A Case of Conjunctival Inclusion Cyst Managed with Marsupialization

Hyo Sung Yoon; Min Joung Lee

doi:10.3341/jkos.2014.55.2.289

Journal List > J Korean Ophthalmol Soc > v.55(2) > 1009892

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Yoon and Lee: A Case of Conjunctival Inclusion Cyst Managed with Marsupialization

Original Article

J Korean Ophthalmol Soc 2014;55(2):289-292.

Published online: 7 September 2014

DOI: https://doi.org/10.3341/jkos.2014.55.2.289

A Case of Conjunctival Inclusion Cyst Managed with Marsupialization

Hyo Sung Yoon, MD, Min Joung Lee, MD

Department of Ophthalmology, Hallym University College of Medicine, Anyang, Korea

Address reprint requests to Min Joung Lee, MD Department of Ophthalmology, Hallym University Sacred Heart Hospital, #22 Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang 431-796, Korea, Tel: 82-31-380-3834, Fax: 82-31-380-3837, E-mail: minjoung@hallym.or.kr

Received 2 August 201321 September 2013 Accepted 20 December 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We present a case with conjunctival inclusion cyst at inferior fornix treated by marsupialization.

Case summary

A 23-year-old woman visited our clinic complaining of left lower eyelid swelling. Ophthalmologic examination and CT scan showed a cystic mass from inferior conjunctival fornix to anterior orbit with shallow fornix and focal symblepharon. The cyst was effectively removed with marsupializaion. Postoperatively, there was no recurrence of cyst and the fornix was deepened.

Conclusions

Marsupialization can be a considerable treatment option in conjunctival inclusion cyst, especially when ac-companied by shallow fornix and symblepharon.

Keywords: Conjunctival inclusion cyst, Fornix reconstruction, Marsupialization, Symblepharon

References

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Figure 1.

Anterior segment photograph of conjunctival inclusion cyst at initial presentation. (A) About 1.5 × 1 cm sized subcon-junctival cyst is noted at inferior fornix in the left eye. There is symblepharon at medial and lateral end of cyst (black arrows). (B) External photographs showed contour of the mass, which is transcutaneously visible at left lower eyelid.

Figure 2.

Axial (A) and coronal (B) view enhanced computed tomography images demonstrate 1.5 × 0.8 cm sized ovoid shaped cystic mass (white arrow) in anterior– inferior part of the left orbit.

Figure 3.

Microscopic appearance of the cyst lined by non-keratinized stratified squamous epithelium with chronic inflammation (H&E, ×100).

Figure 4.

Anterior segment photograph at 1 month after surgery. The posterior wall of the inclusion cyst is covering inferior fornix. There is no evidence of recurrence.

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