Excision of post small incision cataract surgery conjunctival inclusion cyst

Thatte, Shreya; Gupta, Lalita

doi:10.4103/0301-4738.81028

Cited by 4 publications

(4 citation statements)

References 5 publications

(5 reference statements)

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“…Some authors have used thermal cautery [17], intracystic injection of ethanol [18], YAG laser [19], and ablation using atmospheric low-temperature Plasma [20] to the cyst as conservative measures. Patients with symptoms such as cosmetic disfigurement, progressive increase in the size of the cyst [20], foreign body sensation, and ptosis3 may need surgical intervention [21].…”

Section: Discussionmentioning

confidence: 99%

A Study on Correlation of Surgeon’s Experience and Inadvertent Conjunctival Cyst Following SICS and Review of the Literature

Sathyabama¹,

Ravindran²,

Uduman³

et al. 2021

Act Sci Oph

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To study the outcomes of patients with inadvertent conjunctival cyst following SICS procedure in correlation with surgeon's years of surgical experience, clinical, visual, and management effects with the review of literature in South Indian context. Materials:A retrospective case record of patients presented with conjunctival cysts following SICS was evaluated. The data collection included demographic details, visual outcomes, slit-lamp findings, management outcomes, and complications, if any. Results:The mean interval between the surgery date and the clinical presentation was 20.71months. The mean years of surgeon's experience were 6.01years. There was no significant relationship between the occurrence of the cyst and the surgeon's surgical experience. Conclusion:Many novice surgeons are doing mSICS. Our observation will provide an insight into the rare complication of mSICS following poor wound construction and the steps to prevent the same during the learning process.

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Section: Discussionmentioning

confidence: 99%

A Study on Correlation of Surgeon’s Experience and Inadvertent Conjunctival Cyst Following SICS and Review of the Literature

Sathyabama¹,

Ravindran²,

Uduman³

et al. 2021

Act Sci Oph

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“…When considering cyst excision, it is important to maintain an equanimous mind-set and keep the tips of the corneal scissors away from the cyst during dissection in order to avoid cyst rupture to prevent recurrence. Thatte and Gupta suggest preserving conjunctiva above the cyst to allow for a firm grasp of the cyst while dissecting [ 12 ]. These considerations were kept during our patient’s cyst excision and it was removed intact.…”

Section: Discussionmentioning

confidence: 99%

Cyst Masquerading as Inadvertent Bleb After a Scleral-Fixated Intraocular Lens in Marfan Syndrome: A Case Report

et al. 2018

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IntroductionTo present a case of an epithelial inclusion cyst masquerading as an inadvertent bleb in a patient with Marfan syndrome.Case ReportA woman with Marfan syndrome presented with a subluxed crystalline lens in her right eye, which progressively subluxed over the following 2 years. A lensectomy was performed with placement of an anterior chamber intraocular lens (IOL); however, the patient experienced blurred vision and photopsias and preferred IOL explantation. The IOL was removed and a scleral-fixated posterior chamber IOL was placed. Vision improved with an uncomplicated postoperative course. Five months later, the patient experienced sudden onset redness and sharp pain in this eye. A 3-mm cystic lesion with tan material was found over a prior scleral incision site. Intraocular pressure was normal and no aqueous leaked from the lesion. Owing to concerns of an infected inadvertent bleb, treatment with topical and oral antibiotics was started, but the lesion did not change in appearance and the patient experienced persistent pain. The lesion was surgically excised and histopathology revealed a conjunctival epithelial inclusion cyst with intralesional keratin. A month later, another conjunctival inclusion cyst developed and was excised per patient preference.ConclusionMarfan syndrome is characterized by defects in the FBN1 gene and may theoretically lead to an abnormal sclera, increasing the risk of bleb formation after scleral incision. Distinguishing between a filtering bleb and an epithelial inclusion cyst is critical in patient care. Although retained keratin from a cyst may mimic a bleb with purulence, intraocular pressure, aqueous leakage, and response to topical antibiotics may help distinguish between the two.

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“…Narayanappa et al reported 2 cases of inclusion cysts following SICS but the cysts got ruptured during the removal in both cases 9 . Shreya Thatte et al also reported 2 cases of conjunctival inclusion cysts following SICS, they were able to excise intact cysts in both cases 10 . Chief differential diagnosis is the filtering bleb.…”

Section: Discussionmentioning

confidence: 99%