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Colobomatous ocular cyst excision with globe preservation
1Department of Ophthalmology and Neurosurgery, University of Siena, Italy.
Ophthalmic Plastic and Reconstructive Surgery
|December 1, 1995
Summary
Colobomatous ocular cysts, a rare condition, can be treated conservatively with cyst excision and pedicle ligature to preserve cosmesis. This approach is advised for cysts associated with near-normal globe size, avoiding enucleation in children.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Congenital Malformations
Background:
- Colobomatous ocular cyst is a rare congenital malformation.
- It involves a neuroectodermic-lined cavity communicating with the vitreous cavity, often with microphthalmos.
- Traditional treatment for severe cosmetic concerns involves enucleation and prosthesis fitting.
Observation:
- A case of colobomatous ocular cyst with mild microphthalmos was treated.
- The surgical approach involved cyst excision and pedicle ligature via transconjunctival orbitotomy.
- Postoperative cosmetic appearance was satisfactory.
Findings:
- Pathology revealed a thick fibrous wall with calcifications, lymphocytic infiltrates, and neurofilaments.
- The internal lining consisted of dysplastic retinal elements.
- Surgical intervention resulted in a favorable cosmetic outcome.
Implications:
- A conservative surgical approach, such as cyst excision and pedicle ligature, is recommended for colobomatous cysts.
- This approach is particularly advised for cases with a near-normal globe size.
- Conservative management can help avoid cosmetic complications associated with enucleation in childhood, preserving ocular aesthetics.