Conjunctival Orbital Cyst

Sm, Soll; Rd, Lisman; Harrison, Winston; Weiner, Mark J.

doi:10.1097/00002341-199409000-00014

Cited by 12 publications

(9 citation statements)

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“…Most common location of the primary orbital cyst is superonasal followed by the superotemporal region where bone involvement has been described 2,3 . 12 cases of primary inclusion cyst were seen in the present study, cysts were typically located in the superonasal part in 10 cases which is the most common location for the primary inclusion cyst.…”

Section: Discussionsupporting

confidence: 55%

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Clinical study of histologically proven conjunctival cysts

Thatte

Jain

Kinger

et al. 2015

Saudi Journal of Ophthalmology

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Section: Discussionsupporting

confidence: 55%

“…Primary cysts are congenital, which remains hidden in the fornix and gradually increases with age. Secondary cyst can be parasitic cysts, implantation cysts due to trauma and degenerative cysts 1–3 . Remedy for cysts is complete excision.…”

Section: Introductionmentioning

confidence: 99%

Clinical study of histologically proven conjunctival cysts

Thatte

Jain

Kinger

et al. 2015

Saudi Journal of Ophthalmology

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“…1 The cysts are thin-walled, with very watery contents, and—as in this series—can occasionally cause minor bone remodeling and only rarely cause a significant mass effect. 1,8 Although 3/12 of our patients had between 1 and 3 mm proptosis, the presentation of conjunctival cysts with symptomatic proptosis is rare. 9,13,14…”

Section: Discussionmentioning

confidence: 63%

“…Congenital conjunctival cysts may present from birth to the seventh decade, with a duration of symptoms from months to many years. [7][8][9] They typically present as a soft, fluctuant upper eyelid swelling or a palpable mass, rarely have major orbital signs, and-in this series-no patient had pain or inflammatory signs and symptoms.…”

Section: Discussionmentioning

confidence: 70%

Congenital Conjunctival Cysts of the Orbit

Wilde

Vahdani

Rose

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To evaluate the clinical presentation, anatomical location, and histological features of congenital conjunctival cysts of the orbit. The location and the histological features of inflammation in these patients were compared with those for 293 orbital dermoid cysts. Patients and Methods: Retrospective review of the clinical details, imaging, and histopathology for patients who had excision of conjunctival cysts from their orbit between 1992 and 2020; patients with a history of trauma or surgery were omitted. Results: Twelve patients (7 male; 58%) with congenital conjunctival cysts were identified, the patients presenting at an average age of 16 years (median 26; range 1–61) with a symptoms for a mean duration of 20 months (median 24; range 6–36). The commonest symptoms were peribulbar lump (6/12 patients; 50%), and eyelid swelling and blepharoptosis (6/12 patients; 50%). An orbitaxl mass was palpable in 10 patients (83%), 3 patients (25%) had mild proptosis (1–3 mm), and the cysts were most commonly located superiorly (6/12 patients; 50%) or superonasally (3/12; 25%) in the anterior half of the orbit. Imaging was performed in 7 cases, this showing an intimate relation to the common sheath of the superior rectus/levator complex in 3 patients (25%) and to the trochlea in 1 (8%). All cysts were excised completely, and no patient had postoperative complications or recurrence. Chronic mild and nonspecific inflammation was evident within the cyst wall in 7 cases (54%), but—unlike 55% of the 293 dermoid cysts—none showed granuloma formation. Conclusion: Congenital conjunctival cysts are rare and usually present with a palpable mass in the upper eyelid sulcus. A significant proportion of these cysts have an intimate relationship with the trochlea, or the superior rectus, levator palpebrae or superior oblique muscles and, to minimize the risk of postoperative diplopia or ptosis, particular care must be exercised during surgery.

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“…To date, approximately 26 patients with primary conjunctiva cysts of the orbit have been reported in the English literature [1,4,5,8,9]. Primary conjunctival cysts of the orbit are most frequently located in the superonasal quadrant of the orbit, while dermoid and epidermoid cysts of the orbit are most commonly located superotemporally [1,5].…”

Section: Discussionmentioning

confidence: 99%