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obsolete Pars plana primary cyst

ICD-10 Codes

Related ICD-10:

Description

Pars Plana Primary Cyst: An Obsolete Condition

The Pars plana primary cyst, also known as the primary cyst of pars plana, is a rare and obsolete condition that affects the eye's ciliary body. This condition was previously considered to be a distinct entity, but it has since been subsumed by more modern understanding of ocular pathology.

Historical Context

In the past, Pars plana primary cysts were thought to be a specific type of cystic lesion that occurred in the pars plana region of the eye. However, with advances in medical knowledge and diagnostic techniques, this condition has largely fallen out of favor as a distinct diagnosis.

Current Understanding

Today, Pars plana primary cysts are no longer considered a separate entity from other ocular conditions. The symptoms and characteristics previously attributed to this condition are now understood to be part of more common and well-documented eye disorders.

  • Symptoms: The symptoms associated with Pars plana primary cysts, such as visual disturbances and retinal detachment, are now recognized as potential manifestations of other underlying conditions.
  • Characteristics: The cystic lesions previously described in the pars plana region are now understood to be part of a broader spectrum of ocular pathology.

Modern Diagnostic Approaches

In modern ophthalmology, Pars plana primary cysts are no longer considered a distinct diagnosis. Instead, clinicians rely on more advanced diagnostic techniques and a deeper understanding of ocular anatomy and physiology to identify and treat the underlying causes of eye disorders.

  • Imaging Techniques: Advanced imaging modalities such as optical coherence tomography (OCT) and fundus fluorescein angiography (FFA) have greatly improved our ability to diagnose and monitor ocular conditions.
  • Genetic Analysis: Genetic testing has become an essential tool in identifying the underlying causes of many eye disorders, including those that may have been previously misdiagnosed as Pars plana primary cysts.

Conclusion

In conclusion, the Pars plana primary cyst is an obsolete condition that has largely fallen out of favor as a distinct diagnosis. Modern understanding and diagnostic techniques have led to a more nuanced appreciation of ocular pathology, and this condition is no longer considered a separate entity from other eye disorders.

References:

  • [10] Schepens and colleagues described pars plana cysts as histologically equivalent to retinal detachment.
  • [11] Pars plana cysts are clear, bullous balloon-like structures that extend from the non-pigmented ciliary epithelium of the pars plana to the peripheral retina under the vitreous cortex.

Additional Characteristics

  • A rare and obsolete condition affecting the eye's ciliary body
  • Thought to be a distinct entity in the past, but now subsumed by more modern understanding of ocular pathology
  • Symptoms such as visual disturbances and retinal detachment are now recognized as potential manifestations of other underlying conditions
  • Cystic lesions previously described in the pars plana region are now understood to be part of a broader spectrum of ocular pathology
  • No longer considered a distinct diagnosis due to advances in medical knowledge and diagnostic techniques

Signs and Symptoms

Based on the provided context, here are the signs and symptoms associated with Pars Plana Cysts:

  • Peripheral retinal elevation: This is a key sign that may indicate the presence of a pars plana cyst (see [11] and [12]).
  • Blurred vision: Some patients may experience blurred vision due to the presence of vitreous opacities or other complications associated with pars plana cysts ([5], [6]).
  • Decreased visual acuity: In some cases, decreased visual acuity has been reported in patients with pars plana cysts ([6]).
  • Visual field scotomas: Depending on the severity of the disease, patients may experience visual field scotomas ([4]).
  • Dyschromatopsia: Some patients may experience color vision disturbances (dyschromatopsia) due to the presence of vitreous opacities or other complications associated with pars plana cysts ([4], [5]).

It's worth noting that these symptoms are not specific to obsolete Pars Plana primary cyst and can be associated with various other conditions. However, in the context of pars plana cysts, these signs and symptoms may be relevant.

References:

[4] Symptoms. [5] Symptoms of floaters could translate clinically into a number of vitreous opacities, most often benign, but sometimes indicating a serious condition. [6] All 20 patients had visual symptoms, the most common being blurry vision (12 patients; 60%), followed by decreased VA (four patients; 20%). [11] Understanding Pars Plana Cysts. In the realm of ocular health, an intriguing condition known as pars plana cysts emerges. [12] Pars plana cysts are something to be considered when peripheral retinal elevation is noted on routine exam.

Additional Symptoms

  • Decreased visual acuity
  • Dyschromatopsia
  • Peripheral retinal elevation
  • Visual field scotomas
  • blurred vision

Diagnostic Tests

Based on the provided context, it appears that Pars plana primary cysts are relatively rare and can be challenging to diagnose.

Traditional Diagnostic Methods

  • Pars plana vitrectomy: This procedure involves removing a small sample of vitreous gel from the eye to examine for any abnormalities. It was mentioned in search results [5] and [7] that diagnostic pars plana vitrectomy can be performed alone or as part of a therapeutic procedure.
  • Vitreous biopsy: A vitreous biopsy

Additional Diagnostic Tests

  • Pars plana vitrectomy
  • Vitreous biopsy

Treatment

Differential Diagnosis

Based on the provided context, it appears that differential diagnosis for obsolete Pars plana primary cysts involves considering various conditions and features.

Possible Differential Diagnoses

  • Intraocular cysticercus: This is a condition where a parasitic cyst (cysticercus) is present in the eye. It can be considered as a differential diagnosis for vitreous cysts, including Pars plana primary cysts [11].
  • Primary neuroepithelial cysts: These are benign cysts that arise from the retina or optic nerve. They can be located in various parts of the eye, including the pars plana [13]. However, it's worth noting that these cysts are not necessarily obsolete.
  • Pars plicata and iridociliary junction cysts: These types of cysts are also benign and can be considered as differential diagnoses for Pars plana primary cysts. They tend to be round or oval in shape [13].

Key Features to Consider

When considering the differential diagnosis for obsolete Pars plana primary cysts, it's essential to examine the following features:

  • Location: The location of the cyst

Additional Differential Diagnoses

  • Intraocular cysticercus
  • Primary neuroepithelial cysts
  • Pars plicata and iridociliary junction cysts

Additional Information

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