Role of trichloroacetic acid in treating posterior conjunctival cyst in an anopthalmic socket

Orbit. 2009;28(2-3):101-3. doi: 10.1080/01676830802595042.

Abstract

Orbital cysts in anophthalmic socket are infrequent. Most of the cysts reported are anterior and the inability to retain a formerly well-fitted prosthesis is the most common symptom. We present a posterior conjunctival cyst developed after a dermo-fat graft reconstruction in an eviscerated socket. Eleven years after evisceration surgery due to irreparable ocular trauma an extrusion of the orbital implant occurred. Removal of the orbital implant and a socket reconstruction with dermis fat graft was done. Three years later, the patient again returned back to the treating ophthalmologist with complaint of an inability to retain the formerly well-fitted artificial prosthesis. A detailed ophthalmic examination failed to reveal any abnormality. The CT scan showed a posteriorly located conjunctival cyst in the right orbit. Tricholoroacetic acid (TCA) was injected intracystically into the conjunctival cyst. Ten months of follow-up did not show any recurrence of the conjunctival cyst and allowed complete tolerance of the prosthesis. This case report highlights the role of tricholoacetic acid in treating a posteriorly located conjunctival cyst in an anophthalmic socket.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Conjunctival Diseases / diagnosis
  • Conjunctival Diseases / drug therapy*
  • Cysts / diagnosis
  • Cysts / drug therapy*
  • Eye Evisceration*
  • Eye Injuries / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Injections, Intralesional
  • Orbit / drug effects
  • Orbital Implants
  • Prosthesis Failure
  • Rare Diseases
  • Risk Assessment
  • Time Factors
  • Treatment Outcome
  • Trichloroacetic Acid / therapeutic use*

Substances

  • Trichloroacetic Acid