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Foam Sclerotherapy for Conjunctival Inclusion Cyst Post Evisceration.
Rwituja Thomas1, Ashok Grover2
1Oculoplastic Surgery, Vision Eye Centre, New Delhi, IND.
Cureus
|August 9, 2023
Summary
Orbital cysts can be treated with minimally invasive aspiration and foam sclerotherapy, offering a safe alternative to surgical excision. This technique successfully resolved a cyst in an 18-year-old male, improving prosthesis retention.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
- Medical Technology
Background:
- Orbital conjunctival epithelial cysts often require surgical excision.
- Traditional excision carries a risk of recurrence due to residual cyst elements.
- Prosthesis retention can be compromised by orbital cyst formation.
Observation:
- An 18-year-old male presented with poor prosthesis retention three years post-evisceration and polymethylmethacrylate (PMMA) ball implant.
- A cyst was identified as the cause of the prosthesis discomfort and poor fit.
Findings:
- Aspiration and foam sclerotherapy were performed for the orbital cyst.
- The cyst resolved completely within six weeks following the procedure.
- Successful cyst resolution allowed for comfortable and stable prosthesis retention.
Implications:
- Aspiration and injection of sclerosing agents offer a less invasive treatment option for orbital cysts.
- This technique promotes cyst wall fibrosis and lumen obliteration, leading to complete resolution.
- Minimally invasive treatment can improve outcomes and patient comfort in post-evisceration patients.
