Conjunctival cysts of the orbit after enucleation: the use of trichloroacetic acid.

PURPOSE: Orbital cyst formation after enucleation is a rare but serious complication. Complete excision may be difficult, and the final cosmetic result may be poor. In contrast, in this study, intralesional trichloroacetic acid injection proved successful in resolving the problematic cyst without surgical intervention.

METHODS

A 20% trichloroacetic acid solution was injected to treat four cases of orbital conjuctival cyst in anophthalmic socket.

RESULTS

All four patients were treated successfully. No recurrence or other complications developed. The average follow-up interval was 16 months (range, 8 to 33 months).

CONCLUSIONS

Intralesional trichloroacetic acid injection proved successful in resolving the problematic cyst without surgical intervention in anophthalmic orbit. It is a safe procedure and is recommended for treatment of anteriorly located orbital conjuctival cysts.