Congenital intrascleral cyst

Müslime Akbaba¹, Gülhanım Hacıyakupoğlu², Aysun Uğuz³, Safak Karslıoğlu¹, Zeynel Karcıoğlu^4
1İstanbul Oculoplastic and Orbital Surgery and Ocular Oncology Center, Šišli/İstanbul, Turkey; ²Department of Ophthalmology of Faculty Medicine, Çukurova University, Balcali/Adana, Turkey; ³Department of Pathology of Faculty Medicine, Çukurova University, Balcali/Adana, Turkey; ⁴Department of Ophthalmology, University of Virginia Health Sciences Center, Charlotte, NC, USA

Abstract: Congenital intrascleral cysts are rare. They are mostly located at the limbus with corneal involvement. We report a case of a 30-month-old boy with a bulber conjunctival cyst noticed at birth. The lesion enlarged over the following months but did not involve the cornea. During surgery the cyst proved to be intrascleral and a complete excision was carried out. The remaining defect was repaired with banked fascia lata. The histopathology revealed a scleral cyst wall lined by nonkeratinizing squamous epithelium with no goblet cells. We conclude that congenital intrascleral epithelial cysts are rare but should be considered in differential diagnosis of external eye cystic lesions. In our case, early excision and repair with fascia lata led to an uncomplicated postoperative course of 6 years.

Keywords: intrascleral cyst, epthelial cyst, banked fascia lata