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Large orbital conjunctival cyst after enucleation

G F Judisch, I H Maumenee

    American Journal of Ophthalmology
    |January 1, 1977
    PubMed
    Summary
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    A rare orbital cyst caused a 33-year-old man's prosthetic eye to protrude after a perforating eye injury. Surgical exploration revealed a conjunctival epithelium-lined cyst.

    Area of Science:

    • Ophthalmology
    • Ophthalmic Pathology
    • Orbital Surgery

    Background:

    • Enucleation is the removal of the eye, often due to trauma or disease.
    • Prosthetic eye use is common after enucleation.
    • Long-term complications following enucleation can occur.

    Observation:

    • A 33-year-old male presented with a 4-year history of slowly progressive proptosis (bulging) of his ocular prosthesis.
    • Examination revealed a spherical mass occupying the orbital space where the globe should be.
    • The patient had a history of enucleation 28 years prior due to a perforating eye injury.

    Findings:

    • Surgical exploration identified a large, spherical orbital cyst.
    • The cyst was lined by conjunctival epithelium.

    Related Experiment Videos

  • The cyst was the cause of the prosthetic eye proptosis.

    • Implications:

    • Orbital cysts can develop long after enucleation, presenting as delayed complications.
    • Conjunctival epithelium-lined cysts are a potential sequela of ocular surgery or injury.
    • Accurate diagnosis and surgical management are crucial for resolving prosthetic-related orbital masses.