2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part I: Orbit
Chapter 8: The Anophthalmic Socket
Anophthalmic Socket Complications and Treatment
Conjunctival Changes in Anophthalmic Socket
Conjunctival cyst
Conjunctival cysts form secondary to epithelial migration beneath the surface; poor wound closure during enucleation is typically the cause. These cysts may affect prosthetic function; however, treatment is typically not necessary unless the cyst size interferes with comfortable prosthesis wear (Fig 8-5).
Giant papillary conjunctivitis
Giant papillary conjunctivitis (GPC) commonly develops with prosthesis wear, due to the mechanical friction between the palpebral conjunctival surface and the prosthesis. Everting the upper eyelid will demonstrate the papilla (Fig 8-6). Patients typically present with constant mucus discharge; the discharge has a stringy consistency. Treatment consists of topical corticosteroids and occasionally prosthetic modification.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.