Metz H S, Searl S, Rosenberg P, Sterns G
Department of Ophthalmology, Rochester General Hospital and the University of Rochester School of Medicine and Dentistry, NY, USA.
J AAPOS. 1999 Jun;3(3):185-7. doi: 10.1016/s1091-8531(99)70065-0.
We describe the clinical, histopathologic, and radiologic findings and management of a patient who had a giant orbital cyst after reoperative strabismus surgery. In the case report, we describe, in detail, a giant orbital cyst developing on the medial side of the globe after the third operation for repair of strabismus. Imaging studies, including computed tomographic (CT) scan and orbital ultrasound, demonstrate the findings. The observations at surgery and the surgical pathologic condition of the cyst are described. The orbital cyst was successfully removed, advancing the remaining medial rectus muscle and recessing the lateral rectus muscle, which resulted in reduction of a large-angle exotropia to a small exodeviation. Adduction was improved but not normalized. The pathologic examination indicated a benign inclusion cyst of the conjunctiva with fibrosis and chronic inflammation. A possible cause of this type of cyst is an epithelial remnant inadvertently placed with the muscle substance during previous surgery.
我们描述了一名患者在再次斜视手术后出现巨大眼眶囊肿的临床、组织病理学和放射学表现及处理情况。在该病例报告中，我们详细描述了在第三次斜视修复手术后，眼球内侧出现的一个巨大眼眶囊肿。包括计算机断层扫描（CT）和眼眶超声在内的影像学检查显示了相关结果。描述了手术中的观察情况以及囊肿的手术病理状况。成功切除了眼眶囊肿，将剩余的内侧直肌前移并将外侧直肌后徙，这使得大角度外斜视减少为小角度外斜。内收功能有所改善但未恢复正常。病理检查显示为结膜良性包涵囊肿伴纤维化和慢性炎症。这种类型囊肿的一个可能原因是在前次手术期间不经意间与肌肉组织一起放置的上皮残余物。
