J Korean Ophthalmol Soc.  2015 Apr;56(4):602-606. 10.3341/jkos.2015.56.4.602.

A Case of Sclerocorneal Cyst in a 4-Year-Old Female

• Kim HA
• Kim HK
• Cho YK

• KMID: 2215713
• DOI: http://doi.org/10.3341/jkos.2015.56.4.602

Abstract

PURPOSE
To report a case of sclerocorneal cyst found in a 4-year-old female following strabismus surgery treated with cyst wall excision and scleral graft.
CASE SUMMARY
A 4-year-old female with a history of strabismus surgery performed 1.5 year prior presented with a whitish lesion in cornea and sclera which developed 1 month ago. Slit-lamp examination revealed a 4.2 x 3.5 mm-sized cyst at the superotemporal part of the cornea, extending into the sclera at 3-o'clock. Cyst fluid, precipitate aspiration, and cyst wall excision were performed. Scleral patch graft was used to cover the scleral defects after excision. Upon histopathological examination, the cyst wall was lined with nonkeratinized stratified squamous epithelium and numerous degenerated epithelial cells were present in the cyst aspirate.
CONCLUSIONS
Sclerocorneal cyst can rarely develop following trauma or surgery. In this report, the sclerocorneal cyst, possibly induced by previous strabismus surgery, was treated successfully without recurrence using cyst wall resection.

Keyword

Sclerocorneal cyst; Strabismus surgery

MeSH Terms

Child, Preschool*
Cornea
Cyst Fluid
Epithelial Cells
Epithelium
Female
Humans
Recurrence
Sclera
Strabismus
Transplants

Figure

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  Figure 1. Slit-lamp appearance of initial presentation of sclerocorneal cyst. (A) A 4.2 × 3.5 mm sized cyst at superotemporal part of cornea, partly filled with fluid and precipitates, extending into the sclera at 3-o’clock is seen. (B) A split in the corneal stroma is visible.

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  Figure 2. Sclerocorneal cyst under operating microscope. (A) Preoperative appearance. (B) Cyst aspiration. (C, D) Cyst wall excision. (E) Scleral graft to cover scleral defects after excision. (F) Postoperative appearance.

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  Figure 3. Postoperative slit-lamp appearance, after sclerocorneal cyst aspiration and cyst wall excision. (A) Cornea is cyst-free and scleral defect is well grafted. (B) Corneal stroma is intact without any break.

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  Figure 4. Histolopathology of the Sclerocorneal cyst. (A, B) Cyst wall, lined by nonkeratinized stratified squamous epithelium (Hematoxylin-eosin stain. A, ×100. B, ×400). (C) Cyst aspirate, numerous degenerated epithelial cells are present (Hematoxylin- eosin stain, ×400).

Reference

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