Management of cystic lid masses with Sodium tetradecyl sulfate (STS) sclerosant intra-lesional injections: Case reports of three patients

Abstract

Aim/Background:
Surgery is the mainstay of treatment for orbital dermoid and orbital cysts in general. However surgery can be complicated by a lipogranulomatous inflammatory reaction if the cyst ruptures in the course of surgical intervention.This necessitates the use of sclerosants which are minimally invasive intervention with lesser complications and good outcome.

Case Reports:
We report a case of orbital dermoid and two cases of cysts of Moll that were seen at a peripheral eye clinic. Two of these cases had prior surgical interventions with recurrence but with the administration of sclerosants there was marked reduction in the size of the cyst three months post injection. The last case had non-regressing cyst of two year duration with marked regression after sclerotherapy .All the cases were managed as outpatient procedures.
There were essentially no special pre or post procedure guidelines or medications given apart from analgesics and instructions not to rub over the injection sites.

Conclusion:
The use of sclerosants in general management of cyst is less technically demanding, cost effective,and convenient to patient and very good outcome compared to surgery.