A New Simple Technique for Removal of Subconjunctival Cyst under the Slit Lamp Microscope.

Lee, Jeihoon; Kwak, Ae Young; Chung, Woo Suk; Ha, Byoung Jin

doi:2011.52.12.1531

J Korean Ophthalmol Soc > Volume 52(12); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(12):1531-1536.
DOI: https://doi.org/10.3341/jkos.2011.52.12.1531 Published online December 15, 2011.

A New Simple Technique for Removal of Subconjunctival Cyst under the Slit Lamp Microscope.

Jeihoon Lee, Ae Young Kwak, Woo Suk Chung, Byoung Jin Ha

¹Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
²Siloam Eye Hospital, Seoul, Korea. nairwiny@naver.com

세극등 하에서 시행하는 결막하 낭종의 새로운 제거법

이제훈^1,2⋅곽애영^1,2⋅정우석²⋅하병진²

Department of Ophthalmology, Yonsei University College of Medicine¹, Seoul, Korea Siloam Eye Hospital², Seoul, Korea

Abstract

PURPOSE
We present a new simple technique to remove subconjunctival cyst under the slit lamp microscope. CASE SUMMARY: A cotton swab was used to verify whether or not the cyst was freely movable under the conjunctiva. After topical anesthesia, we incised the conjunctiva near the cyst using a 30-gauge needle and extracted the cyst through the wound using forceps under the slit lamp microscope. Four cases of subconjunctival cyst were successfully removed with our new technique. During the average five month (2-10 month) follow-up period, there was no recurrence or procedure-related complications. CONCLUSIONS: Some subconjunctival cysts such as an epithelial inclusion cyst which is freely movable without attachment to surrounding tissues can be easily removed with a 30-gauge needle and forceps under the slit lamp microscope. This could be considered as the primary procedure instead of simple aspiration.

Key Words: New technique;Slit lamp microscope;Subconjunctival cyst