López-Fontanet José J, Ruiz Sebastian, Torres Angel G, Blasini Marino, Rodriguez Rosa Ricardo
Department of Ophthalmology, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PRI.
Cureus. 2024 Nov 21;16(11):e74185. doi: 10.7759/cureus.74185. eCollection 2024 Nov.
Giant conjunctival cysts, though rare, can cause significant discomfort and functional impairment due to their size as well as their potential for rupture and recurrence. We report the case of a 51-year-old female who presented with a recurrent giant conjunctival cyst in her left eye, experiencing considerable discomfort and pain upon eye movement. The cyst, located in the left eye, had previously recurred after surgical excision, though visual acuity remained 20/20 bilaterally. Treatment involved aspiration of the cyst, injection of 20% trichloroacetic acid (TCA), and irrigation of the cyst cavity, leading to complete resolution with no recurrence or symptoms after eight months. This case suggests that 20% TCA is a viable and effective treatment option for recurrent giant conjunctival cysts, providing a less invasive approach with a reduced risk of recurrence.
巨大结膜囊肿虽然罕见，但因其大小以及破裂和复发的可能性，可导致明显不适和功能障碍。我们报告了一例51岁女性，她左眼出现复发性巨大结膜囊肿，眼球运动时感到相当不适和疼痛。该囊肿位于左眼，手术切除后曾复发，不过双眼视力仍为20/20。治疗方法包括囊肿抽吸、注射20%三氯乙酸（TCA）以及冲洗囊肿腔，八个月后囊肿完全消退，无复发及症状。该病例表明，20% TCA是复发性巨大结膜囊肿可行且有效的治疗选择，提供了一种侵入性较小且复发风险降低的方法。
