Upper Eyelid Retraction: An Atypical Sign of Orbital Conjunctival Inclusion Cyst

Area of Science:

• Ophthalmology
• Ophthalmic Pathology

Background:

• Orbital conjunctival inclusion cysts are uncommon lesions.
• They can arise from congenital rests or epithelial implantation.
• Symptoms vary from asymptomatic to significant functional disturbances like proptosis and diplopia.

Purpose of the Study:

• To report a rare case of upper eyelid retraction caused by an orbital conjunctival inclusion cyst.
• To investigate the association between conjunctival inclusion cysts and delayed functional complications.
• To contribute to the literature on atypical presentations of orbital cysts.

Main Methods:

• Case report of a 63-year-old female patient.
• Detailed clinical examination and history.
• Comprehensive literature review on orbital conjunctival inclusion cysts and associated complications.

Main Results:

• The patient presented with marked upper eyelid retraction.
• The eyelid retraction was attributed to a conjunctival inclusion cyst.
• The cyst was associated with a retinal detachment procedure performed 20 years prior.
• No similar cases of eyelid retraction linked to these cysts were found in the literature.

Conclusions:

• Orbital conjunctival inclusion cysts can present with rare and delayed complications such as upper eyelid retraction.
• This case underscores the importance of considering iatrogenic causes for delayed orbital cyst formation and associated symptoms.
• Further research may be needed to understand the long-term sequelae of orbital conjunctival inclusion cysts.