To present giant conjunctival inclusion cysts as a late complication of strabismus surgery.
Retrospective case series of selected patients.
Four patients with a history of strabismus surgery who had developed giant conjunctival inclusion cysts.
A chart review was performed. The patient's ocular history, ophthalmic examinations, and imaging (ultrasound/ultrasound biomicroscopy and/or computed tomography) were recorded. Surgical excision with subsequent histopathologic correlation was obtained in 3 cases.
Clinical and imaging characteristics with histopathologic correlation.
Four patients with giant conjunctival inclusion cysts had a history of strabismus surgery. Ultrasound biomicroscopy was performed in 3 cases and revealed large, cystic, well-circumscribed tumors with low internal reflectivity and hyperechoic components. Computed tomography of the orbits was used to evaluate posterior extension. Their size induced limitation in motility, strabismus, and problems related to chronic exposure. Histopathologic evaluations were consistent with benign inclusion cysts of the conjunctiva.
Giant conjunctival inclusion cysts may appear decades after strabismus surgery. Tumor size, cystic nature, and involvement of underlying structures can be determined by ultrasonography and radiographic imaging. Complete surgical removal can be curative.
"The indications for surgical excision include improving the cosmetic appearance, restoring the ocular alignment, release of ocular restriction, remove any pressure effect on the globe and infection (Kushner, 1992; Basar et al., 1998; Metz et al., 1999; Song et al., 2006; Curtis et al., 2006; Khan et al., 2007 "
[Show abstract][Hide abstract] ABSTRACT: Epithelial inclusion cysts can occur following otherwise-uncomplicated strabismus surgery. Because of their tendency to grow posteriorly into the orbit, they should be monitored closely or treated when relatively small. We report and discuss an illustrative case.
Saudi Journal of Ophthalmology 03/2010; 24(1):27-30. DOI:10.1016/j.sjopt.2009.12.005
[Show abstract][Hide abstract] ABSTRACT: CASE REPORT: A 24-year-old woman, with a history of infantile esotropia and DVD operated on in infancy, had strabismus surgery performed by us. Four months later she presented with a cystic lesion that recurred after drainage and medical treatment. Complete excision of the cystic lesion was therefore performed. DISCUSSION: The epithelial cells implanted on the sclera at the time of the most recent surgery may have been the origin of inclusion cyst which developed after the strabismus surgery. This suggests a possible relationship with the scleral suture as the mechanism of cyst formation, independent of the muscle position. Complete excision is the recommended treatment for large cysts.
Archivos de la Sociedad Espanola de Oftalmologia 12/2006; 81(11):653-6.
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