RECURRENT INTRASCLERAL CYST AFTER STRABISMUS SURGERY

Background: Intrascleral epithelial inclusion cysts have been describe d after ocular trauma, scleral buckling and strabismus surgery. They a re usually small, asymptomatic and located anteriorly. Case report: Th e clinical history of a 9-year-old girl who developed a huge epi- and retrobulbar intrascleral cyst in both the upper and the lower nasal qu adrants after multiple strabismus operations is described. Results: Su rgical resection of the cyst wall was twice unsuccessful. Drainage of the cyst, followed by the injection of tetracycline (30 mg/ml) in the cyst site, led to complete recovery. Conclusion: Recurrent posteriorly located intrascleral cyst can occur after strabismus surgery. Therapy consisting of drainage combined with intrascleral administration of t etracycline solution (30 mg/ml) to induce sclerodesis appeared to be e ffective during a 2-year follow-up period.