[Fornix reconstruction with conjunctival inclusion cyst marsupialization in severe symblepharon].

Objective

To report the efficacy of fornix reconstruction with conjunctival inclusion cyst marsupialization in severe symblepharon.

Methods

Retrospective cases series study. Four patients (4 eyes) with Conjunctival Inclusion Cyst Marsupialization and severe Symblepharon during June 2016 to June 2018 at the PLA General Hospital were included. All of them were treated with Conjunctival Inclusion Cyst Marsupialization. The morphology, depth of the conjunctival sac and the degree of symblepharon before and after treatment were compared to observe the surgical results.

Results

After operation, the conjunctival sacs were deepened, and the average depth was 4.75 mm. After follow-up, 2 cases of conjunctival sac were basically normal, and 2 cases of conjunctival sac became shallow, but still better than before surgery.

Conclusions

For the patients with large Conjunctival Inclusion Cyst and severe symblepharon, the Conjunctival Inclusion Cyst Marsupialization have many positive effects of deepening conjunctival sac, relieving symblepharon, increasing the degree of eye movement, improving appearance and relieving dry eyes. At the same time, this operation can avoid recurrence due to incomplete cystectomy. (Chin J Ophthalmol, 2018, 54: 897-901).