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眼球摘除术后结膜包涵囊肿的泡沫硬化疗法

Foam Sclerotherapy for Conjunctival Inclusion Cyst Post Evisceration.

作者信息

Thomas Rwituja, Grover Ashok

机构信息

Oculoplastic Surgery, Vision Eye Centre, New Delhi, IND.

Ophthalmology, Sir Ganga Ram Hospital, New Delhi, IND.

出版信息

Cureus. 2023 Jul 8;15(7):e41570. doi: 10.7759/cureus.41570. eCollection 2023 Jul.

DOI:10.7759/cureus.41570
PMID:37554591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10406155/
Abstract

Orbital conjunctival epithelial cysts have traditionally been excised, with the risk of leaving behind remnants that may result in recurrences. We present an 18-year-old male who complained of a poorly retained prosthesis three years after a primary evisceration and polymethylmethacrylate (PMMA) ball implant. We performed cyst aspiration and injection foam sclerotherapy for the cyst, which resolved completely in six weeks, allowing the prosthesis to be retained comfortably. Aspiration and injection of sclerosing agents may result in the collapse of the cyst along with fibrosis of their walls with obliteration of the lumen, resulting in complete resolution.

摘要

眼眶结膜上皮囊肿传统上采用手术切除,但存在残留组织导致复发的风险。我们报告了一名18岁男性,在初次眼内容剜除术和聚甲基丙烯酸甲酯(PMMA)球植入三年后,出现义眼台固定不佳的情况。我们对囊肿进行了穿刺抽吸并注射泡沫硬化剂治疗,六周后囊肿完全消退,义眼台得以舒适地固定。抽吸并注射硬化剂可能会导致囊肿塌陷,囊壁纤维化,管腔闭塞,从而实现完全消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e4/10406155/b69caaeef11f/cureus-0015-00000041570-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e4/10406155/5cae6192a57b/cureus-0015-00000041570-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e4/10406155/88344d1a2ef4/cureus-0015-00000041570-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e4/10406155/b69caaeef11f/cureus-0015-00000041570-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e4/10406155/5cae6192a57b/cureus-0015-00000041570-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e4/10406155/88344d1a2ef4/cureus-0015-00000041570-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e4/10406155/b69caaeef11f/cureus-0015-00000041570-i03.jpg

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本文引用的文献

1
Conjunctival Epithelial Inclusion Cyst following Evisceration with Primary Orbital Implantation.眼球内容剜除联合一期眼眶植入术后结膜上皮包涵囊肿
Case Rep Ophthalmol. 2021 May 10;12(2):369-372. doi: 10.1159/000514929. eCollection 2021 May-Aug.
2
Sclerotherapy for eyelid and anterior orbital venous-lymphatic malformation.眼睑及眶前部静脉-淋巴管畸形的硬化治疗
J Curr Ophthalmol. 2019 Jan 30;31(2):214-217. doi: 10.1016/j.joco.2019.01.002. eCollection 2019 Jun.
3
Management of orbital conjunctival epithelial inclusion cyst using trichloroacetic acid (20%) in an outpatient setting.
门诊条件下使用 20%三氯乙酸治疗眼眶结膜上皮包涵囊肿。
Orbit. 2020 Apr;39(2):147-149. doi: 10.1080/01676830.2019.1611882. Epub 2019 May 20.
4
Foam sclerotherapy for periorbital dermoid cysts.眶周皮样囊肿的泡沫硬化疗法。
Ophthalmic Plast Reconstr Surg. 2014 May-Jun;30(3):267-70. doi: 10.1097/IOP.0000000000000166.