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At least 415 records · Page 23Linked to original sources

An unusual ciliary body tumour: a haemangioblastoma.

A 23-year-old woman who presented with blurred vision in her right eye from increasing astigmatism had a vascular ciliary body tumour. After slow growth was documented over a 15-month period the tumour was excised with an iridocyclectomy. Microscopically the tumour consisted of sheets of large polygonal cells with round nuclei and foamy cytoplasm, separated by numerous capillaries, findings consistent with a diagnosis of a haemangioblastoma. Haemangioblastomas occur in the retina in von Hippel's disease and this occurrence in the ciliary body is a rare event. Investigation of the patient with a CT of the head and an abdominal ultrasound revealed no systemic lesions suggestive of systemic angiomatosis or von Hippel-Lindau disease.

Adult↗

Argon laser iridoplasty in the treatment of plateau-like iris configuration as result of numerous ciliary body cysts.

PURPOSE: To report the use of argon laser peripheral iridoplasty in the treatment of plateau-like iris configuration as a result of iris and ciliary body cysts. DESIGN: Case report. METHODS: A 43-year-old male with plateau iris syndrome was demonstrated by high frequency ultrasound biomicroscopy (UBM), to have numerous iris and ciliary body cysts. Bilateral argon laser peripheral iridoplasty was performed. RESULTS: Argon laser iridoplasty opened the drainage angle in both eyes. CONCLUSION: Argon laser iridoplasty is an effective and safe treatment for plateau iris syndrome and may also prove valuable in the treatment of plateau-like iris configuration resulting from iridociliary cysts.

Adult↗

Metabolism of drugs in the eye. Drug-reducing activity of preparations from bovine ciliary body.

Drug-metabolizing activities, especially the reductase activities towards N-oxide, hydroxamic acid, sulfoxide and nitro compounds were comparatively examined with bovine ciliary body. As described previously, the cytosol from the ocular tissue exhibits the nicotinamide N-oxide reductase activity when supplemented with 2-hydroxypyrimidine, an electron donor of aldehyde oxidase. When the cytosol was fractionated with ammonium sulfate, followed by assays of aldehyde oxidase and nicotinamide N-oxide reductase activities in each fraction, the distribution of aldehyde oxidase activity in the resultant ammonium sulfate fractions was nearly parallel to that of nicotinamide N-oxide reductase activity. Furthermore, reductase activities towards drugs such as sulfoxide, hydroxamic acid and nitro compounds were observed with the cytosol in the presence of 2-hydroxypyrimidine or N1-methylnicotinamide. In general, these reductase activities of the fraction were markedly inhibited by menadione, an inhibitor of aldehyde oxidase. These results suggest that aldehyde oxidase present in ciliary body plays an important role in the reduction of a variety of xenobiotics in mammalian eyes. However, in the case of imipramine N-oxide, its reduction in the ocular tissue appears to be more readily catalyzed by a menadione-linked enzyme different from aldehyde oxidase.

Aldehyde Oxidoreductases↗

Chorioretinal, iris, and ciliary body infiltration by juvenile xanthogranuloma masquerading as uveitis.

Juvenile xanthogranuloma is a benign cutaneous disorder which occasionally involves the eye, orbit, and ocular adnexa in children. Iris and ciliary body manifestations are commonly seen, but retinal and choroidal lesions are exceedingly rare. We report a unique case of retinal, choroidal, iris, and ciliary body infiltration in a 12-year-old patient diagnosed by excisional biopsy of the iris. The diagnosis was confirmed by routine histology and oil-red-o staining. Immunohistochemistry revealed predominantly macrophages, monocytes, and T-helper lymphocytes. Unusual features of this case include the late age at diagnosis, posterior pole involvement, and lack of cutaneous lesions. The presence of cellular adhesion molecules and T lymphocytes implicate a lymphocyte-driven inflammatory process. Apolipoprotein A was the predominant apolipoprotein present within the foamy histiocytes. We also present a critical review of the literature.

Child↗

Immunolocalization of growth factors in the human ciliary body epithelium.

Although various growth factors have been identified in the human aqueous humor, their sources have not been fully established so far. To determine, whether the ciliary body epithelium is capable of producing growth factors in vivo, we studied the immunolocalization of EGF, bFGF, IGF-I, TGF-alpha, TGF-beta and PDGF-AB in human ciliary body tissue obtained from 20 autopsy eyes (12 to 88 years; fixed within 6 hours post mortem) and 1 surgically enucleated melanoma eye using light and electron microscopic immunohistochemistry. Antibody binding was visualized by indirect immunofluorescence and immunogold labeling on differently fixed frozen and resin-embedded sections. The immunohistochemical findings indicate the production of EGF, bFGF, IGF-I, and TGF-alpha, to a minor degree also TGF-beta, particularly TGF-beta 2, by the ciliary epithelial cells, predominantly the nonpigmented cells. Ultrastructural evidence for an endogenous production included the distinct and specific labeling of secretory organelles (rough endoplasmic reticulum, Golgi complex), cytoplasmic vesicles, and the basolateral membrane infoldings. The ciliary epithelium failed to stain significantly with antibodies to TGF-beta 1 and PDGF-AB. Labeling for bFGF was found to depend on the specific antibodies and fixation conditions employed. Sequestration of bFGF and PDGF-AB in the basement membranes of the ciliary epithelium could be demonstrated under certain conditions. Peaks of labeling intensity were consistently observed at the crests of the ciliary processes and in the pars plana, suggesting regional variations in activity and secretion of growth factors into the aqueous humor and vitreous. While only PDGF-AB may be derived from the serum, it appears likely that most growth factors demonstrated are not circulating hormones but rather act as autocrine and/or paracrine factors.

Adolescent↗

Cloning and characterization of subtracted cDNAs from a human ciliary body library encoding TIGR, a protein involved in juvenile open angle glaucoma with homology to myosin and olfactomedin.

A group of cDNAs isolated from a subtractive ciliary body library of a normal human eye donor revealed 100% identity with TIGR a candidate gene responsible for juvenile open zangle glaucoma [Science 275 (1997) 668-670]. Several structural features of the deduced human protein have been noted: a cleavable N-terminal signal peptide, a periodic repetition at the N-terminus of leucine and arginine residues at every seventh and eleven position respectively in helix conformation (leucine zipper-like motif) exhibiting homology with myosin, and with olfactomedin in the C-terminus. The mRNA for TIGR is abundantly expressed in the ciliary body, iris, heart and skeletal muscle.

Amino Acid Sequence↗

Stimulation of the hexose monophosphate shunt in bovine ciliary body under oxidative stress.

The effect of t-butyl hydroperoxide (TBHP) on the oxidation of C1-radiolabeled glucose and C6-radiolabeled glucose by bovine ciliary body was investigated in the presence and absence of the glutathione reductase inhibitors nitrofurantoin (NF) and 1,3-bis(2-chloroethyl)-1-nitrosourea [BCNU]. 14CO2 production from 1-14C-glucose was markedly stimulated by TBHP and inhibited by BCNU. Using tissue extracts, BCNU was shown to inhibit both glutathione reductase and glucose-6-phosphate dehydrogenase. These results support the hypothesis that bovine ciliary body has high NADPH regenerating capacity by the hexose monophosphate shunt.

Animals↗

[Reversible translimbal suture fixation of the ciliary body in treatment of ocular persistent hypotonia after surgical cyclodialysis].

UNLABELLED: After surgical or traumatical cyclodialysis dangerous hypotony can occur. In cases with peripheral anterior synechia the fixation of the ciliary body by reversible suture can bring about the desired pressure rise. PATIENTS: In nine eyes with persistent ocular hypotony after cyclodialysis 13 ciliary body fixations were performed. RESULTS: In four eyes the operation was successful. In two eyes a second operation was necessary. In two cases there was a high postoperative pressure rise. Cutting of the sutures led to a sudden decrease in pressure. In these eyes a second operation with slightly different fixation position was successful. One eye remained hypotonic. CONCLUSIONS: This operative technique entail only slight risk while having good results in patients with aphakia and extensive peripheral anterior synechia. During the early postoperative periods there is the opportunity to reverse the operative effect.

Adolescent↗

Medulloepithelioma of the ciliary body in the goldfish (Carassius auratus).

A medulloepithelioma of the ciliary body in the right eye of a 1-year-old goldfish (Carassius auratus) had spindle and epithelial cells arranged either in columns or around a central lumen. Vitreous-like material was found within the tumor. A medulloepithelioma is a most unusual tumor in fish in which ocular tumors are rare.

Animals↗

Anatomy of the ciliary body and cyclocryotherapy.

Anatomical measurements were carried out on the ciliary body, and its relationship to the structures of the chamber angle and the corneal limbus was examined in order to find the best application site for the cryoprobe in cyclocryotherapy. According to our results and to the experiences of other authors, the following procedure will make cyclocryotherapy most effective: a cryoprobe of normal tip diameter (2.5 mm) should be placed with its anterior edge 1.5 mm posterior to the limbus superiorly and 1.0 mm nasally, temporally, and inferiorly. The temperature at the tip should be around -70 degrees C, and the time of application about 60 s. Marked individual differences in the thickness of the pars plicata and the ciliary muscle may affect the results in some patients despite standardized treatment.

Adult↗

Studies on the "vascular labeling" phenomenon in the iris and the ciliary body of the rat after intravenous injection of colloidal carbon.

The occurrence of carbon deposits after intravenous injection of colloidal carbon (vascular labeling phenomenon) in the iris and the ciliary body of the rat eye was studied by vital microscopy, unstained perfused mount preparations, and by electron microscopy. Generally in the untouched eye the vascular labeling phenomenon is either absent or appears only in the form of finest granular deposits in some capillaries and venules of the iris and the ciliary body. A decrease of intraocular pressure by paracentesis causes a certain blackening phenomenon, which prefers the capillaries and the venules of the iris and the capillaries in the ciliary processes. This effect is intensified by a further decrease of the intraocular pressure to -30 mm Hg. Predominantly the deposits are found stronger in the ciliary region than in the iris. Increase of the intraocular pressure of up to 30 mm Hg diminishes the blackening phenomenon. After administration of the vasodilator bencyclane into the anterior chamber the vascular labeling phenomenon shows a clear graduation of carbon affinity depending upon the concentration of the drug: The capillaries and venules are exclusively blackened at low concentrations, additionally the collecting venules and arterioles are influenced at medium and high doses. By electron microscopy an intraluminal as well as an intramural (subendothelial) deposition of carbon, partly accompanied with signs of hemoconcentration, can be seen. Extravascular position of carbon material is seldom observed and restricted to a state of abnormally high vascular permeability. The observations give evidence for a 'gradient of permeability' between the different types of vessels of the terminal anterior uveal vascular system and also permit the assumption that the vessels of the ciliary processes are more permeable than those of the iris.

Animals↗

A clinicopathological study of seven globes enucleated after primary radiation therapy for malignant melanoma of the choroid or ciliary body.

Seven patients with malignant melanoma of the choroid or ciliary body were initially managed with radiation therapy, either teletherapy with proton or cobalt 60 external beam, or brachytherapy with the insertion of an episcleral plaque containing iodine 125, 60Co or gold 198. All seven globes subsequently were enucleated because of progressive growth of the tumours, total retinal detachment, persistent vitreous hemorrhage, or neovascular or angle-closure glaucoma. Six of the patients had severe visual loss at the time of enucleation. The effects of radiation therapy on the neoplasms and the mechanisms for the visual loss are discussed.

Adult↗

Ciliary body tumours and their management.

The mode of presentation of ciliary body tumours, their investigation and management are described. The results in 60 such tumours treated by local excision over a 16 year period are reported. The mean follow-up in these cases is 34 months (median: 14 months, range: 1 to 196 months). The eyes were preserved in 47 patients (78 per cent). In these cases the vision was Counting Fingers or better in 34 (72 per cent) and 6/18 or better in 15 (32 per cent). The most serious complications were vitreous haemorrhage (40 per cent), retinal detachment (26 per cent) and residual tumour (20 per cent). Nine patients (15 per cent) have developed metastatic disease.

Adolescent↗

Transferrin production by the ciliary body of rabbits: a biochemical and immunocytochemical study.

PURPOSE: We have previously reported that transferrin is one of several glycoproteins synthesized within the eye and secreted into the vitreous. The present investigation was designed to determine the role of the ciliary body in the production of this vitreous transferrin. METHODS: Isolated ciliary body-iris were incubated with 3H-fucose, 3H-tyrosine or 35S-methionine and afterwards the culture media were processed for affinity chromatography using columns of Sepharose conjugated with antibody to rabbit plasma transferrin. Reverse transcription-polymerase chain reaction (RT-PCR) was carried out using total RNA extracted from fresh ciliary body-iris and primers constructed on the basis of the known sequence of transferrin mRNA from rabbit liver. The fragment obtained was employed as a probe in northern-blots of total RNA of ciliary body-iris. Furthermore, paraffin sections of eyes were treated for immunocytochemical visualization of transferrin. RESULTS: A labeled polypeptide, specifically eluted from the antitransferrin columns, was detected in the incubation medium, transferrin mRNA was found in extracts of whole ciliary body-iris, and transferrin antigenicity was identified in the ciliary and iridial epithelial cells by immunocytochemistry. CONCLUSIONS: These results demonstrate the ciliary epithelium as one of the sources of the vitreous transferrin.

Animals↗

Effects of adrenergic agents on transepithelial electrical measurements across the isolated iris-ciliary body.

Transmembrane electrical measurements were performed on the isolated rabbit iris-ciliary body to study direct effects of adrenergic drugs on the ciliary epithelium. Alpha-adrenergic agonists (epinephrine, norepinephrine, or phenylephrine) lowered the short-circuit current (SCC) in a dose-dependent fashion relative to which chamber side the drug was added: simultaneous addition to both chambers greater than blood side only greater than aqueous side only. Pretreatment (5 x 10(-5) M) with the non-selective beta-adrenergic antagonist timolol had no effect while the non-selective alpha-adrenergic antagonist, phentolamine, completely prevented the alpha agonist-induced decrease in SCC. The alpha-adrenergic response was mediated by the alpha 1 subtype since prazosin, but not yohimbine, blocked the induced reduction in SCC. The beta-adrenergic agonist isoproterenol caused a dose-dependent decrease in the SCC. The decrease was similar when the drug was added to only the blood side or to both sides of the chamber. Addition to only the aqueous chamber had no effect. Pretreatment with beta-adrenergic antagonists blocked the isoproterenol response: non-selective = selective beta 2 greater than selective beta 1. The isoproterenol-induced decrease in SCC was also blocked by non-selective alpha-adrenergic antagonists. The response was mediated by the alpha 1 subtype since prazosin, but not yohimbine, blocked the isoproterenol response. This suggests that isoproterenol interacted with the alpha 1-adrenergic sensitive pathway in the rabbit ciliary process.

Animals↗

Movement of carboxyfluorescein across the isolated rabbit iris-ciliary body.

The movement of carboxyfluorescein across the isolated iris-ciliary body of the albino rabbit was analyzed using an Ussing chamber under short-circuit conditions with carboxyfluorescein concentrations ranging from 10 to 100 microM. At a concentration of 50 microM, the outward permeability (from the aqueous to the stromal side) was 4.0 +/- 0.2 x 10(-6) cm/sec and the inward permeability (from the stromal to the aqueous side) was 1.3 +/- 0.2 x 10(-6) cm/sec (Mean +/- SE, N = 6). The former was significantly greater than the latter (P < 0.001). Inward movement of carboxyfluorescein showed a linear increase in relation to the concentrations tested. Neither ouabain (100 microM), 2,4-dinitrophenol (10 microM) nor probenecid (100 microM) significantly inhibited the inward movement of carboxyfluorescein. The net outward movement of carboxy-fluorescein became saturated, as concentration was increased, and a Lineweaver--Burke plot gave an apparent Km of 28 microM and Vmax of 0.67 x 10(-9) mole/hr/cm2. In addition, outward carboxyfluorescein movement was significantly inhibited by ouabain (100 microM), 2,4-dinitrophenol (10 microM), probenecid (100 microM), iodipamide (1.0 mM), hippurate (1.0 mM), low temperature or low external Na+ concentration. These results suggest that outward carboxyfluorescein movement across the tissue largely depends on carrier-mediated active transport, while inward movement occurs by passive diffusion.

Animals↗

[Ciliary body leiomyomas. Three case reports].

We present our experience with three patients, two of whom were women, 16, 28 and 44 years of age, presenting with leiomyomas of the ciliary body. Salient clinical features were involvement of the left eye and temporal quadrants in two cases and extension into the anterior chamber in the other. Two patients underwent enucleation and the third had iridocyclochoroidectomy. Immunohistochemical studies showed strong positivity for muscle-specific actin, smooth muscle actin and desmin, whereas staining against vimentin, HMB-45 and S-100 protein was negative. Although there are no specific clinical or imaging signs for intraocular leiomyoma, this tumor should be suspected when pigmented ciliary body tumors are encountered, especially in young female patients.

Adolescent↗