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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 7  |  Page : 1179

Traumatic corneal cyst


Department of Cornea and Refractive Services, Aravind Eye Hospital, 1, Anna Nagar, Madurai, Tamil Nadu, India

Date of Web Publication25-Jun-2019

Correspondence Address:
Dr. Venkatesh N Prajna
Director of Academics, Department of Cornea and Refractive Surgery, Aravind Eye Hospital, 1, Anna Nagar, Madurai, Tamil Nadu - 625 020
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1822_18

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How to cite this article:
Ghosh A, Radhakrishnan N, Prajna VN. Traumatic corneal cyst. Indian J Ophthalmol 2019;67:1179

How to cite this URL:
Ghosh A, Radhakrishnan N, Prajna VN. Traumatic corneal cyst. Indian J Ophthalmol [serial online] 2019 [cited 2019 Nov 20];67:1179. Available from: http://www.ijo.in/text.asp?2019/67/7/1179/261023



A 23-year-old male presented with defective vision in right eye 'oculus dexter' (OD) following trauma with iron rod 9 years ago. The visual acuity in OD was 20/30. A 6 × 4 mm intrastromal cyst was seen in the inferior paracentral cornea with white fluid [Figure 1]a. OS, (oculus sinister) was normal. In AS OCT, the cyst was localized in the posterior stroma, with a distinct fluid level [Figure 1]c. Drainage of the cyst was done through a peripheral stab incision and the histopathology examination revealed degenerative material with keratinocytes. Chemical cauterization was avoided due to the proximity of the lesion to endothelium. The visual acuity in OD improved to 20/20 with collapsed cyst and minimal stromal scarring [Figure 1]b. There were no signs of recurrence of fluid collection at the final follow up visit at 3 months. Intracorneal cysts are a sequestration of epithelial cells in the mid to deep corneal stroma often following a penetrating trauma.[1] As simple drainage of the cyst have been associated with recurrence of the fluid accumulation, chemical cauterization with distilled water, 5-fluorouracil, ethanol and trichloroacetic acid have been utilized to prevent recurrence in mid stromal cysts.[2],[3] OCT-guided chemical cauterization and penetrating keratoplasty are the treatment options for recurrent deep stromal visually significant intracorneal cysts.[4]
Figure 1: (a) Corneal Intrastromal cyst with fluid level. (b) 1 month after cyst drainage. (c) AS OCT image of posterior stromal corneal cyst with fluid level (Arrow head)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Liakos GM. Intracorneal and sclerocorneal cysts. Br J Ophthalmol 1978;62:155-8.  Back to cited text no. 1
    
2.
Javadi MA, Sharifi A, Hashemian SJ, Yazdani S, Parvizi G, Kanavi MR. Management of intracorneal epithelial cysts with ethanol irrigation and cyst wall excision. Cornea 2006;25:497-81.  Back to cited text no. 2
    
3.
Kim SW, Kim EK. Portable OCT-assisted surgical treatment of intracorneal pre-Descemet epithelial cyst: A case report. BMC Ophthalmol 2017;17:160.  Back to cited text no. 3
    
4.
Zare MA, Mehrjardi HZ, Golabdar MR. Management of an intrastromal corneal epithelial cyst, from simple drainage to keratoplasty. Oman J Ophthalmol 2012;5:196-7.  Back to cited text no. 4
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