Giant Conjunctival Cyst of the Orbit in a Patient with Previous Enucleation.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI:10.1159/000535598

João Ponces Ramalhão, Diogo Rodrigues, Beatriz Vieira, Miguel Gonçalves Afonso, Pedro Manuel Baptista, Nuno Jorge Lamas, Maria Araújo

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Abstract

Introduction: Conjunctival cysts of the orbit development are a rare complication in enucleated patients. They result from the entrapment of conjunctival epithelium within the orbit.

Case presentation: We report the case of a 25-year-old man with a history of enucleation for a retinoblastoma of the right eye who presented with difficulty in fitting his eye prothesis. On his past medical records, there was no reference to the placement of any orbital implant at the time of the surgery. Biomicroscopy of the right eye revealed a thickened bulbar conjunctiva, an inferior symblepharon, and a translucid central area with vascularization. Imaging was remarkable for a cystic cavity filling the whole right orbit. Biopsy revealed the diagnosis of a conjunctival cyst, and drainage was performed, alleviating the patient's symptoms.

Conclusion: Orbital conjunctival cysts may pose a clinical problem, and treatment modalities include surgical excision, absolute alcohol injection, and trichloroacetic acid injection.

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一名曾接受过眼球摘除术的患者的眼眶巨大结膜囊肿。

简介眶内结膜囊肿是眼球摘除患者的罕见并发症。眼眶结膜囊肿是眼球摘除术患者的一种罕见并发症，是结膜上皮在眼眶内被卡住所致：我们报告了一例因右眼视网膜母细胞瘤而进行去核手术的 25 岁男性病例。在他过去的病历中，没有任何关于手术时植入眼眶假体的记录。右眼的生物显微镜检查显示球结膜增厚、下眼睑下垂、中央区域半透明且有血管。影像学检查发现一个囊腔充满了整个右眼眶。活组织检查显示诊断为结膜囊肿，并进行了引流，缓解了患者的症状：结论：眼眶结膜囊肿可能会带来临床问题，治疗方法包括手术切除、绝对酒精注射和三氯乙酸注射。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.