Dr.Shaifali Chahar

Dr.Santosh G. Honavar

Abstract

Purpose: Clinical presentation, systemic associations, management and outcomes in orbitopalpebral cysts. Method: Retrospective interventional case series of 12 eyes of 10 patients Results: Age varied from 2 months to 26 years. Bilaterality was seen in 2(20%) cases. Majority were males (80%). Clinical presentation was a cystic mass in all cases. Imaging with B-scan and CT scan or MRI aided in clinical diagnosis and revealed the associated brain anomalies. Severe microphthalmos was seen in all.The other eye was normal in 5(62.5%) and associated with coloboma in 2(25%). Management included cyst aspiration followed by sclerotherapy in 11 (91.6%) and enucleation with cyst excision and implant in 1(8.3%), followed by socket expansion with serial conformers and customized ocular prosthesis. All the patients had gratifying cosmetic outcomes. Conclusion: Orbitopalpebral cyst is a rare entity with no standardized treatment protocol. Staged management seems to provide gratifying outcomes.