Jünemann A, Holbach L M
Augenklinik mit Poliklinik, Universität Erlangren-Nürnberg.
Klin Monbl Augenheilkd. 1998 Feb;212(2):127-8. doi: 10.1055/s-2008-1034848.
Conjunctival cyst formation following enucleation may occur in 3% to 7% of patients receiving orbital implants, especially secondary implants. We present a patient with a giant epithelial inclusion cyst of the anophthalmic orbit 50 years after enucleation without orbital implant.
A 54-year-old male presented with increasing proptosis of the ocular prosthesis, shallowing of the inferior fornix, a palpable orbital mass, and difficulty in retaining the ocular prosthesis. At the age of 1 year enucleation of the right eye without orbital implant was performed following perforating ocular trauma. Results of examination of the other eye were unremarkable. Transillumination of the orbital mass was possible. The clinical diagnosis of an epithelial inclusion cyst was confirmed using ultrasonography and CT scan. An incision of conjunctiva and cyst wall and subsequent marsupialization were performed. Nine months postoperatively there was no evidence of recurrence of the cyst. The ocular prosthesis was well in place.
Conjunctival cyst formation following enucleation may rarely occur in patients receiving orbital implants, especially secondary implants. The presentation of a conjunctival cyst formation following enucleation without orbital implant 50 years after surgery is noteworthy in comparison to implantation cysts which are known to occur more commonly within the first two years following secondary orbital implants.
眼球摘除术后结膜囊肿形成可能发生在3%至7%接受眼眶植入物的患者中，尤其是二期植入物。我们报告一例患者，在眼球摘除术后50年，无眼眶植入物的情况下，出现无眼球眼眶的巨大上皮植入性囊肿。
一名54岁男性，表现为义眼突出加重、下穹窿变浅、可触及眼眶肿块以及难以佩戴义眼。1岁时因眼球穿孔伤行右眼眼球摘除术，未植入眼眶植入物。另一只眼检查结果无异常。眼眶肿块可透照。通过超声检查和CT扫描确诊为上皮植入性囊肿。进行了结膜和囊肿壁切开及随后的袋形缝合术。术后9个月，无囊肿复发迹象。义眼位置良好。
眼球摘除术后结膜囊肿形成在接受眼眶植入物的患者中可能很少发生，尤其是二期植入物。与已知更常见于二期眼眶植入物后两年内发生的植入性囊肿相比，术后50年无眼眶植入物情况下出现结膜囊肿形成值得关注。
