Tenon's Cyst Presenting as a Long-Term Complication following Incision Cataract Surgery

Case Reports in Medicine
Prabhakar Srinivasapuram Krishnacharya

Abstract

Context. Tenon's cyst or conjunctival cyst formation is not uncommon late complication of traditional extracapsular cataract surgery; however, few reports are available in the literature. Aims. Large cystic swellings were clinically diagnosed as filtering blebs at the cataract incision site in two patients. The purpose of the case presentation is to discuss the factors leading to cyst formation, visual loss and cyst recurrence after its excision. Patients and Methods. Case 1. Sixty-one-year-old male patient presented with a bleb at superior limbal region in the right eye, two years after cataract surgery. Case 2. A giant bleb was found at the same region in the right eye of a 65-year-old male patient, eight years after cataract surgery. Results. Complete excision of the cyst was performed with conjunctival autograft in the first patient and followed up for two years. No recurrence of the cyst was observed. Internal wound gaping was seen on gonioscopy in the second patient. Conclusions. Unstable scleral tunnel could explain bleb formation in both the patients. Complete bleb excision with conjunctival auto-graft resulted in closure of the defect with no bleb recurrence during two-year follow-up. Over-filtration causing hypotonic ...Continue Reading

References

Jan 1, 1963·Transactions of the Pacific Coast Oto-Ophthalmological Society Annual Meeting·K C Swan, W L Campbell
Mar 1, 1995·Journal of Cataract and Refractive Surgery·H V GimbelB M DeBroff
Feb 1, 1995·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·L M Dzubow
Dec 4, 2001·American Journal of Ophthalmology·M F DelgadoC J Dickens
Jan 1, 1964·Archives of Ophthalmology·K C SWAN, L CAMPBELL
Sep 3, 2005·Indian Journal of Ophthalmology·Sunil S Jain
Aug 7, 2010·Indian Journal of Ophthalmology·Shylaja NarayanappaVenkatesh C Prabhakaran
May 19, 2011·Indian Journal of Ophthalmology·Shreya Thatte, Lalita Gupta
Aug 13, 2011·Indian Journal of Ophthalmology·Bhargavi PawarSripathi Kamath

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Citations

May 15, 2021·European Journal of Ophthalmology·Harathy SelvanAmar Pujari

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