The management of orbital cysts associated with congenital microphthalmos and anophthalmos.

Abstract

AIMS:

To study the management of the orbital cysts present in a group of patients with anophthalmos and microphthalmos.

METHODS:

A retrospective study of 34 patients (40 orbits) treated for orbital cyst associated with microphthalmos and anophthalmos.

RESULTS:

The two largest treatment groups comprised 17 orbits (42.5%) where the cyst was removed surgically and 17 orbits (42.5%) where the cyst was retained and conformers were used. The remaining cases comprised two orbits (5%) where the cyst was aspirated initially; two orbits (5%) with large cysts which will need to be excised after further orbital growth; one orbit (2.5%) in which a silicone expander was used initially, and one orbit (2.5%) in which a mildly microphthalmic eye had some vision and was monitored but required no surgery.

CONCLUSION:

In this study 33 out of 34 patients had a good cosmetic result which illustrates that the orbital cyst in microphthalmos or anophthalmos performs a useful role in socket expansion and that the majority of patients with this condition can expect a good cosmetic outcome.

• Authors: C J McLean, N K Ragge, R B Jones, J R O Collin
• Journal: The British journal of ophthalmology (Br J Ophthalmol) Vol. 87 Issue 7 Pg. 860-3 (Jul 2003) ISSN: 0007-1161 [Print] England
• PMID: 12812886 (Publication Type: Journal Article)

Topics

• Adolescent
• Anophthalmos (complications)
• Child
• Child, Preschool
• Cysts (etiology, surgery)
• Eye, Artificial
• Female
• Humans
• Infant
• Infant, Newborn
• Male
• Microphthalmos (complications)
• Ophthalmologic Surgical Procedures (methods)
• Orbital Diseases (etiology, surgery)
• Orbital Implants
• Retrospective Studies
• Treatment Outcome