Sánchez Encarnacion Mateos, Formento Nieves Alonso, Pérez-López Marta, Jiménez Ana Albandea
Medical Doctor Hospital Universitario Ramón y Cajal, Madrid, Spain.
Orbit. 2009;28(2-3):101-3. doi: 10.1080/01676830802595042.
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.
无眼球眼眶中的眼眶囊肿并不常见。报道的大多数囊肿位于前部，而无法佩戴先前适配良好的义眼是最常见的症状。我们报告一例在眼球摘除术后行真皮脂肪移植重建眼眶后出现的后部结膜囊肿。因不可修复的眼外伤行眼球摘除术后11年，眼眶植入物发生脱出。取出眼眶植入物并使用真皮脂肪移植进行眼眶重建。三年后，患者再次就诊于眼科医生，主诉无法佩戴先前适配良好的人工义眼。详细的眼科检查未发现任何异常。CT扫描显示右眼眶有一个位于后部的结膜囊肿。将三氯乙酸（TCA）囊内注射到结膜囊肿中。十个月的随访未显示结膜囊肿复发，且患者能够完全耐受义眼。本病例报告强调了三氯乙酸在治疗无眼球眼眶后部结膜囊肿中的作用。
