A Case of Sclerocorneal Cyst in a 4-Year-Old Female

Hyun Ah Kim; Hyun Kyung Kim; Yang Kyung Cho

doi:10.7469/JKOS.2015.56.04.602

Journal List > J Korean Ophthalmol Soc > v.56(4) > 1010253

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Kim, Kim, and Cho: A Case of Sclerocorneal Cyst in a 4-Year-Old Female

Original Article

J Korean Ophthalmol Soc 2015;56(4):602-606.

Published online: 7 September 2015

DOI: https://doi.org/10.7469/JKOS.2015.56.04.602

A Case of Sclerocorneal Cyst in a 4-Year-Old Female

Hyun Ah Kim, MD, Hyun Kyung Kim, MD, PhD, Yang Kyung Cho, MD, PhD

Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea

￭ Address reprint requests to Yang Kyung Cho, MD, PhD Department of Ophthalmology, College of Medicine, The Catholic University of Korea, St. Vincent’s Hospital, #93 Jungbu-daero, Paldal-gu, Suwon 442-723, Korea Tel: 82-31-249-7343, Fax: 82-31-251-6225 E-mail: yangkyeung@hanmail.net

Received 28 November 201418 January 2015 Accepted 24 March 2015

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.

초록

Purpose:

To report a case of sclerocorneal cyst found in a 4-year-old female following strabismus surgery treated with cyst wall excision and scleral graft.

Case summary:

A 4-year-old female with a history of strabismus surgery performed 1.5 year prior presented with a whitish lesion in cornea and sclera which developed 1 month ago. Slit-lamp examination revealed a 4.2 × 3.5 mm-sized cyst at the superotemporal part of the cornea, extending into the sclera at 3-o’clock. Cyst fluid, precipitate aspiration, and cyst wall excision were performed. Scleral patch graft was used to cover the scleral defects after excision. Upon histopathological examination, the cyst wall was lined with nonkeratinized stratified squamous epithelium and numerous degenerated epithelial cells were present in the cyst aspirate.

Conclusions:

Sclerocorneal cyst can rarely develop following trauma or surgery. In this report, the sclerocorneal cyst, possibly induced by previous strabismus surgery, was treated successfully without recurrence using cyst wall resection.

Keywords: Sclerocorneal cyst, Strabismus surgery

References

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Figure 1.

Slit-lamp appearance of initial presentation of sclerocorneal cyst. (A) A 4.2 × 3.5 mm sized cyst at superotemporal part of cornea, partly filled with fluid and precipitates, extending into the sclera at 3-o’clock is seen. (B) A split in the corneal stroma is visible.

Figure 2.

Sclerocorneal cyst under operating microscope. (A) Preoperative appearance. (B) Cyst aspiration. (C, D) Cyst wall excision. (E) Scleral graft to cover scleral defects after excision. (F) Postoperative appearance.

Figure 3.

Postoperative slit-lamp appearance, after sclerocorneal cyst aspiration and cyst wall excision. (A) Cornea is cyst-free and scleral defect is well grafted. (B) Corneal stroma is intact without any break.

Figure 4.

Histolopathology of the Sclerocorneal cyst. (A, B) Cyst wall, lined by nonkeratinized stratified squamous epithelium (Hematoxylin-eosin stain. A, ×100. B, ×400). (C) Cyst aspirate, numerous degenerated epithelial cells are present (Hematoxylin- eosin stain, ×400).

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