J Korean Ophthalmol Soc.  2014 Feb;55(2):289-292. 10.3341/jkos.2014.55.2.289.

A Case of Conjunctival Inclusion Cyst Managed with Marsupialization

• Yoon HS
• Lee MJ

• KMID: 2218425
• DOI: http://doi.org/10.3341/jkos.2014.55.2.289

Abstract

PURPOSE
We present a case with conjunctival inclusion cyst at inferior fornix treated by marsupialization.
CASE SUMMARY
A 23-year-old woman visited our clinic complaining of left lower eyelid swelling. Ophthalmologic examination and CT scan showed a cystic mass from inferior conjunctival fornix to anterior orbit with shallow fornix and focal symblepharon. The cyst was effectively removed with marsupializaion. Postoperatively, there was no recurrence of cyst and the fornix was deepened.
CONCLUSIONS
Marsupialization can be a considerable treatment option in conjunctival inclusion cyst, especially when accompanied by shallow fornix and symblepharon.

Keyword

Conjunctival inclusion cyst; Fornix reconstruction; Marsupialization; Symblepharon

MeSH Terms

Eyelids
Female
Humans
Orbit
Recurrence
Tomography, X-Ray Computed
Young Adult

Figure

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  Figure 1. Anterior segment photograph of conjunctival inclusion cyst at initial presentation. (A) About 1.5 × 1 cm sized subcon-junctival cyst is noted at inferior fornix in the left eye. There is symblepharon at medial and lateral end of cyst (black arrows). (B) External photographs showed contour of the mass, which is transcutaneously visible at left lower eyelid.

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  Figure 2. Axial (A) and coronal (B) view enhanced computed tomography images demonstrate 1.5 × 0.8 cm sized ovoid shaped cystic mass (white arrow) in anterior– inferior part of the left orbit.

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  Figure 3. Microscopic appearance of the cyst lined by non-keratinized stratified squamous epithelium with chronic inflammation (H&E, ×100).

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  Figure 4. Anterior segment photograph at 1 month after surgery. The posterior wall of the inclusion cyst is covering inferior fornix. There is no evidence of recurrence.

Reference

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