No medical care usually is required. Inflammation that results from a ruptured dermoid cyst may be controlled with prednisone. Inflammation from preoperative or interoperative rupture of the cyst can be controlled by prednisone. The entire cyst must be excised to avoid persistent inflammation, a draining sinus, or recurrence of the cyst. The goals of pharmacotherapy are to reduce morbidity and to prevent complications.
Corticosteroids modify the body's immune response to diverse stimuli.
May decrease inflammation by reversing increased capillary permeability and suppressing PMN activity. If the cyst ruptures, a marked inflammatory response follows. Operative complications are no different from other orbitotomy procedures. Damage to the eye or adnexal structures, motility restriction, infection, inflammation, and hemorrhage may occur. The dermoid cyst may displace the globe, depending on the cyst's location.