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Case Reports
. 2024 Jul 6;30(3):48-50.
doi: 10.5693/djo.02.2023.12.001. eCollection 2024.

Excision of an intrascleral cyst guided by anterior segment optical coherence tomography

Corrina P Azarcon  1 , Phoebe D Lenhart  1 , Caroline M Craven  1 , Jill R Wells  1
Affiliations
Case Reports

Excision of an intrascleral cyst guided by anterior segment optical coherence tomography

Corrina P Azarcon et al. Digit J Ophthalmol. .

Abstract

A 4-year-old girl presented with an enlarging, congenital, intrascleral cyst of the left eye. Intraoperative anterior segment optical coherence tomography was used to visualize and to assess the extent of the cyst, facilitating safe excision. The cyst was completely removed, and the defect was covered with an amniotic membrane graft, with a good outcome.

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Figures

Figure 1
Figure 1
Anterior segment optical coherence tomography (AS-OCT) was used to guide intraoperative decisions during intrascleral cyst excision. Preoperative AS-OCT confirmed the absence of a connection between the anterior chamber and the intrascleral cyst (A). Intraoperative AS-OCT helped to delineate the cyst wall from the scleral bed (B).
Figure 2
Figure 2
A, Amniotic graft membrane sutured over the defect. B, Slit lamp photograph after 12 months showed healing and scarring of the ocular surface at the former site of the intrascleral cyst.
See this image and copyright information in PMC

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