SCIENTIFIC REPORT

The management of orbital cysts associated with congenital microphthalmos and anophthalmos

C J McLean, N K Ragge, R B Jones and J R O Collin

Moorfields Eye Hospital, City Road, London, UK

Correspondence to:
Correspondence to:
Mr J R O Collin, Moorfields Eye Hospital, City Road, London EC1V 2PD, UK;
richard.collin{at}moorfields.nhs.uk

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.

Keywords: orbital cyst; anophthalmos; microphthalmos; orbital surgery

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