A few weeks is needed for the conjunctival flora to normalize after dacryocystorhinostomy. The time of normalization is related to the type of bacteria, colony count, and presence of silicone tube.
Intralesional trichloroacetic acid injection proved successful in resolving the problematic cyst without surgical intervention in anophthalmic orbit. It is a safe procedure and is recommended for treatment of anteriorly located orbital conjuctival cysts.
The lower serum levels of Zn, Cu, and Se in patients with advanced KCN compared with healthy controls indicate the possible role of antioxidants in the etiopathogenesis of KCN, which points to early treatment of this progressive degenerative disease with supplementation therapy, rather than keratoplasty techniques.
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