a valuable technique in diagnosing this condition. Patients who have significant angle compromise should be followed and treated as required for glaucoma.
McWhae
John A
JA
University of Calgary, Calgary, Alta., Canada.
Rinke
Monique
M
Crichton
Andrew C S
AC
Van Wyngaarden
Case
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000000981:diagnostic imaging; D002648:Child; D002924:Ciliary Body / Q000000981:diagnostic imaging* / Q000601:surgery; D003560:Cysts / Q000000981:diagnostic imaging* / Q000601:surgery; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D006801:Humans; D032801:Iridectomy; D007499:Iris Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D053685:Laser Therapy; D008297:Male; D033401:Microscopy, Acoustic / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D014603:Uveal Diseases / Q000000981:diagnostic imaging / Q000601:surgery