Bilateral microphthalmos with cyst: excision with orbital free fat graft.

Bilateral microphthalmos with cyst was diagnosed in a 4-month-old female term infant who presented with bilateral lower eyelid cysts and the right eye displaced beneath the upper eyelid. Imaging of the orbits revealed bilateral microphthalmic globes with large orbital cysts. Treatment consisted of bilateral cyst removal and free fat grafts for volume replacement, which yielded good cosmetic results with reduction of right globe displacement.