Corneoscleral block excision of postoperative anterior chamber cysts

R. K. Forster, W. R. Green, W. M. Bourne, G. O. Waring, J. A. Shields, M. Lemp, G. A. Stern

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13 Scopus citations

Abstract

Purpose: To describe the clinical presentation, surgical treatment and histopathology of three eases of cystic epithelial ingrowth occurring after cataract surgery. Methods: Three patients developed anterior chamber cysts, two with an associated conjunctival bleb and fistula, following extracapsular cataract and phacoemulsification surgery. The technique of block excision and corneoscleral graft was used in the three patients. Results: There was no evidence of recurrence twenty-six, twenty-three and seven months postoperatively. Visual acuities were 20/30, 20/20-2 and 20/25-2, with mild astigmatism and well controlled intraocular pressure. Histopathology illustrated that conjunctival and corneal epithelium invaded the anterior chamber through a wound defect. Conclusion: At this time, block excision with a corneoscleral graft may be the most definitive surgical treatment of cystic epithelial ingrowth.

Original languageEnglish (US)
Pages (from-to)83-104
Number of pages22
JournalTransactions of the American Ophthalmological Society
Volume93
StatePublished - Jan 1 1995

ASJC Scopus subject areas

  • Ophthalmology

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    Forster, R. K., Green, W. R., Bourne, W. M., Waring, G. O., Shields, J. A., Lemp, M., & Stern, G. A. (1995). Corneoscleral block excision of postoperative anterior chamber cysts. Transactions of the American Ophthalmological Society, 93, 83-104.