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Conjuctival retention cyst

Article · January 2019

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Anubhav Chauhan
Medical Officer (Specialist), Department of Ophthalmology,Shri Lal Bahadur Shastri Government Medical College and Hospital,Nerchowk,Distt. Mandi,Himachal Pradesh.
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 INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY
RESEARCH AND STUDIES VOLUME01ISSUE03

CONJUCTIVAL RETENTION CYST

Authors:
Dr Anubhav Chauhan(M.S Ophthalmology),Senior Resident,
Deptt. of Ophthalmology, Dr Yashwant Singh Parmar Govt. Medical College, Nahan, District
Sirmour, Himachal Pradesh, India.
Prof.(Dr) Kulbhushan Prakash Chaudhary (M.D Ophthalmology).Private Practitioner at Shimla.
Former Director Medical Education, Himachal Pradesh. Former Principal cum Professor and
Head, Deptt. Of Ophthalmology, Indira Gandhi Medical College, Shimla 171001, Himachal
Pradesh, India

Abstract:- Conjunctival cysts can be congenital or acquired. Acquired cysts develop as a result
of penetrating trauma, ocular surgeries and various ocular surface inflammatory disorders like
cicatricial ocular inflammations, pingueculitis.

Introduction:-
A 18-year-old male patient presented to the ophthalmology department with a history
of foreign body sensation in the right eye for a few months. He had taken ocular consultations
previously at various centres and was on topical antihistaminics without much improvement.
There was no other significant medical, surgical, family, traumatic or other drug abuse history.
Ocular examination was carried out and his visual acuity was 6/6 in both the eyes ; pupillary
reactions, ocular movements, colour vision, fundus and intraocular pressure were normal
bilaterally. Slit lamp examination in the right eye revealed a whitish, elevated, pin head sized
conjuctival cystic lesion which was firm in consistency, non-tender, with well-defined margins
plus a vessel adjacent to it(figure 1). A probable diagnosis of conjuctival retention cyst was
made and the patient was advised puncture/aspiration of the cyst along with surgical removal
of the walls of the cyst for histopathological examination. The patient consented only for the
puncture of the cyst and hence only this part of the treatment modality was done. The patients
was asymptomatic till his last follow up. One limitation of our study was the lack of
histopathological examinations of the lesion.

DISCUSSION:-
Conjunctival cysts can be congenital or acquired. Acquired cysts develop as a result of
penetrating trauma, ocular surgeries and various ocular surface inflammatory disorders like

IJMRAS-ISSN2640-7272, Dr Anubhav Chauhan,

Dr Yashwant Singh Parmar,
Prof.(Dr) Kulbhushan Prakash Chaudhary
Page 31
 INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY
RESEARCH AND STUDIES VOLUME01ISSUE03

cicatricial ocular inflammations, pingueculitis etc.[1] Conjuctival cyst formation can also occur as
side effects of topical ocular medications with its preservative being the chief culprit.[2]
Conjunctival epithelial inclusion cysts comprise 6–13% of conjunctival lesions and 80% of
conjunctival cystic lesions. Most inclusion cysts present as a subconjunctival cystic mass filled
with clear fluid and are easily diagnosed by clinical examination. Its differential diagnosis include
subconjunctival fat prolapse. However, subconjunctival fat prolapse is usually located
superotemporally in the eye of an obese person.[3]

The extensive surface inflammation with adhesions between the tarsal and bulbar
conjunctival surfaces can cause sequestration of epithelium beneath the surface with the
formation of retention cysts.While smaller cysts can be of cosmetic problems, larger ones can
act like space-occupying lesions and restrict ocular motility. Surgical interventions like excision
and marsupialization were suggested for larger cysts.[4]

REFERENCES:-

1.Tuncer İ, Karahan E, Zengin MÖ.Haemorrhagic Conjunctival Retention Cyst. Erciyes Med J

2015; 37(2): 78-80.

2.Salagar KM, Pujari MR, Murthy CN. A Rare Case Report

of Conjunctival Cyst. Journal of Clinical and Diagnostic Research 2015; 9(11):1-2.

3.Kim DH, Khwarg SI, Oh JY. Atypical Manifestation of Conjunctival Epithelial Inclusion Cyst: A
Case Repor.t Case Rep Ophthalmol 2014; 5(2): 239–42.

IJMRAS-ISSN2640-7272, Dr Anubhav Chauhan,

Dr Yashwant Singh Parmar,
Prof.(Dr) Kulbhushan Prakash Chaudhary
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RESEARCH AND STUDIES VOLUME01ISSUE03

4.Rajaraman R, Raghavan A, Palanisamy M, Singh G. Bilateral conjunctival retention cysts in the

aftermath of Stevens-Johnson syndrome. Ind ian J Ophthalmol 2008; 56(1): 70–72.

IJMRAS-ISSN2640-7272, Dr Anubhav Chauhan,

Dr Yashwant Singh Parmar,
Prof.(Dr) Kulbhushan Prakash Chaudhary
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