Snooker cue tip retention within a sub-Tenon's traumatic inclusion cyst for 19 years: a case report and review of the literature.

Abstract

A 69-year-old man presented to eye casualty for increasing binocular diplopia and a superonasal orbital mass. In 2006, he had an accidental injury to the right eye with a pool cue under the right upper lid. Facial X-ray showed no fractures, and the patient was discharged. Five years later, he developed a cystic lesion at the site of the injury which was excised. In 2023, the mass reappeared causing double vision but was initially ignored. On examination, there was a solid lesion under the right upper lid causing hypoglobus and restriction to elevation. Intraoperatively, the mass was firmly attached to the globe and was extending to the intraconal space. While trying to mobilize it, it ruptured with release of mucopurulent material. Inside the lesion, there was the tip of a snooker cue. Histopathology confirmed the presence of a traumatic conjunctival inclusion cyst.