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ACQUIRED CONJUNCTIVAL INCLUSION CYST FOLLOWING MULTIPLE EYELID SURGERIES POST TRAUMA

Baskar P., Hanida H., Mae-Lynn C. B., Sheena Mary A., Jemaima C. H. & Cheng Teck C.
abstract
This report highlighted that multiple surgery on the eyelid can lead to an acquired conjunctiva inclusion cyst. A 6-year-old healthy boy was referred to the oculoplastic department with a complaint of swelling over the right upper eyelid and cosmetic concerns following multiple complicated surgeries to the right upper eyelid. Under the oculoplastic team, a right eye ptosis repair with resuturing of the upper eyelid was done under general anesthesia. Intraoperatively, a conjunctival inclusion cyst measuring 1.5mm was excised subcutaneously with an intact capsule in the medial segment of the upper eyelid. Postoperatively, he still had ptosis with highbrow position and frontalis over action. However, his visual acuity improved from 6/9 to 6/6 on the right eye following a mild resolution of ptosis. Through this report, it is concluded that the complications of conjunctiva cyst following eyelid repair can be avoided with proper surgical technique during the primary repair.
references
1. Narayanappa S, Dayananda S, Dakshayini M, Gangasagara SB, Prabhakaran VC. Conjunctival inclusion cysts following small incision cataract surgery. Indian J Ophthalmol 2010;58:423–5. https://doi.org/10.4103/0301-4738.67067.
2. Jakobiec FA, Bonanno PA, Sigelman J. Conjunctival adnexal cysts and dermoids. Arch Ophthalmol (Chicago, Ill  1960) 1978;96:1404–9. https://doi.org/10.1001/archopht.1978.03910060158012.
3. Jones BR. Trachoma and allied infections. Trans Ophthalmol Soc U K 1961;81:2115–28.
4. Udell IJ, Gleich GJ, Allansmith MR, Ackerman SJ, Abelson MB. Eosinophil granule major basic protein and Charcot-Leyden crystal protein in human tears. Am J Ophthalmol 1981;92:824–8. https://doi.org/10.1016/s0002-9394(14)75637-5.
5. Trocmé SD, Kephart GM, Bourne WM, Buckley RJ, Gleich GJ. Eosinophil granule major basic protein deposition in corneal ulcers associated with vernal keratoconjunctivitis. Am J Ophthalmol 1993;115:640–3. https://doi.org/10.1016/s0002-9394(14)71463-1.