Periocular implantation cysts: a late complication of ophthalmic surgery

Kalantzis, George; Verity, David H.; Rose, Geoffrey E.

doi:10.1038/eye.2014.111

Cited by 14 publications

(9 citation statements)

References 11 publications

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“…2 Acquired conjunctival cysts occur after implantation of conjunctival epithelium in the orbit and have been described after enucleation, strabismus surgery, or retinal detachment. 3–6…”

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confidence: 99%

“…2 Acquired conjunctival cysts occur after implantation of conjunctival epithelium in the orbit and have been described after enucleation, strabismus surgery, or retinal detachment. [3][4][5][6] In this study, we describe the clinical presentation, anatomical location, and histological features of patients with congenital conjunctival cysts and compare the histological features of inflammation with those for a large group of orbital dermoid cysts.…”

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confidence: 99%

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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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“…2 Acquired conjunctival cysts occur after implantation of conjunctival epithelium in the orbit and have been described after enucleation, strabismus surgery, or retinal detachment. 3–6…”

mentioning

confidence: 99%

mentioning

confidence: 99%

Congenital Conjunctival Cysts of the Orbit

Wilde

Vahdani

Rose

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…They may arise in association with a hydrogel scleral buckle, as shown in Figure 11.2. While etiologically distinct, implantation cysts encompass a diverse range of histologic entities, most commonly of conjunctival or respiratory epithelial origin 149 . Though the imaging features of implantation cysts are not well characterized in the literature, case studies describe well-defined lesions which surround or adjoin the implant and/or displace the globe (Fig.…”

Section: Miscellaneousmentioning

confidence: 99%

Cystic Lesions of the Orbit

Cameron¹,

Tong²,

Patel³

et al. 2023

International Ophthalmology Clinics

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Orbital cystic lesions encompass an array of congenital and acquired conditions with diverse aetiologies, ranging from benign, asymptomatic cysts to sight-threatening infectious or malignant disease. 1,2 They account for 14% to 21% of all orbital lesions. 2 Macroscopically, cystic lesions appear as saccular, fluid-filled structures encapsulated by a clearly demarcated wall. 1 They are commonly classified according to the cellular origin or etiology. 3,4 In a 2004 review of childhood orbital lesions, Shields and Shields 5 categorized cystic lesions by cellular origin (surface epithelium-derived, teratomatous, neural, secondary, infectious, and noncystic lesions with a cystic component). Another classification system, proposed by Kaufman et al, 6 in 1998, organizes cystic lesions by etiology; that is, congenital, acquired, or secondary cysts arising from adjacent structures. This review will expand upon the latter scheme, employing the following classifications; congenital (epithelial and nonepithelial), vascular, infectious and inflammatory, neoplastic, and miscellaneous. True cysts and cyst-like lesions, that is, those which appear cystic on imaging, will be covered, with a particular focus on the radiologic characteristics seen.Congenital lesions, such as dermoid cysts and orbital teratoma, generally present in infancy or early childhood and are usually benign; those which present later in life are more likely acquired, although lesions such as deep orbital dermoids may present in adulthood. [6][7][8] Clinical features vary depending on the size, depth, and aggressiveness of the underlying lesion. Superficial cysts often present with a painless,

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“…An orbital cyst may form late after implantation of alloplastic implants during orbital wall reconstruction surgery because of the ingrowth of conjunctival epithelium or respiratory epithelium. [ 1 ] These orbital retention cysts may cause local pain, proptosis, diplopia, and even vision loss. [ 2 ] Trying to avoid the subsequent formation of orbit cyst, the surgeon should perceive conjunctival or respiratory epithelium and then get rid of all of them during orbital wall surgery.…”

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confidence: 99%

“…Previous studies have reported different types of alloplastic material-associated cysts, and most of them emphasized the pathologic findings of the orbit cysts. [ 1 2 3 ] However, a suitable surgical approach has not been widely discussed. The direct idea is to accomplish the surgery via the same approach of previous orbital reconstruction surgery, as transconjunctival[ 4 5 ] or subtarsal approach.…”

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confidence: 99%

Endoscopic transnasal drainage for orbital implantation cyst after orbital wall reconstruction

Sun

Zhou

et al. 2021

Indian Journal of Ophthalmology

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An implantation cyst after orbital wall reconstruction may present as a late complication, which can cause local pain, proptosis, diplopia, and vision impairment. Previous surgical strategies prefer transconjunctival or subtarsal approach for cyst drainage, a similar approach to orbital wall reconstruction. These strategies may have risk of secondary infection. Herein, we propose an endoscopic transnasal surgical approach, through which the removal of implant and cyst drainage can be performed conveniently. The residual, medial single-layer cyst wall is generally strong enough to support the orbital soft tissues without the need for a new implant. We believe this surgical approach can simplify the procedure, reduce the complications, and prevent cyst recurrence.

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Periocular implantation cysts: a late complication of ophthalmic surgery

Cited by 14 publications

References 11 publications

Congenital Conjunctival Cysts of the Orbit

Congenital Conjunctival Cysts of the Orbit

Cystic Lesions of the Orbit

Endoscopic transnasal drainage for orbital implantation cyst after orbital wall reconstruction

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