Conjunctival inclusion cysts following small incision cataract surgery.
Bottom Line: Both were treated by excision and confirmed histopathologically.No recurrence was noted at three months follow-up.Careful reflection of conjunctiva during tunnel construction and posterior chamber intraocular lens implantation may prevent their occurrence.
Affiliation: Minto Ophthalmic Hospital, Bangalore, India.
The occurrence of acquired conjunctival inclusion cysts following various ophthalmic surgeries such as strabismus surgery, scleral buckling, pars plana vitrectomy, ptosis surgery and phacoemulsification has been reported. We report two cases of conjunctival inclusion cysts following manual Small Incision Cataract Surgery (SICS) in two male patients aged 65 and 67 years. The cysts originated from the scleral tunnel used for manual SICS. Both were treated by excision and confirmed histopathologically. No recurrence was noted at three months follow-up. To our knowledge, conjunctival inclusion cysts following SICS have not been reported previously. Careful reflection of conjunctiva during tunnel construction and posterior chamber intraocular lens implantation may prevent their occurrence.
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Mentions: A 65-year-old man came with complaints of a swelling in the left eye noticed since one month. It was painless and gradually increasing in size. He had undergone manual SICS with posterior chamber intraocular lens (PCIOL) implantation in Left Eye (LE) two years ago. On examination both eyes had best corrected visual acuity (BCVA) of 20/40 and were pseudophakic with PCIOLs. A solitary cystic swelling was present at the superior limbus in the LE, overlying the previous scleral tunnel incision, measuring 8 X 8 mm and containing clear fluid [Fig. 1A]. The remainder of the ophthalmic examination was unremarkable. He was posted for surgical excision of the cyst under local anesthesia. The conjunctiva around the cyst was separated by blunt dissection, the cyst ruptured while excising it from the base. The sclera underneath was cauterized. The conjunctiva was re-approximated to the limbus. The excised cyst was subjected to histopathological examination, which revealed a cyst lined by non-keratinized stratified squamous epithelium suggestive of a conjunctival inclusion cyst [Fig. 1B]. He has been followed up for three months, without any signs of recurrence.