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Congenital sclerocorneal epithelial cyst
1King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. 105100,3710@compuserve.com
American Journal of Ophthalmology
|November 20, 1998
Summary
A congenital intrascleral epithelial cyst in a child enlarged, affecting vision by invading the cornea. Surgical removal improved visual acuity, confirming its conjunctival origin.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Ophthalmic Pathology
Background:
- Congenital intrascleral epithelial cysts are rare ocular anomalies.
- Early detection and management are crucial for preserving visual function.
Observation:
- A 3-year-old boy presented with a limbal cyst present since birth.
- The cyst progressively enlarged, encroaching upon the cornea and compromising the visual axis.
Findings:
- Surgical excision of the intrascleral cyst was performed.
- Histopathology confirmed the cyst wall was lined by conjunctival epithelium.
- Post-operative visual acuity improved from 20/80 to 20/30.
Implications:
- This case highlights the potential for congenital intrascleral epithelial cysts to enlarge and impact vision.
- Congenital sequestration of conjunctival epithelium is the likely etiology.
- Prompt surgical intervention can restore visual function in such cases.