Purpose: To assess a modified procedure for complete surgical removal of a large palpebral conjunctival cyst and for prevention of its recurrence utilizing both sodium hyaluronate and trypan blue.
Design: Interventional case report.
Case summary: A little girl was treated for a sizable palpebral conjunctival cyst. A 27-G needle was used to inject sodium hyaluronate and trypan blue into the big cyst in order to thoroughly resect it. The cyst was entirely and easily excised because to the technique's outstanding imaging of the cyst walls and satisfying cyst integrity. A straightforward retention cyst was discovered after a histopathologic evaluation. After a six-month follow-up, there was no recurrence.
Conclusions: Trypan blue and sodium hyaluronate injections are successful at preserving the integrity of the cyst wall while allowing for clear visualization of the cyst boundaries which aids in the complete excision of the cyst wall.