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Indian Journal of Ophthalmology
require any treatment, and unnecessary surgical intervention can lead to increased risk of operative complications during an amblyogenic age.[4] 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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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 1. Shields CL, Kancherla S, Patel J, Vijayvargiya P, Suriano MM, Kolbus E, et al. Clinical survey of 3680 iris tumors based on patient age at presentation. Ophthalmology 2012;119:407‑14. 2. Shields JA, Kline MW, Augsburger JJ. Primary iris cysts: A review of the literature and report of 62 cases. Br J Ophthalmol 1984;68:152‑66. 3. Grutzmacher RD, Lindquist TD, Chittum ME, Bunt‑Milam AH, Kalina RE. Congenital iris cysts. Br J Ophthalmol 1987;71:227‑34. 4. Georgalas I, Petrou P, Papaconstantinou D, Brouzas D, Koutsandrea C, Kanakis M, et al. Iris cysts: A comprehensive review on diagnosis and treatment. Surv Ophthalmol 2018;63:347‑64. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Access this article online
Kowsigan Magesan, Parthopratim Dutta Majumder1, Vikas Khetan2
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Department of Optometry, Medical Research Foundations, Sankara Nethralaya, Departments of 1Uvea and 2Vitreoretina, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India Correspondence to: Dr. Parthopratim Dutta Majumder, Department of Uvea, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai ‑ 600 006, Tamil Nadu, India. E‑mail:
[email protected]
Volume 67 Issue 1
Website: www.ijo.in DOI: 10.4103/ijo.IJO_1135_18 PMID: ***
Cite this article as: Magesan K, Majumder PD, Khetan V. An eye within an eye. Indian J Ophthalmol 2019;67:139-40.
Free floating pigmented vitreous cyst A 32‑years‑old female was referred for a mass in her left eye detected on routine examination. The ocular examination was normal with unaided visual acuity of 20/20 in her left eye. There were no signs of ocular trauma/inflammation. A single, pigmented, free‑floating cyst was noted in the anterior vitreous [Fig. 1a and c] that showed speckled bright areas on infrared reflectance imaging [Fig. 1b]. In view of no symptoms, the patient was advised conservative management. These cysts have been reported rarely. These may represent choristoma of the hyaloid vascular system or may originate from ciliary epithelium. Acquired cysts can be found in association with retinoschisis, retinitis pigmentosa, trauma, coloboma, retinal reattachment surgeries and intraocular inflammation.[1,2] Though usually asymptomatic, vitreous cysts can disturb visual function when cyst floats into the visual axis. A period of observation should be recommended before invasive intervention in the form of laser cystotomy or vitrectomy.[3] 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.
a
b
c Figure 1: Fundus colour photograph (a) and ultra-widefield pseudocolour photograph (c) of the left eye of a 32-year-old female showing pigmented vitreous cyst. Infrared imaging shows multiple areas of hyperreflectance over the surface of cyst (b)
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Ophthalmic Images January 2019
Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
Vinod Kumar, Shreyans Jain, Amber Amar Bhayana, B Shilky Singh Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India Correspondence to: Dr. Shreyans Jain, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. E‑mail:
[email protected]
melanoma. Ophthalmic Surg Lasers Imaging 2011;42:e49‑52. 3. Nork TM, Millecchia LL. Treatment and histopathology of a congenital vitreous cyst. Ophthalmology 1998;105:825‑30. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Access this article online Quick Response Code:
DOI: 10.4103/ijo.IJO_855_18 PMID: ***
References 1. Cruciani F, Santino G, Salandri AG. Monolateral idiopathic cyst of the vitreous. Acta Ophthalmol Scand 1999;77:601‑3. 2. Tuncer S, Bayramoglu S. Pigmented free‑floating vitreous cyst in a patient with high myopia and uveal coloboma simulating choroidal
Choroidal vasculature without angiography A 21‑year‑old albinotic female patient presented with history of nystagmus and poor vision since birth [Fig. 1]. Fundus examination revealed depigmented fundus and extensively visible details of choroidal vasculature. The wide‑angle images of the choroid showed predominance of veins draining into vortex veins, compared to arteries. The macula of both eyes showed a high density of choroidal venous plexus, compared to the venous density in the periphery. The finding of choroidal plexus at the macula could have implications in the understanding of pachychoroid diseases.[1-3] 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.
Website: www.ijo.in
Cite this article as: Kumar V, Jain S, Bhayana AA, Singh BS. Free floating pigmented vitreous cyst. Indian J Ophthalmol 2019;67:140-1.
Conflicts of interest There are no conflicts of interest.
Raja Narayanan, Kyoko Ohno‑Matsui1 Retina, L. V. Prasad Eye Institute, Hyderabad, Telangana, India, 1 Tokyo Medical Center, Tokyo, Japan Correspondence to: Dr. Raja Narayanan, L. V. Prasad Eye Institute, Hyderabad, Telangana, India. E‑mail:
[email protected]
References 1. Abadi RV, Dickinson CM, Pascal E, Papas E. Retinal image quality in albinos. A review. Ophthalmic Paediatr Genet 1990;11:171‑6. 2. Abadi RV, Pascal E. Periodic alternating nystagmus in humans with albinism. Invest Ophthalmol Vis Sci 1994;35:4080‑6. 3. Motaghiannezam R, Schwartz DM, Fraser SE. In vivo human choroidal vascular pattern visualization using high‑speed swept‑source optical coherence tomography at 1060 nm. Invest Ophthalmol Vis Sci 2012;53:2337‑48. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Access this article online Quick Response Code:
Website: www.ijo.in DOI: 10.4103/ijo.IJO_780_18 PMID: *****
Figure 1: Choroidal vasculature vividly imaged in an albinotic patient without any dye. There is extensive venous circulation in the choroid compared to arteries, and there is a high‑density plexus at the macula
Cite this article as: Narayanan R, Ohno-Matsui K. Choroidal vasculature without angiography. Indian J Ophthalmol 2019;67:141.
