University of Health Sciences Beyoğlu Eye Training and Research Hospital, Istanbul, Turkey.
University of Health Sciences Bağcılar Training and Research Hospital, Istanbul, Turkey.
Strabismus. 2023 Sep;31(3):166-171. doi: 10.1080/09273972.2023.2242428. Epub 2023 Aug 15.
To determine our rate of conjunctival cyst developing after strabismus surgery and to minimize its formation.
The data of 4026 eyes of 2662 patients were included in our retrospective analysis of, those that underwent strabismus surgery at the Beyoğlu Eye Training and Research Hospital Strabismus Unit between 2015 and 2021. Clinical characteristics and follow-up data of patients were recorded together with age, sex, and operation type. All patients were examined postoperatively on 1st day, 1st month and 6th month.
The mean age of the patients was 15.66 ± 11.81 (1-59 years). While two eyes were operated on in 1494 patients, one eye was operated on in 1168 patients. The surgeries performed were recession and/or resection of the horizontal and vertical rectus muscles and inferior and superior oblique procedures. The conjunctival cyst was detected in 11 patients postoperatively between 20 days and 8 months. The cyst was detected on the nasal side in 7 cases and temporal in 4.
Conjunctival cyst is a rare complication after strabismus surgery and it is thought to be caused by a proliferation of the conjunctival epithelium. In addition to proper closure of the conjunctiva, attention to personal hygiene, avoidance of contacts that may increase suture contamination, and attention to the fact that the operation period is not long are actions that can help prevent conjunctival cyst formation.
确定我们在斜视手术后发生结膜囊肿的发生率，并尽量减少其形成。
我们对 2015 年至 2021 年间在 Beyoğlu 眼科培训和研究医院斜视科接受斜视手术的 2662 例患者的 4026 只眼进行了回顾性分析，将这些数据纳入研究。记录患者的临床特征和随访数据，包括年龄、性别和手术类型。所有患者术后第 1、1 个月和第 6 个月进行检查。
患者的平均年龄为 15.66±11.81 岁（1-59 岁）。1494 例患者中有 2 只眼接受手术，1168 例患者中有 1 只眼接受手术。手术类型为水平和垂直直肌的后退和/或切除以及下斜肌和上斜肌的手术。术后 20 天至 8 个月期间，11 例患者发现结膜囊肿。7 例位于鼻侧，4 例位于颞侧。
结膜囊肿是斜视手术后罕见的并发症，被认为是结膜上皮增生引起的。除了正确缝合结膜外，注意个人卫生，避免可能增加缝线污染的接触，以及注意手术时间不长，这些都是可以帮助预防结膜囊肿形成的措施。
