Original Article

Trichloroacetic Acid Injection in a Conjunctival Cyst Formed in an Anophthalmic Socket


  • Melis Palamar Onay
  • Naim Ceylan

Received Date: 17.02.2011 Accepted Date: 10.05.2011 Turk J Ophthalmol 2011;41(6):389-391


To report the efficacy of trichloroacetic acid injection in the management of a conjunctival cyst in an anophthalmic socket that recurred after previous aspiration.

Ma­te­ri­al and Met­hod:

A 34-year-old male, who underwent left enucleation and polymethyl methacrylate sphere implantation due to trauma 5 years earlier, presented with the complaint of prosthesis instability. Examination revealed a lobulated appearing cystic mass filling the socket. Magnetic resonance imaging showed a cystic lesion occupying the entire anterior orbit in front of the implant. The conjunctival cyst that reportedly recurred after an attempt of aspiration in another clinic was injected with 20% trichloroacetic acid (IL-33, 10 ml solution, Istanbul Ilaç Sanayi ve Tic. A.S.).


The conjunctival cyst, which was pushing the prosthesis forward before treatment, disappeared after the injection. The exophthalmic appearance resolved. Prosthesis could be used properly. No recurrence was detected at 12-month follow-up visit.


Conjunctival cysts, which are occasionally monitored in anophthalmic sockets, can be refractory to various treatment modalities. Though less desirable, these cases may even require explantation of the implant, since relapse is inevitable after basic aspiration. In the treatment of anophthalmic conjunctival cysts, the injection of 20% trichloroacetic acid into the cyst is a cosmetically successful and recurrence-abolishing procedure. (Turk J Ophthalmol 2011; 41: 389-91)

Keywords: Anophthalmia, conjunctival cyst, orbit, treatment, trichloroacetic acid

Full Text (Turkish)