Recurrent intrascleral cyst after strabismus surgery.
BACKGROUND
Intrascleral epithelial inclusion cysts have been described after ocular trauma, scleral buckling and strabismus surgery. They are usually small, asymptomatic and located anteriorly.


METHODS
The clinical history of a 9-year-old girl who developed a huge epi- and retrobulbar intrascleral cyst in both the upper and the lower nasal quadrants after multiple strabismus operations is described.


RESULTS
Surgical resection of the cyst wall was twice unsuccessful. Drainage of the cyst, followed by the injection of tetracycline (30 mg/ml) in the cyst site, led to complete recovery.


CONCLUSIONS
Recurrent posteriorly located intrascleral cyst can occur after strabismus surgery. Therapy consisting of drainage combined with intrascleral administration of tetracycline solution (30 mg/ml) to induce sclerodesis appeared to be effective during a 2-year follow-up period.
Verbeek
A M
AM
Institute of Ophthalmology, University Hospital Nijmegen, The Netherlands.
Ramirez
A A
AA
Cruysberg
J R
JR
Deutman
A F
AF
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002648:Child; D003560:Cysts / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D011183:Postoperative Complications; D012008:Recurrence; D015422:Scleral Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013285:Strabismus / Q000150:complications / Q000601:surgery*; D013752:Tetracycline / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D013752:Tetracycline