Aim
To report the development of conjunctival inclusion cyst after manual SICS, highlight its features and
possible causes.
Case Report
A 69-year-old gentleman underwent an uneventful small incision cataract surgery. Two months later he presented with ocular discomfort and a cystic swelling over the incision site. The cyst reoccurred 2 weeks after a needle puncture and was eventually excised.
Discussion
Conjunctival inclusion cyst is an uncommon complication of cataract surgery. It can present with or without symptoms and occurs due to implantation of the conjunctival epithelium underneath the stroma. Unstable scleral tunnels, mishandling of the conjunctiva among others has been implicated as causes. It can be treated by needling or excision.
Conclusion
Complete excision of a conjunctival cyst can prevent its recurrence and paying attention to the surgical technique can prevent the development of this complication.