Management of recurrent intra corneal epithelial cyst with ethanol irrigation and vacuum-assisted cyst wall excision

Gokhale, Nikhil S

doi:10.1007/s10792-012-9677-3

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…Further knowledge about its extent can be gained from ultrasound biomicroscopy. 4,10 Yet, the definite proof is obtained by histopathology of the cyst specimen lined by epithelial cells. Recently, confocal microscopy has emerged as a diagnostic tool, which reveals in vivo corneal structure, layer by layer, in healthy and diseased individuals.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical approach can provide both the diagnosis and treatment. Emptying the cyst of its content by marsupialization 3 or aspiration 4 and the removal of its walls by excision, 2,5 keratoplasty, 6,7 and by peeling yields epithelial cells to be identified by histopathology and enables the stromal repair by apposition of the corneal lamellae. Instead, the cyst may collapse after a discharge of its liquid content through a spontaneously created opening in the anterior corneal stroma, and the in vivo histopathological diagnosis can be made by using in vivo confocal microscopy (IVCM).…”

mentioning

confidence: 99%

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In Vivo Confocal Microscopy of a Corneoscleral Epithelial Cyst After Spontaneous Marsupialization

Nikolić

Jovanović²,

Delevic³

2013

Cornea

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

In Vivo Confocal Microscopy of a Corneoscleral Epithelial Cyst After Spontaneous Marsupialization

Nikolić

Jovanović²,

Delevic³

2013

Cornea

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“…Intrastromal cysts are lined by desquamating squamous epithelium and created by proliferation of epithelial cells between collagen lamellae. 1,3–6…”

mentioning

confidence: 99%

“…Common causes of traumatic cysts include penetrating or perforating wounds and surgical trauma. 1 In cases without an overt history of trauma, undetected previous injury should be considered. 5 Cysts have been reported from birth to aged 76 years, and the involved eye is usually quiet and noninflamed.…”

mentioning

confidence: 99%

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Surgical Treatment of a Corneal Epithelial Cyst

Wasilewski

2021

Cornea

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To describe a case of intracorneal epithelial cyst and present a surgical technique successfully used to treat this patient.Methods: This interventional case report presents a 4-year-old boy with a progressive intrastromal corneal opacity and decreased vision in his right eye. The patient had no previous history of trauma or ocular surgery. After clinical examination and corneal optical coherence tomography, a presumptive diagnosis of a developmental epithelial cyst was made, and surgery was indicated. Four years later, when the patient was 8 year old, he returned after having performed drainage of the cyst in another service but still complaining of low vision. The biomicroscopy showed an intrastromal recurrent cyst. At this time, we recommended the surgical retreatment. The cyst was drained, a lamellar keratosclerectomy was performed at the site of the limbus where the epithelial nest was placed, and distilled water was used to wash the corneal cyst -to eliminate the epithelial cells. A donor cornea button was cut manually and was transplanted to cover the area where the corneoscleral tissue was removed.Results: The surgical technique described resulted in nearly complete clearing of the opacity and improved vision, and no recurrence was documented up to 19 months of follow-up. The bestcorrected visual acuity improved from 20/100 before surgery to 20/ 30 after surgery.Conclusions: This surgical technique may be a good alternative to other previously described treatments for intracorneal epithelial cysts aiming to avoid recurrence and without the need for central corneal transplantation.

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Intrastromale keratolimbale Epithelzysten: kongenital und postoperativ

Schoelles

Auw-Hädrich

Maier

et al. 2022

Klin Monbl Augenheilkd

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ZusammenfassungZwei ungewöhnliche Fälle von intrastromalen keratolimbalen Epithelzysten werden präsentiert: Im 1. Fall handelt es sich um eine progredient wachsende kongenitale Zyste eines 9-jährigen Jungen, im 2. Fall um eine rezidivierende postoperative Zyste einer 18-jährigen Patientin. Beide Patienten zeigten eine limbale Zyste, die sich als weißliche Masse in das Hornhautstroma fortsetzte und bis zur optischen Achse reichte. Die Indikation zur Operation war im 1. Fall die Stabilisierung der Sehschärfe und im 2. Fall die Verbesserung des kosmetischen Aspekts. Im 1. Fall wurde ein kleiner Teil der Zyste am Limbus eröffnet und das weißliche Material aus der Zyste herausgespült. Im 2. Fall wurde eine anteriore lamelläre Keratektomie über die gesamte Zyste mit anschließender Mitomycin-C-Applikation durchgeführt. Die immunhistochemische Analyse zeigte in beiden Zysten Zytokeratin-19-positive Epithelzellen. Somit scheint eine Implantation von Bindehautepithel in die Sklera für die Entstehung der jeweiligen keratolimbalen Zyste verantwortlich zu sein. Postoperativ wurden in beiden Fällen kosmetisch und funktionell zufriedenstellende Ergebnisse erzielt mit einem Follow-up von 4 und 9 Monaten. Keratolimbale Zysten wurden in der Literatur bisher selten beschrieben. In den meisten Fällen handelt es sich um eine konjunktivale Epithelimplantation nach einer Operation oder einem Trauma und nur sehr selten um eine angeborene Zyste. Nach einfacher Aspiration des Zysteninhalts wird oft ein schnelles Rezidiv beobachtet, sodass eine teilweise oder möglichst vollständige Entfernung der vorderen Zystenwand empfohlen wird, wie in unseren Fällen erfolgt.

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Management of recurrent intra corneal epithelial cyst with ethanol irrigation and vacuum-assisted cyst wall excision

Cited by 6 publications

References 12 publications

In Vivo Confocal Microscopy of a Corneoscleral Epithelial Cyst After Spontaneous Marsupialization

In Vivo Confocal Microscopy of a Corneoscleral Epithelial Cyst After Spontaneous Marsupialization

Surgical Treatment of a Corneal Epithelial Cyst

Intrastromale keratolimbale Epithelzysten: kongenital und postoperativ

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