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Excision of post small incision cataract surgery conjunctival inclusion cyst.

Thatte S, Gupta L - Indian J Ophthalmol (2011 May-Jun)

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Growth was increasing in size... On examination, case 1 had best corrected visual acuity (BCVA) in right eye (RE) 20/40 with nuclear cataract; left eye (LE) was psuedophakic with BCVA 20/30... Conjunctival cyst of 6×8 mm was present on nasal side of limbus at 10 o' clock position [Fig. 1a, b]... Conjunctival cyst of 7 ×6 mm was present at 12 o'clock at limbus in the left eye [Fig. 2]... Conjunctiva above the cyst was kept intact, which helped to hold the cyst firmly, while blunt dissection was carried out... Conjunctiva above the cyst was pulled in the opposite direction of the dissection area, so that fibrous attachments at the base of the cyst were stretched and became easily visible [Fig. 5]... Excised cysts were examined histopathologically to confirm the diagnosis [Figs. 6, 7]... They were proved to be conjunctival cyst, lined by stratified squamous epithelium and filled with desquamated cells and proteinaceous material inside... Follow-up in case 1 was 18 months [Fig. 8]and in case 2 it was 5 months [Fig. 9] without recurrence... To conclude, following four things are suggested for excision of conjunctival inclusion cyst without rupture... Conjunctiva above the cyst is kept attached to cyst... It provides firm hold to dissect.

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Case 2 left eye conjunctival inclusion cyst at 12 o' clock position
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Figure 2: Case 2 left eye conjunctival inclusion cyst at 12 o' clock position

Mentions: Both the patients were males, aged 57 and 62 years. They came 6 and 15 months, respectively, after SICS, with complaints of foreign body sensation and small growth in the left eye. Growth was increasing in size. On examination, case 1 had best corrected visual acuity (BCVA) in right eye (RE) 20/40 with nuclear cataract; left eye (LE) was psuedophakic with BCVA 20/30. Conjunctival cyst of 6×8 mm was present on nasal side of limbus at 10 o' clock position [Fig. 1a, b]. Case 2 had pseudophakia with BCVA 20/30 in both eyes. Conjunctival cyst of 7 ×6 mm was present at 12 o'clock at limbus in the left eye [Fig. 2].


Excision of post small incision cataract surgery conjunctival inclusion cyst.

Thatte S, Gupta L - Indian J Ophthalmol (2011 May-Jun)

Case 2 left eye conjunctival inclusion cyst at 12 o' clock position
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3120257&req=5

Figure 2: Case 2 left eye conjunctival inclusion cyst at 12 o' clock position
Mentions: Both the patients were males, aged 57 and 62 years. They came 6 and 15 months, respectively, after SICS, with complaints of foreign body sensation and small growth in the left eye. Growth was increasing in size. On examination, case 1 had best corrected visual acuity (BCVA) in right eye (RE) 20/40 with nuclear cataract; left eye (LE) was psuedophakic with BCVA 20/30. Conjunctival cyst of 6×8 mm was present on nasal side of limbus at 10 o' clock position [Fig. 1a, b]. Case 2 had pseudophakia with BCVA 20/30 in both eyes. Conjunctival cyst of 7 ×6 mm was present at 12 o'clock at limbus in the left eye [Fig. 2].

View Article: PubMed Central - PubMed

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Growth was increasing in size... On examination, case 1 had best corrected visual acuity (BCVA) in right eye (RE) 20/40 with nuclear cataract; left eye (LE) was psuedophakic with BCVA 20/30... Conjunctival cyst of 6×8 mm was present on nasal side of limbus at 10 o' clock position [Fig. 1a, b]... Conjunctival cyst of 7 ×6 mm was present at 12 o'clock at limbus in the left eye [Fig. 2]... Conjunctiva above the cyst was kept intact, which helped to hold the cyst firmly, while blunt dissection was carried out... Conjunctiva above the cyst was pulled in the opposite direction of the dissection area, so that fibrous attachments at the base of the cyst were stretched and became easily visible [Fig. 5]... Excised cysts were examined histopathologically to confirm the diagnosis [Figs. 6, 7]... They were proved to be conjunctival cyst, lined by stratified squamous epithelium and filled with desquamated cells and proteinaceous material inside... Follow-up in case 1 was 18 months [Fig. 8]and in case 2 it was 5 months [Fig. 9] without recurrence... To conclude, following four things are suggested for excision of conjunctival inclusion cyst without rupture... Conjunctiva above the cyst is kept attached to cyst... It provides firm hold to dissect.

Show MeSH
Related in: MedlinePlus