Giant secondary conjunctival inclusion cysts: a late complication of strabismus surgery

To present giant conjunctival inclusion cysts as a late complication of strabismus surgery. Retrospective case series of selected patients. Four patients with a history of strabismus surgery who had developed giant conjunctival inclusion cysts. A chart review was performed. The patient's ocular...

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Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 2006-06, Vol.113 (6), p.1049.e1-1049.e2
Hauptverfasser: Song, Jean J, Finger, Paul T, Kurli, Madhavi, Wisnicki, H Jay, Iacob, Codrin E
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container_end_page 1049.e2
container_issue 6
container_start_page 1049.e1
container_title Ophthalmology (Rochester, Minn.)
container_volume 113
creator Song, Jean J
Finger, Paul T
Kurli, Madhavi
Wisnicki, H Jay
Iacob, Codrin E
description To present giant conjunctival inclusion cysts as a late complication of strabismus surgery. Retrospective case series of selected patients. Four patients with a history of strabismus surgery who had developed giant conjunctival inclusion cysts. A chart review was performed. The patient's ocular history, ophthalmic examinations, and imaging (ultrasound/ultrasound biomicroscopy and/or computed tomography) were recorded. Surgical excision with subsequent histopathologic correlation was obtained in 3 cases. Clinical and imaging characteristics with histopathologic correlation. Four patients with giant conjunctival inclusion cysts had a history of strabismus surgery. Ultrasound biomicroscopy was performed in 3 cases and revealed large, cystic, well-circumscribed tumors with low internal reflectivity and hyperechoic components. Computed tomography of the orbits was used to evaluate posterior extension. Their size induced limitation in motility, strabismus, and problems related to chronic exposure. Histopathologic evaluations were consistent with benign inclusion cysts of the conjunctiva. Giant conjunctival inclusion cysts may appear decades after strabismus surgery. Tumor size, cystic nature, and involvement of underlying structures can be determined by ultrasonography and radiographic imaging. Complete surgical removal can be curative.
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Retrospective case series of selected patients. Four patients with a history of strabismus surgery who had developed giant conjunctival inclusion cysts. A chart review was performed. The patient's ocular history, ophthalmic examinations, and imaging (ultrasound/ultrasound biomicroscopy and/or computed tomography) were recorded. Surgical excision with subsequent histopathologic correlation was obtained in 3 cases. Clinical and imaging characteristics with histopathologic correlation. Four patients with giant conjunctival inclusion cysts had a history of strabismus surgery. Ultrasound biomicroscopy was performed in 3 cases and revealed large, cystic, well-circumscribed tumors with low internal reflectivity and hyperechoic components. Computed tomography of the orbits was used to evaluate posterior extension. Their size induced limitation in motility, strabismus, and problems related to chronic exposure. Histopathologic evaluations were consistent with benign inclusion cysts of the conjunctiva. Giant conjunctival inclusion cysts may appear decades after strabismus surgery. Tumor size, cystic nature, and involvement of underlying structures can be determined by ultrasonography and radiographic imaging. 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Retrospective case series of selected patients. Four patients with a history of strabismus surgery who had developed giant conjunctival inclusion cysts. A chart review was performed. The patient's ocular history, ophthalmic examinations, and imaging (ultrasound/ultrasound biomicroscopy and/or computed tomography) were recorded. Surgical excision with subsequent histopathologic correlation was obtained in 3 cases. Clinical and imaging characteristics with histopathologic correlation. Four patients with giant conjunctival inclusion cysts had a history of strabismus surgery. Ultrasound biomicroscopy was performed in 3 cases and revealed large, cystic, well-circumscribed tumors with low internal reflectivity and hyperechoic components. Computed tomography of the orbits was used to evaluate posterior extension. Their size induced limitation in motility, strabismus, and problems related to chronic exposure. Histopathologic evaluations were consistent with benign inclusion cysts of the conjunctiva. Giant conjunctival inclusion cysts may appear decades after strabismus surgery. Tumor size, cystic nature, and involvement of underlying structures can be determined by ultrasonography and radiographic imaging. 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subjects Child
Conjunctival Diseases - diagnostic imaging
Conjunctival Diseases - etiology
Conjunctival Diseases - surgery
Cysts - diagnostic imaging
Cysts - etiology
Cysts - surgery
Female
Humans
Male
Microscopy, Acoustic
Middle Aged
Oculomotor Muscles - surgery
Ophthalmologic Surgical Procedures
Orbit - diagnostic imaging
Postoperative Complications
Retrospective Studies
Strabismus - surgery
Tomography, X-Ray Computed
title Giant secondary conjunctival inclusion cysts: a late complication of strabismus surgery
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