|Year : 1989 | Volume
| Issue : 3 | Page : 148-149
Giant Meibomian cyst-A case report
CS Sandhya, C Jagannath, K Venugopalachari
Assistant Professor of Opthalmology, S. V. Medical College, Tirupati, India
C S Sandhya
Assistant Professor of Opthalmology, S. V. Medical College, Tirupati
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sandhya C S, Jagannath C, Venugopalachari K. Giant Meibomian cyst-A case report. Indian J Ophthalmol 1989;37:148-9
|How to cite this URL:|
Sandhya C S, Jagannath C, Venugopalachari K. Giant Meibomian cyst-A case report. Indian J Ophthalmol [serial online] 1989 [cited 2020 May 30];37:148-9. Available from: http://www.ijo.in/text.asp?1989/37/3/148/26064
| Introduction|| |
Meibomian cysts in the true sense of retention cysts of the tarsal glands are rare. They are usually met with in long-standing trachoma when deformity and cicatrisation are advanced Clinically imperceptible cystic dilatations of the meibomian glands have been observed during histological examination of the tarsal plate adjacent to neoplasms and surgical incisions. We report a case of giant meibomian cyst of the lid following blunt trauma.
| Case report|| |
A female patient aged 25 years presented to us on 27-888 with swelling of the left upper lid of 9 months duration. The patient noticed the swelling following blunt trauma to the left upper lid. At that time the swelling was small but gradually increased in size to attain the present size. The patient had no other complaints.
On examination of the left upper lid a swelling extending from the medial canthus to just within the lateral canthus and from the lid margin to the supra-orbital margin was noted. The swelling became more prominent on downward gaze. The palpebral aperture was narrowed. On palpation the swelling was lobulated and cystic inconsistency. On eversion of the lid the lobulated cystic mass was seen extending from the upper border of the tarsal plate subconjunctivally. A provisional diagnosis of parasitic cyst of left upper lid was made.
Surgery was performed on 6-9-88 under local anaesthesia. A supratarsal horizontal conjunctival incision was made and the cyst was separated from the conjunctiva on one side and levator muller muscle complex on the other. The conjunctiva was sutured to the tarsus with 60 chromic catgut. The excised cyst was sent for histopathological examination.
| Pathological report|| |
Gross Appearance: The cyst measured 2.5 cm x 1 cm, was lobulated and contained clear fluid.
| Microscopic appearance|| |
The cyst wall was composed of fibro-collagenous tissue, a part of meibomian glands with its draining ducts, congested vascular channels, oedema and mixed cell infiltrate with a few eosinophils. The cyst wall was lined by flattered epithelium. No parasite was seen.
| Discussion|| |
Cysts of the meibomian gland are rare. The cysts are lined by flattened epithelium lying upon a dense fibrous basis representing the thin and distended tarsus and contain a fibrinous coagulum and granular debris. The cysts usually follow cicatrization of the ducts. The development of the cyst in this case may be due to cicatrization and obstruction to the meibomian ducts following blunt trauma.
| References|| |
Duke - Elder. System of ophthalmology. Vol. XIII
Straatsma . Archives of opthalmology. 61: 918 ; 1959.
De Vincentis . Ann attal 4: 208; 1875.
[Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4]