A Study on Correlation of Surgeon’s Experience and Inadvertent Conjunctival Cyst Following SICS and Review of the Literature
Venugopal Anitha1*, Meenakshi Ravindran2, Mr Mohammed Sithiq Uduman3 and Aditya Ghorpade4
1Consultant in Cornea and Refractive Surgery, Aravind Eye Hospital, Tirunelveli, Tamilnadu, India
2Consultant Paediatric and Strabismus Surgery, Aravind Eye Hospital, Tirunelveli, Tamilnadu, India
3BioStatistician, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Tirunelveli, Tamilnadu, India
4Consultant, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Tirunelveli, Tamilnadu, India
*Corresponding Author: Venugopal Anitha, Consultant in Cornea and Refractive Surgery, Aravind Eye Hospital, Tirunelveli, Tamilnadu, India.
October 17, 2021 ; Published: November 18, 2021
Purpose: To study the outcomes of patients with inadvertent conjunctival cyst following SICS procedure in correlation with surgeon's years of surgical experience, clinical, visual, and management effects with the review of literature in South Indian context.
Materials: A retrospective case record of patients presented with conjunctival cysts following SICS was evaluated. The data collection included demographic details, visual outcomes, slit-lamp findings, management outcomes, and complications, if any.
Results: The mean interval between the surgery date and the clinical presentation was 20.71months. The mean years of surgeon's experience were 6.01years. There was no significant relationship between the occurrence of the cyst and the surgeon's surgical experience.
Conclusion: Many novice surgeons are doing mSICS. Our observation will provide an insight into the rare complication of mSICS following poor wound construction and the steps to prevent the same during the learning process.
Keywords: Conjunctival Cyst; mSICS; Excision Biopsy; Surgeon Experience
- Shields CL and Shields JA. “Tumors of the conjunctiva and cornea”. Survey of Ophthalmology 14 (2004): 3-24.
- Krishnacharya PS. “Tenon’s Cyst Presenting as a Long-Term Complication following Incision Cataract Surgery”. Case Reports in Medicine 2013 (2013): 759267.
- Salagar K. “A Rare Case Report of Conjunctival Cyst”. Journal of Clinical and Diagnostic Research 11 (2015): ND01-02.
- Deshmukh S., et al. “Conjunctival inclusion cyst, an uncommon complication of a common surgery: a case report and review of the literature”. Advances in Ophthalmology and Visual System 6 (2018): 298-299.
- Narayanappa S., et al. “Conjunctival Inclusion cysts following small incision cataract surgery”. Indian Journal of Ophthalmology 5 (2010): 423-425.
- Song JJ., et al. “Giant secondary conjunctival inclusion Cysts: a late complication of strabismus surgery”. Ophthalmology6 (2006): 1049.
- Bourcier T., et al. “Conjunctival Inclusion cyst following pars plana vitrectomy”. Archives of Ophthalmology 7 (2003): 1067.
- Garg SP., et al. “Conjunctival cyst after retinal detachment surgery”. Indian Journal of Ophthalmology4 (1988): 182-183.
- Eibschitz-Tsimhoni M., et al. “Incidence and management of Encapsulated cysts following Ahmed glaucoma valve insertion”. Journal of Glaucoma4 (2005): 276-279.
- Sameshima SS and Beyer-Machule CK. “Acquired ptosis associated with a conjunctival cyst”. Ophthalmic Plastic and Reconstructive Surgery3 (1988): 159-162.
- Vishwanath MR and Jain A. “Conjunctival inclusion cyst following sub-Tenon’s local anaesthetic Injection”. British Journal of Anaesthesia6 (2005): 825-826.
- Swan KC and Campbell L. “Unintentional Filtration following Cataract Surgery”. Archives of Ophthalmology1 (1964): 43-49.
- Jain SS. “Inadvertent filtering bleb following sutureless cataract surgery”. Indian Journal of Ophthalmology3 (2005): 196-198.
- Nath K., et al. “Cystic lesions of conjunctiva (a clinicopathogical study)”. Indian Journal of Ophthalmology1 (1983): 1-4.
- Boynton JR., et al. “Primary nonkeratinized Epithelial ('conjunctival’) orbital cysts”. Archives of Ophthalmology9 (1992): 1238-1242.
- Tagare S and Christy JS. “Conjunctival Epithelial Inclusion Cyst”. Delhi Journal of Ophthalmology3 (2020): 93-94.
- Hawkins AS and Hamming NA. “Thermal cautery as a treatment for conjunctival inclusion cyst after strabismus surgery”. Journal of AAPOS1 (2001): 48-49.
- Simon JW. “Complications of strabismus surgery”. Current Opinion in Ophthalmology5 (2010): 361-366.
- de Bustros S and Michels RG. “Treatment of acquired epithelial inclusion cyst of the conjunctiva using the YAG laser”. American Journal of Ophthalmology6 (1984): 807-808.
- Nejat F., et al. “A Novel Approach to Treatment of Conjunctival Cyst Ablation Using Atmospheric Low-Temperature Plasma”. Clinical Ophthalmology 14 (2014): 2525-2532.
- Thatte S and Gupta L. “Excision of post small incision cataract surgery conjunctival inclusion cyst”. Indian Journal of Ophthalmology3 (2011): 257-259.
- Al-Shehah A and Khan AO. “Subconjunctival epithelial inclusion cyst complicating strabismus Surgery: Early excision is better”. Saudi Journal of Ophthalmology1 (2010): 27-30.
- Gosalia NR., et al. “Cyst Masquerading as Inadvertent Bleb after a Scleral-Fixated Intraocular Lens in Marfan syndrome: A Case Report”. Ophthalmology and Therapy2 (2018): 437-441.