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Giant Iatrogenic Orbital Inclusion Cyst of Acute Presentation

Giant orbital cysts are a rarely reported complications of strabismus surgery. Only 10 cases have been reported in the literature (Basar et al., 1998; Curtis et al., 2006; Metz et al., 1999; Mushtaq & Shun-Shin, 2006; Song et al., 2006). Although conjunctival inclusion cysts are a more common complication of strabismus surgery not all extend into the orbit. Previous cases show the appearance of orbital cysts ranging from 6 to 52 years following strabismus surgery. Patients affected with orbital cysts following strabismus present with diplopia, orbital mass, incomitancy, motility disturbance. In these cases the cysts were associated with the recti muscles, most commonly the horizontal recti. We present a unique case of acute appearance of a giant orbital inclusion cyst in the inferior orbit causing motility problems 15 years after horizontal strabismus surgery.