References

Czech and Slovak Ophthalmology

Original article

Bilateral Congenital Multiple Pigment Vitreous Cyst in a Three-Year-Old Girl: Ten Year Observation

Dotřelová

Dagmar

Hósová

Martina

Štěpánková

Jana

30 5 2017

The authors present a case report of a three-year-old female patient with bilateral multiple anterior vitreous cysts. During examination for intermittent esotropia of the right eye was diagnosed not only hypermetropia, astigmatism and anisometropia, but also pigmented changes in peripheral retrolental space of both eyes. Clinical examination under general anaesthesia revealed bilateral multiple pigmented immobile vitreous cysts. There were five almost spherical, translucent, but slightly pigmented cysts on its cover on the right eye and four similar on the left, but visible only with dilated pupils. A dilating of pupils was slow and required more mydriatics than in similar aged children. Follow up period is ten years now. Occlusion therapy of amblyopia was performed to nine years of age. Treatment of refractive error and esotropia with correction for hypermetropia, astigmatism and anisometropia continues. Best corrected visual acuity in thirteen-year-old girl is 1,0 in both eyes without any visual disturbances described by patient. Corrected visual acuity in each eye is 1,0, right eye with +3,5 D sph., -3,5D cyl., axis 175°, left eye with +7,5 D sph., -3,0 D cyl., axis 35°. Patient is otherwise healthy and without any mental deficit. Position of all cysts remains unchanged and stabile during the follow up period (with recommendation to avoid hits to the head for all time, mainly in sports). Formation and slow progression of partial cortical cataract in the area of contact of the lens and one cyst in inferonasal quadrant of the lens on the right eye is monitored. A lamellar retinal extrafoveal defect of posterior pole of the right eye was found by OCT imaging.

vitreous cyst idiopathic congenital bilateral multiple pigmented immobile hypermetropia astigmatism anisometropia esotropia cortical cataract retinal lamellar extrafoveal defect OCT

References

Adamczewska I., Janukowiczowa H.: Case of free cysts in vitreous body. Klin Oczna, 1973; 43(12):1365–7.

Amer R., Anteby I.: Familial intraocular cy - sts in association with anisometropia. Br J Ophthalmol, 2004; 88(10): 1349–1350.

Asiyo-Vogel MN., el-Hifnawi el-S, Laqua H.: Ultrastructural features of a solitary vitreous cyst. Retina, 1996; 16(3) 250–4.

Basdekidou C., Wolfensberger TJ.: Six -year dynamic growth pattern of two concentric congenital vitreous cysts. Eye (Lond), 2010; 24 (7), 1301–1303.

Bruè C., Mariotti C., De Franco E., De Franco N., Giovannini A.: Pigmented free-floating posterior vitreous cyst. Case Rep. Ophthalmol Med, 2012; 470289: 3.

Chang B., Brosnahan D.: Vitreous cyst and a cataract in a toddler. Eye (Lond), 2003, 17(9) 1034–1036.

Cruciani F., Santino G., Salandri AG.: Monolateral idiopathic cyst of the vitreous. Acta Ophthalmol Scand, 1999; 77(5): 601–3.

Dragnev D., Shanmugalingam A.: Optical coherence tomography in a patient with congenital vitreous cyst: BMJ Case Rep, 2014; doi:10.1136/ bcr-2014-204474.

Elkington AR.,Watson DM.: Mobile vitreous cysts. Br J Ophthalmol, 1974; 58(2) 103–4.

Frasson M, de Queiros ACC, Lino BT, Nehemy MB.: Cisto vítreo e retinose pigmentária: relato de caso (Vitreous cyst and retinitis pigmentosa: case report). Arq Bras Oftalmol, 2010; 73(2) 179–181.

Gulkilik G., Odabasi M., Erdur SK., Ozsutcu M., Eliacik M., Demirci G., Kocabora MS.: A case of pigmented, free-floating vitreous cyst treated with ting vitreous cyst in two young adults. Electron microscopic observations. Ophthalmology, 1985; 92(2): 297–302.

Gupta SR., Gupta N., Anand R., Dhawan S.: Idiopathic pigmented vitreous cyst. Arch Ophthalmol 2012, 130(11): 1496–6.

Hasegawa N., Kimura T., Mizota A, Sano N, Adachi-Usami E.: Floating vitreous cyst. Retina, 1996; 16(6): 540–542.

Kennelly KP, Morgan JP, Keegan DJ, Connell PP.: Objective assesment of symptomatic vitreous floaters using optical koherence tomography: a case report. BMC Ophthalmol, 2015; 15(1): 22. doi: 10.1186/s12886-015-0003-5.10.1186/s12886-015-0003-5

Lavric A., Urbancic M.: Floating vitre - ous cyst: two clinical cases. Case Rep. Ophthalmol, 2013; 4(3) 243–247.

Lira RPC, Jungmann P., de Moraes LFL, Silveira AP T.: Clinical features, histopathological analysis and surgical treatment of a free floating vitreous cyst: a case report. Arq Bras Oftalmol, 2006; 69 (5): 753–755.

Ludvig CA, Leng T.: Idiopathic pigmented vitreous cyst. Acta Ophthalmol, 2016; 94(1) e83–4.

Manyś-Kubacka K., Kociecki J.: Bilateral cysts of the vitreous body. Klin Oczna, 1991; 93(10–11): 319.

Morreno-Arrones JP., Jiménez-Parras R.: Vitreous cyst: A case presentation. Arch Soc Esp Oftalmol, 2012 87(1): 20– 22.

Němec J.: A case of bilateral cysts of the vitreous body. Čs Oftalmol, 1959; 15: 393– 4.

Nork TM., Millecchia LL.: Treatment and histopathology of a congenital vitreous cyst. Ophthalmology, 1998; 105 (5): 825–830.

Orellana J., O´Malley RE, McPherson AR, F ont RL.: Pigmented free-floa-

Rathore YS., Radhakrishnan OK., Chougule N., Lune A., Magdum R., Gogate P.: Bilateral free floating vitreous cysts with posterior embryotoxon. Korean J Ophthalmol, 2014; 28(6): 499–500.

Ruby AJ., Jampol LM.: Nd:YAG tre - atment of a posterior vitreous cyst. Am J Ophthalmol, 1990, 110: 428–429.

Santos L., Gonzales F, Capeans C., Suarez A., Sanchez-Salorio M.: Bilateral vitreous cysts in an 80-year-old man. Br J Ophthalmol, 1995, 79(9): 865–866.

Steinmetz RL., Straatsma BR, Rubin ML: Posterior vitreous cyst. Am J Ophthalmol, 1990; 109: 295–7.

Tansley JO: Cyst of the vitreous. Trans Am Ophthalmol Soc, 1899; 8: 507–9.

Taranath DA., Flaherty MP .: Free-floating unilateral pigmented vitreous cyst in a child. J Pediatr Ophthalmol Strabismus, 2007; 44(4): 243–244.

Toklu Y, Raza S, Cakmak HB, Cagil N.: Free-floating vitreous cyst in an adult male. Korean J Ophthalmol, 2013; 27(6): 463–465.

Tranos PG., Ferrante P, Pavesio C.: Po - sterior vitreous cyst and intermediate uveitis. Eye (Lond), 2010; 24(6): 1115– 1116.

Yonekawa Y, Todorich B., Randhawa S.: Free-Floating Pigmented Vi - treous Cyst: Optical Coherence Tomography Findings. Ophthalmology, 2016; 123(9):2041, doi: 10.1016/j. ophtha.201605.032.10.1016/j

Yoshida N., Ikeda Y., Murakami Y., Nakatake S., Tachibana T., Notomi S., Hisatomi T, Ishibashi T.: Vitreous cysts in patients with retinitis pigmentosa. Jpn J Ophthalmol, 2015; 59: 373–377.