Conjunctival Epithelial Inclusion Cyst following Evisceration with Primary Orbital Implantation

Abstract

A 29-years-old Turkish man who had undergone evisceration with primary orbital implantation 20 months prior complained of difficulty wearing his artificial eye. Slit-lamp examination revealed a conjunctival cyst in the center of the anophthalmic socket, with no evidence of scleral or orbital implant exposure. The cyst was completely excised under general anesthesia and did not require use of any sclerosing substance or dye. At 6 months postoperatively, there was no recurrence of the cyst or exposure of the sclera or orbital implant. As the upper and lower fornices were sufficiently deep, the patient could wear his artificial eye.

Foam Sclerotherapy for Conjunctival Inclusion Cyst Post Evisceration

“…Conjunctival cysts that occur primarily after evisceration and implant are rare, and they usually occur due to a secondary cause such as implantation of the conjunctiva deeper or in case of complex surgery. Complete excision is complicated by thin walls of the cyst that may rupture easily [ 2 ]. Thus, it is important that one is able to perform sclerotherapy which, in most cases, works well in the long term.…”

“…These cysts can be dealt with using several methods, such as complete excision and marsupialization, sometimes aided by the use of fibrin glue injection. They can be injected with sclerosing agents such as sodium tetradecyl sulfate (STS), absolute alcohol, trichloroacetic acid, and bleomycin [ 2 ]. As it may be difficult to entirely excise these cysts without leaving any residual remnants that can cause recurrence, it would be wise to master the injection of sclerosing agents to achieve a good result.…”