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Year : 1989  |  Volume : 37  |  Issue : 3  |  Page : 148-149

Giant Meibomian cyst-A case report

Assistant Professor of Opthalmology, S. V. Medical College, Tirupati, India

Correspondence Address:
C S Sandhya
Assistant Professor of Opthalmology, S. V. Medical College, Tirupati
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Source of Support: None, Conflict of Interest: None

PMID: 2632453

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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 2021 May 11];37:148-9. Available from: https://www.ijo.in/text.asp?1989/37/3/148/26064

  Introduction Top

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 Top

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 Top

Gross Appearance: The cyst measured 2.5 cm x 1 cm, was lobulated and contained clear fluid.

  Microscopic appearance Top

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 Top

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[3].

  References Top

Duke - Elder. System of ophthalmology. Vol. XIII  Back to cited text no. 1
Straatsma . Archives of opthalmology. 61: 918 ; 1959.   Back to cited text no. 2
De Vincentis . Ann attal 4: 208; 1875.  Back to cited text no. 3


  [Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4]


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