The management of orbital cysts associated with congenital microphthalmos and anophthalmos.
OBJECTIVE
To study the management of the orbital cysts present in a group of patients with anophthalmos and microphthalmos.


METHODS
A retrospective study of 34 patients (40 orbits) treated for orbital cyst associated with microphthalmos and anophthalmos.


RESULTS
The two largest treatment groups comprised 17 orbits (42.5%) where the cyst was removed surgically and 17 orbits (42.5%) where the cyst was retained and conformers were used. The remaining cases comprised two orbits (5%) where the cyst was aspirated initially; two orbits (5%) with large cysts which will need to be excised after further orbital growth; one orbit (2.5%) in which a silicone expander was used initially, and one orbit (2.5%) in which a mildly microphthalmic eye had some vision and was monitored but required no surgery.


CONCLUSIONS
In this study 33 out of 34 patients had a good cosmetic result which illustrates that the orbital cyst in microphthalmos or anophthalmos performs a useful role in socket expansion and that the majority of patients with this condition can expect a good cosmetic outcome.
McLean
C J
CJ
Moorfields Eye Hospital, City Road, London, UK.
Ragge
N K
NK
Jones
R B
RB
Collin
J R O
JR
D000293:Adolescent; D000853:Anophthalmos / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000209:etiology / Q000601:surgery*; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008850:Microphthalmos / Q000150:complications*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009916:Orbital Diseases / Q000209:etiology / Q000601:surgery*; D020273:Orbital Implants; D012189:Retrospective Studies; D016896:Treatment Outcome