Medical Retina: Case twelve
This 40 year old man was referred by his optician because of the above appearance in his right vitreous cavity. He had no previous ophthalmic history of note and the visual acuity was normal in both eyes.
a. What is the diagnosis?A right vitreous cyst.b. What is the origin of this lesion?
The picture shows a free floating vitreous cyst which is spotted with pigment.Vitreous cysts may occur as:c. How would you manage this patient?
In this patient, the absence of ophthalmic history and the free-floating nature of the cyst suggests it is congenital. The exact of origin of congenital vitreous cyst is unknown but the presence of pigment points to the uveal tract.
- remnants of hyaloid system (in which case the cyst is usually attached to the optic disc or suspended from it by a pedicle)
- associated with diseased eye
Some of the congenital cysts may be translucent making it difficult to detect.Congenital vitreous cyst is benign and does not require treatment. Occasionally, it may present as floater but most of them are asymptomatic
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