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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 60  |  Issue : 1  |  Page : 124

Coincidental finding of pars plana primary neuro-epithelial cyst in an elderly woman with aqueous misdirection syndrome


Department of Glaucoma, Aravind Eye Hospital and Postgraduate Research Institute, Madurai, Tamil Nadu, India

Date of Submission19-Jun-2021
Date of Decision15-Oct-2021
Date of Acceptance16-Oct-2021
Date of Web Publication22-Mar-2022

Correspondence Address:
Dr. Sharmila Rajendrababu
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Research Institute, Anna Nagar, Madurai - 625 020, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_87_21

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How to cite this article:
Rajendrababu S, Senthilkumar VA. Coincidental finding of pars plana primary neuro-epithelial cyst in an elderly woman with aqueous misdirection syndrome. TNOA J Ophthalmic Sci Res 2022;60:124

How to cite this URL:
Rajendrababu S, Senthilkumar VA. Coincidental finding of pars plana primary neuro-epithelial cyst in an elderly woman with aqueous misdirection syndrome. TNOA J Ophthalmic Sci Res [serial online] 2022 [cited 2022 Jun 29];60:124. Available from: https://www.tnoajosr.com/text.asp?2022/60/1/124/340375



A 70-year-old elderly woman, a known case of aqueous misdirection syndrome in the left eye (LE) on topical steroids, cycloplegics, and ocular hypotensive agents came to us for the follow-up visit. Her best-corrected visual acuity and intraocular pressure (IOP) in LE were 2/60 and 32 mmHg. Anterior-segment evaluation LE revealed circumcorneal congestion with a shallow anterior chamber [Figure 1]a. Ultrasound microscopy (UBM) showed a well-defined cystic lesion with clear intracavitary fluid in the region of pars plana suggestive of primary neuroepithelial cyst [[Figure 1]b-white arrowheads]. Marigo et al. detected the presence of neuroepithelial cysts using UBM in 83.3% patients, of which 6.8% were noted to be in the pars plana region.[1],[2] The presence of pars plana cyst in this patient is purely coincidental, and there is no significant relevance with aqueous misdirection syndrome. However, we presumed that the presence of ciliary body (CB) cyst in a patient with chronic angle closure could have worsened the trabecular meshwork outflow obstruction. Hence, she underwent partial diode cyclophotocoagulation for IOP control and needs close monitoring of IOP every 2–3 months.
Figure 1: (a) Slit-lamp image of the left eye showing circumcorneal congestion with a shallow anterior chamber depth both centrally and peripherally and stromal edema. (b) Ultrasound microscopy image of the left eye showing anterior shift of the iris-lens diaphragm, absent ciliary sulcus with well-defined cystic lesion with clear intracavitary fluid in the region of pars plana suggestive of primary neuroepithelial cyst (white arrowheads)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Marigo FA, Esaki K, Finger PT, Ishikawa H, Greenfield DS, Liebmann JM, et al. Differential diagnosis of anterior segment cysts by ultrasound biomicroscopy. Ophthalmology 1999;106:2131-5.  Back to cited text no. 1
    
2.
Kumar V, Kumar P, Roy S, Padhy SK. Pars plana cysts. Ophthalmic Surg Lasers Imaging Retina 2018;49:e169-70.  Back to cited text no. 2
    


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