PMC3102589_01
A) Multiloculated intrascleral cystic mass at presentation. B) Banked fascia lata covering the scleral defect after excision of the cyst. C) Photomicrograph of the cyst wall layered with nonkeratinized squamous epithelium (HE X100). D) The appereance of the eye 6 months after surgery.
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A 30-month-old boy presented to the clinic with a bulbar subconjunctival cystic mass of the right eye (Figure 1A). A thin-walled, multilocular scleral cyst, measuring 5 mm x 8 mm in its largest dimensions, was identified at the inferior nasal quadrant, extending from the medial canthus to the limbus of the right eye (Figure 1A, B, and C). This thin area was patched with preserved fascia lata using 8.0 vicryl sutures to prevent staphyloma formation (Figure 1B). No goblet cells were identified (Figure 1C). No other complications or recurrence took place during the 6 years postoperatively (Figure 1D).