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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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Conjunctiva above the cyst pulled in opposite direction to visualize fibrous attachments at base
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Figure 5: Conjunctiva above the cyst pulled in opposite direction to visualize fibrous attachments at base

Mentions: Both cases were operated under subconjunctival anesthesia by injecting 2 ml of 2% xylocain around the cyst. Incision was given around the cyst with 15 number blade [Fig. 3]. Conjunctiva above the cyst was kept intact, which helped to hold the cyst firmly, while blunt dissection was carried out. Care was taken to keep the tip of the corneal scissors away from the cyst. After separating the cyst from all sides [Fig. 4], its base was dissected out very carefully as it is the commonest side for rupture. 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]. They could be cut under direct visualization. It was easy to separate sides and base of the cyst and to remove it without rupture. Conjunctiva was re-positioned at limbus. 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.


Excision of post small incision cataract surgery conjunctival inclusion cyst.

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

Conjunctiva above the cyst pulled in opposite direction to visualize fibrous attachments at base
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Conjunctiva above the cyst pulled in opposite direction to visualize fibrous attachments at base
Mentions: Both cases were operated under subconjunctival anesthesia by injecting 2 ml of 2% xylocain around the cyst. Incision was given around the cyst with 15 number blade [Fig. 3]. Conjunctiva above the cyst was kept intact, which helped to hold the cyst firmly, while blunt dissection was carried out. Care was taken to keep the tip of the corneal scissors away from the cyst. After separating the cyst from all sides [Fig. 4], its base was dissected out very carefully as it is the commonest side for rupture. 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]. They could be cut under direct visualization. It was easy to separate sides and base of the cyst and to remove it without rupture. Conjunctiva was re-positioned at limbus. 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.

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