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in Albania - Instituti i Shendetit Publik

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INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIADermoid cyst <strong>in</strong> a patient with operated congenitalglaucoma-case reportArjeta Grezda 1 , Ermal Simaku 1 , Luljeta Jaupaj 11Eye Cl<strong>in</strong>ic, University Hospital Centre Mother Theresa , Tirana, <strong>Albania</strong>.Aim: Dermoid cyst is a pathological condition andit needs surgical treatment, while bleb is aconsequence of a surgical treatment for glaucoma.Our aim was to describe a case study dist<strong>in</strong>guish<strong>in</strong>gdermoid cyst from the bleb <strong>in</strong> a congenitalglaucoma.Methods: A female patient aged 18 years presentedcompla<strong>in</strong>s of a whitish mass positioned <strong>in</strong> the uppernasal side of the right eye, grow<strong>in</strong>g s<strong>in</strong>ce two years.The mass started to <strong>in</strong>terfere with her vision and herappearance. She had glaucoma surgery when she wassix months old. Her eye exam showed the follow<strong>in</strong>gcharacteristics:· RE: BCVA 2/ 10, IOP 12mmHg, Conj. -diffuse bleb at 12-13 o clock. Cornea-Haab s striaepresent.· Whitish- dermoid like cyst-positionedsuperonasalyoccupy<strong>in</strong>g ¼ of the cornea, AC -quietand very deep, Pupil -round and reactive.· Lens-clear, Fo. 0.85c/ d· LE: Unremarkable, normal.The patient underwent surgery. We dissected the cystfrom the stromal cornea, limbus and conjunctiva,avoid<strong>in</strong>g perforation of the cornea. Suture of theconjunctiva was performed try<strong>in</strong>g to save the bleb.Results: We followed the patient for four weeks.The sutures were removed day days after the surgery.The cornea healed well and bleb had the samestructure as before surgery. BCVA and IOPrema<strong>in</strong>ed both unchanged and the patient wassatisfied with her appearance.Conclusion: Dermoid cyst is not related tocongenital glaucoma but it can occur <strong>in</strong>glaucomatous patients as <strong>in</strong> any normal or othereye-diseased patient. This case study <strong>in</strong>dicates thatophthalmologists should dist<strong>in</strong>guish dermoid cystfrom blebs <strong>in</strong> order to surgically treat the cyst andpreserve the bleb from erroneous manipulations.Keywords: bleb, congenital glaucoma, dermoid cyst.ALBANIAN MEDICAL JOURNAL SUPPLEMENT33

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