A Case of Sclerocorneal Cyst in a 4-Year-Old Female.

Kim, Hyun Ah; Kim, Hyun Kyung; Cho, Yang Kyung

doi:2015.56.4.602

J Korean Ophthalmol Soc > Volume 56(4); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(4):602-606.
DOI: https://doi.org/10.3341/jkos.2015.56.4.602 Published online April 15, 2015.

A Case of Sclerocorneal Cyst in a 4-Year-Old Female.

Hyun Ah Kim, Hyun Kyung Kim, Yang Kyung Cho

Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea. yangkyeung@hanmail.net

4세 여아에서 발생한 공각막낭 1예

김현아⋅김현경⋅조양경

가톨릭대학교 의과대학 안과 및 시과학교실

Abstract

PURPOSE
To report a case of sclerocorneal cyst found in a 4-year-old female following strabismus surgery treated with cyst wall excision and scleral graft. CASE SUMMARY: A 4-year-old female with a history of strabismus surgery performed 1.5 year prior presented with a whitish lesion in cornea and sclera which developed 1 month ago. Slit-lamp examination revealed a 4.2 x 3.5 mm-sized cyst at the superotemporal part of the cornea, extending into the sclera at 3-o'clock. Cyst fluid, precipitate aspiration, and cyst wall excision were performed. Scleral patch graft was used to cover the scleral defects after excision. Upon histopathological examination, the cyst wall was lined with nonkeratinized stratified squamous epithelium and numerous degenerated epithelial cells were present in the cyst aspirate. CONCLUSIONS: Sclerocorneal cyst can rarely develop following trauma or surgery. In this report, the sclerocorneal cyst, possibly induced by previous strabismus surgery, was treated successfully without recurrence using cyst wall resection.

Key Words: Sclerocorneal cyst;Strabismus surgery