How to reduce conjunctival cyst formation after strabismus surgery?

Area of Science:

• Ophthalmology
• Surgical Complications
• Pediatric Ophthalmology

Background:

• Strabismus surgery aims to correct eye alignment.
• Conjunctival cysts are an uncommon postoperative complication.

Purpose of the Study:

• To determine the incidence of conjunctival cysts after strabismus surgery.
• To identify strategies for minimizing conjunctival cyst formation.

Main Methods:

• Retrospective analysis of 4026 eyes from 2662 patients undergoing strabismus surgery (2015-2021).
• Data included patient demographics, surgical procedures, and postoperative follow-up at 1 day, 1 month, and 6 months.

Main Results:

• Conjunctival cysts were detected in 11 patients (0.27%) between 20 days and 8 months postoperatively.
• Cysts occurred on the nasal side in 7 cases and the temporal side in 4 cases.

Conclusions:

• Conjunctival cyst is a rare complication of strabismus surgery, likely due to conjunctival epithelial proliferation.
• Preventive measures include meticulous conjunctival closure, maintaining personal hygiene, and minimizing suture contamination.