title: Giant secondary conjunctival inclusion cysts: a late complication of strabismus surgery.
abstract: OBJECTIVE
  To present giant conjunctival inclusion cysts as a late complication of strabismus surgery.
  
  
  METHODS
  Retrospective case series of selected patients.
  
  
  METHODS
  Four patients with a history of strabismus surgery who had developed giant conjunctival inclusion cysts.
  
  
  METHODS
  A chart review was performed. The patient's ocular history, ophthalmic examinations, and imaging (ultrasound/ultrasound biomicroscopy and/or computed tomography) were recorded. Surgical excision with subsequent histopathologic correlation was obtained in 3 cases.
  
  
  METHODS
  Clinical and imaging characteristics with histopathologic correlation.
  
  
  RESULTS
  Four patients with giant conjunctival inclusion cysts had a history of strabismus surgery. Ultrasound biomicroscopy was performed in 3 cases and revealed large, cystic, well-circumscribed tumors with low internal reflectivity and hyperechoic components. Computed tomography of the orbits was used to evaluate posterior extension. Their size induced limitation in motility, strabismus, and problems related to chronic exposure. Histopathologic evaluations were consistent with benign inclusion cysts of the conjunctiva.
  
  
  CONCLUSIONS
  Giant conjunctival inclusion cysts may appear decades after strabismus surgery. Tumor size, cystic nature, and involvement of underlying structures can be determined by ultrasonography and radiographic imaging. Complete surgical removal can be curative.
authors.affiliation: New York Eye Cancer Center, New York, New York 10021, USA.
authors.forename: Jean J
authors.initials: JJ
authors.lastname: Song
authors.forename: Paul T
authors.initials: PT
authors.lastname: Finger
authors.forename: Madhavi
authors.initials: M
authors.lastname: Kurli
authors.forename: H Jay
authors.initials: HJ
authors.lastname: Wisnicki
authors.forename: Codrin E
authors.initials: CE
authors.lastname: Iacob
mesh_terms: D002648:Child; D003229:Conjunctival Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003560:Cysts / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D009915:Orbit / Q000000981:diagnostic imaging; D011183:Postoperative Complications; D012189:Retrospective Studies; D013285:Strabismus / Q000601:surgery*; D014057:Tomography, X-Ray Computed