Microphthalmia with Huge Cyst: A Simple Technique for Excision 

Purpose: Is to present a simple technique for complete excision of microphthalmia and its huge cyst. Patients: Five patients with microphthalmia and huge cyst were included. The pathology was bilateral in one case. Lateral canthotomy was performed in all cases. The 4 recti of the small eye were exposed and dis-inserted with application of 4 tractional sutures at the insertion sites. Gentle traction and blunt dissection with protection of the cyst by malleable retractor were used to release the cyst gradually. The optic nerve was clamped and cauterized. By cutting the optic nerve, the microphthalmic eye and its huge cyst came out easily. Results: In no patient was the cyst was ruptured or incompletely excised. Conclusion: This technique is simple, fast and effective for complete excision of the microphthalmia and its huge cyst completely.