CONJUNCTIVAL CYST AFTER UNEVENTFUL SMALL INCISION CATARACT SURGERY
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Abstract
Conjunctival cysts are slowly developing thin-walled cysts. They often don't cause any symptoms, but when they get greater in size, they can cause dry eyes, grittiness, poor ocular motility, and cosmetic deformity because they affect the tear film. These cysts lose cells and contain serous fluid. When filled with serous fluid alone, these cysts are transparent and transilluminating. Histopathologically, a stratified squamous non-keratinizing epithelium is what distinguishes them. They can be classified as either primary or secondary inclusion cysts. Usually concealed in the fornix, primary cysts are congenital and progressively get larger as people mature. Secondary cysts are acquired, can be implantation cysts, others are degenerative cysts, parasitic cyst.1, 2, 3
Secondary cysts known as acquired conjunctival implantation or inclusion cysts are typically observed after strabismus surgery [4,5]. They can also arise following other ocular procedures such as pars plana vitrectomy [6], ptosis surgery [7], and Ahmed glaucoma valve insertion [8], scleral buckling [9]. Conjunctival inclusion cysts have been documented after phacoemulsification surgery, however, a small number of cases have been recorded after manual small incision cataract surgery (SICS) [10].
References
2. Boynton JR, Searl SS, Ferry AP, Kaltreider SA, Rodenhouse TG. Primary non-keratinised epithelial (conjunctival) orbital cyst. Arch Ophthalmol 1992;110:1238–42.
3. Soll SM, Lisman RD, Harrison W, Weiner M. Conjunctival orbital cyst. Ophthal Plast Reconstr Surg 1994;10:216–9.
4. Song JJ, Finger PT, Kurli M, Wisnicki HJ, Jacob CE. Giant secondary
5. conjunctival inclusion cyst: A late complication of strabismus
6. surgery. Ophthalmology 2006;113:1046-9.
7. Biler ED, Yagci A, Uretmen O, Palamar M. Massive iatrogenic orbital cysts following glaucoma drainage implant and strabismus surgery. BMJ Case Rep 2016;2016:bcr2016216486.
8. Bourcier T, Monin C, Baudrimont M, Larricart P, Borderie V, Laroche L. Conjunctival inclusion cyst following pars plana vitrectomy. Arch Ophthalmol 2003;121:1067.
9. Galindo-Ferreiro A, Marqués-Fernández VE, Gonzalez JC, Schellini SA. Large conjunctival inclusion cyst after anterior approach ptosis surgery. Middle East Afr J Ophthalmol 2022;29:163-6.
10. Johnson DW, Bartley GB, Garrity JA, Robertson DM. Massive epithelium-lined inclusion cysts after scleral buckling. Am J Ophthalmol 1992;113:439-42.
11. Jain SS. Inadvertent filtering bleb following sutureless cataract surgery. Indian J Ophthalmol 2005;53:196-8.
12. Narayanappa S, Dayananda S, Dakshayini M, Gangasagara SB, Prabhakaran VC. Conjunctival inclusion cysts following small incision cataract surgery. Indian J Ophthalmol 2010;58:423-5.
13. Krishnacharya PS. Tenon’s cyst presenting as a long-term complication following incision cataract surgery. Case Rep Med 2013;2013:759267.
14. 12.Hawkins AS, Hamming NA. Thermal cautery as a treatment for conjunctival inclusion cyst after strabismus surgery. J AAPOS. 2001;5:48–9. doi: 10.1067/mpa.2001.111779.
15. 13.de Bustros S, Michels RG. Treatment of acquired inclusion cyst of conjunctiva using YAG laser. Am J Ophthalmol. 1984;98:807–8. doi: 10.1016/0002-9394(84)90707-4.