Song Jean J, Finger Paul T, Kurli Madhavi, Wisnicki H Jay, Iacob Codrin E
New York Eye Cancer Center, New York, New York 10021, USA.
Ophthalmology. 2006 Jun;113(6):1049.e1-2. doi: 10.1016/j.ophtha.2006.02.031. Epub 2006 May 2.
To present giant conjunctival inclusion cysts as a late complication of strabismus surgery.
Retrospective case series of selected patients.
Four patients with a history of strabismus surgery who had developed giant conjunctival inclusion cysts.
A chart review was performed. The patient's ocular history, ophthalmic examinations, and imaging (ultrasound/ultrasound biomicroscopy and/or computed tomography) were recorded. Surgical excision with subsequent histopathologic correlation was obtained in 3 cases.
Clinical and imaging characteristics with histopathologic correlation.
Four patients with giant conjunctival inclusion cysts had a history of strabismus surgery. Ultrasound biomicroscopy was performed in 3 cases and revealed large, cystic, well-circumscribed tumors with low internal reflectivity and hyperechoic components. Computed tomography of the orbits was used to evaluate posterior extension. Their size induced limitation in motility, strabismus, and problems related to chronic exposure. Histopathologic evaluations were consistent with benign inclusion cysts of the conjunctiva.
Giant conjunctival inclusion cysts may appear decades after strabismus surgery. Tumor size, cystic nature, and involvement of underlying structures can be determined by ultrasonography and radiographic imaging. Complete surgical removal can be curative.
介绍巨大结膜包涵囊肿作为斜视手术的晚期并发症。
对选定患者的回顾性病例系列研究。
4例有斜视手术史且已发生巨大结膜包涵囊肿的患者。
进行病历回顾。记录患者的眼部病史、眼科检查及影像学检查（超声/超声生物显微镜检查和/或计算机断层扫描）。3例患者接受了手术切除并进行了后续组织病理学分析。
具有组织病理学相关性的临床及影像学特征。
4例巨大结膜包涵囊肿患者均有斜视手术史。3例患者接受了超声生物显微镜检查，结果显示为大的、囊性的、边界清晰的肿物，内部回声低且有高回声成分。眼眶计算机断层扫描用于评估肿物向后延伸情况。肿物大小导致眼球运动受限、斜视以及与长期暴露相关的问题。组织病理学评估结果与结膜良性包涵囊肿相符。
巨大结膜包涵囊肿可能在斜视手术后数十年出现。超声检查和影像学检查可确定肿物大小、囊性特征及对深层结构的累及情况。完整手术切除可治愈该病。
