Different vault outcomes following implantable collamer lens implantation in eyes with ciliary body cysts: a case report.
6 affiliations
- 1Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
- 2State Key Laboratory Cultivation Base, Shandong Key Laboratory of Eye Diseases, Qingdao, China.
- 3School of Ophthalmology, Shandong First Medical University, Qingdao, China.
- 4Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China. [email protected].
- 5State Key Laboratory Cultivation Base, Shandong Key Laboratory of Eye Diseases, Qingdao, China. [email protected].
- 6School of Ophthalmology, Shandong First Medical University, Qingdao, China. [email protected].
Abstract
Background
Ciliary body cysts are common incidental findings during preoperative screening for implantable collamer lens (ICL) implantation. Although their presence is generally not considered a contraindication to surgery, cysts extending into the ciliary sulcus may influence haptic seating. The potential contribution of cyst morphology to postoperative ICL behavior remains insufficiently described.Case presentation
We report two myopic patients with ciliary body cysts protruding into the ciliary sulcus who underwent posterior chamber ICL implantation. Preoperative ultrasound biomicroscopy (UBM) was used to evaluate cyst anatomy. Case 1 had a single, qualitatively thin-walled, unilocular cyst and achieved an adequate postoperative vault of 445 μm at 3 months. Postoperative UBM showed a flatter cyst contour at the haptic-cyst interface. Case 2 had two adjacent, relatively thick-walled, multiloculated cysts and developed a persistently low vault, reaching 158 μm at 15 months. Postoperative UBM showed that the cysts maintained a rounded contour and appeared to be associated with posterior displacement of the haptic.Conclusions
These two cases suggest that cyst morphology may be one of several factors associated with postoperative ICL vault in eyes with sulcus-involved ciliary body cysts. Detailed preoperative UBM assessment of cyst structure and sulcus anatomy may be useful for individualized surgical planning and postoperative follow-up. Larger studies are warranted to determine whether specific morphologic characteristics of ciliary body cysts are associated with postoperative ICL haptic behavior and vault outcomes.
Related
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BibTeX
@article{cui2026different,
title = {{Different vault outcomes following implantable collamer lens implantation in eyes with ciliary body cysts: a case report.}},
author = {Wei Cui and Wenjiao Bi and Xiaoming Wu and Mingming Zhou},
journal = {BMC ophthalmology},
year = {2026},
month = aug,
doi = {10.1186/s12886-026-05121-z},
url = {https://europepmc.org/article/MED/42958151},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Different vault outcomes following implantable collamer lens implantation in eyes with ciliary body cysts: a case report.
AU - Wei Cui
AU - Wenjiao Bi
AU - Xiaoming Wu
AU - Mingming Zhou
PY - 2026
DA - 2026/08/03
JO - BMC ophthalmology
DO - 10.1186/s12886-026-05121-z
UR - https://europepmc.org/article/MED/42958151
AB - Background Ciliary body cysts are common incidental findings during preoperative screening for implantable collamer lens (ICL) implantation. Although their presence is generally not considered a contraindication to surgery, cysts extending into the ciliary sulcus may influence haptic seating. The potential contribution of cyst morphology to postoperative ICL behavior remains insufficiently described.Case presentation We report two myopic patients with ciliary body cysts protruding into the ciliary sulcus who underwent posterior chamber ICL implantation. Preoperative ultrasound biomicroscopy (UBM) was used to evaluate cyst anatomy. Case 1 had a single, qualitatively thin-walled, unilocular cyst and achieved an adequate postoperative vault of 445 μm at 3 months. Postoperative UBM showed a flatter cyst contour at the haptic-cyst interface. Case 2 had two adjacent, relatively thick-walled, multiloculated cysts and developed a persistently low vault, reaching 158 μm at 15 months. Postoperative UBM showed that the cysts maintained a rounded contour and appeared to be associated with posterior displacement of the haptic.Conclusions These two cases suggest that cyst morphology may be one of several factors associated with postoperative ICL vault in eyes with sulcus-involved ciliary body cysts. Detailed preoperative UBM assessment of cyst structure and sulcus anatomy may be useful for individualized surgical planning and postoperative follow-up. Larger studies are warranted to determine whether specific morphologic characteristics of ciliary body cysts are associated with postoperative ICL haptic behavior and vault outcomes.
SN - 1471-2415
ER -