The management of orbital cysts associated with congenital microphthalmos and anophthalmos
- Correspondence to: Mr J R O Collin, Moorfields Eye Hospital, City Road, London EC1V 2PD, UK; richard.collin{at}moorfields.nhs.uk
- Accepted 13 August 2002
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.
