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Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes

PURPOSE: Latanoprost has become one of the most widely prescribed topical antihypertensive medications in recent years. Yet there have been few reports of secondary iris pigment epithelial (IPE) and ciliary body (CB) cyst formation to date and none, to our knowledge, reported in eyes predisposed to...

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Detalles Bibliográficos
Autores principales: Mohite, Abhijit Anand, Prabhu, Rangarajan V., Ressiniotis, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651109/
https://www.ncbi.nlm.nih.gov/pubmed/29119030
http://dx.doi.org/10.1155/2017/9362163
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author Mohite, Abhijit Anand
Prabhu, Rangarajan V.
Ressiniotis, Thomas
author_facet Mohite, Abhijit Anand
Prabhu, Rangarajan V.
Ressiniotis, Thomas
author_sort Mohite, Abhijit Anand
collection PubMed
description PURPOSE: Latanoprost has become one of the most widely prescribed topical antihypertensive medications in recent years. Yet there have been few reports of secondary iris pigment epithelial (IPE) and ciliary body (CB) cyst formation to date and none, to our knowledge, reported in eyes predisposed to primary angle closure. METHODS: We report the first documented case of bilateral IPE and CB cysts in a hypermetropic patient with prior laser peripheral iridotomies (LPIs) as a rare, delayed side effect of topical Latanoprost treatment. The cysts subsided with discontinuation of Latanoprost, thereby demonstrating a causal relationship. We discuss the pathogenesis of such cysts and advocate using of serial ultrasound biomicroscopic (UBM) images to monitor them. RESULTS AND CONCLUSIONS: Latanoprost may cause iris pigment epithelial and ciliary body cysts that remain clinically undetected. In eyes predisposed to angle closure, such cysts may become clinically detectable and masquerade as iris tumours. Prior laser peripheral iridotomies in these eyes may delay or prevent the detection of these cysts. Ultrasound biomicroscopy (UBM) imaging is therefore a valuable tool in diagnosing and monitoring these cysts.
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spelling pubmed-56511092017-11-08 Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes Mohite, Abhijit Anand Prabhu, Rangarajan V. Ressiniotis, Thomas Case Rep Ophthalmol Med Case Report PURPOSE: Latanoprost has become one of the most widely prescribed topical antihypertensive medications in recent years. Yet there have been few reports of secondary iris pigment epithelial (IPE) and ciliary body (CB) cyst formation to date and none, to our knowledge, reported in eyes predisposed to primary angle closure. METHODS: We report the first documented case of bilateral IPE and CB cysts in a hypermetropic patient with prior laser peripheral iridotomies (LPIs) as a rare, delayed side effect of topical Latanoprost treatment. The cysts subsided with discontinuation of Latanoprost, thereby demonstrating a causal relationship. We discuss the pathogenesis of such cysts and advocate using of serial ultrasound biomicroscopic (UBM) images to monitor them. RESULTS AND CONCLUSIONS: Latanoprost may cause iris pigment epithelial and ciliary body cysts that remain clinically undetected. In eyes predisposed to angle closure, such cysts may become clinically detectable and masquerade as iris tumours. Prior laser peripheral iridotomies in these eyes may delay or prevent the detection of these cysts. Ultrasound biomicroscopy (UBM) imaging is therefore a valuable tool in diagnosing and monitoring these cysts. Hindawi 2017 2017-10-08 /pmc/articles/PMC5651109/ /pubmed/29119030 http://dx.doi.org/10.1155/2017/9362163 Text en Copyright © 2017 Abhijit Anand Mohite et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Mohite, Abhijit Anand
Prabhu, Rangarajan V.
Ressiniotis, Thomas
Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes
title Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes
title_full Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes
title_fullStr Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes
title_full_unstemmed Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes
title_short Latanoprost Induced Iris Pigment Epithelial and Ciliary Body Cyst Formation in Hypermetropic Eyes
title_sort latanoprost induced iris pigment epithelial and ciliary body cyst formation in hypermetropic eyes
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651109/
https://www.ncbi.nlm.nih.gov/pubmed/29119030
http://dx.doi.org/10.1155/2017/9362163
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