A Case of Conjunctival Dermoid Cyst of the Orbit
Journal of the Korean Ophthalmological Society
;
: 601-605, 2010.
Article
in Korean
| WPRIM
| ID: wpr-185977
ABSTRACT
PURPOSE:
To report a case of primary conjunctival dermoid of the superonasal orbit. CASESUMMARY:
A 41-year-old man complained of swelling of the left lower eyelid and left periocular pain for a week. Examination revealed 3 mm of proptosis with superotemporal displacement of the left eye. Orbital CT revealed a 32x27x33-mm well-defined giant cyst with a fat-fluid level in the superonasal aspect of the left orbit. Orbital MRI showed bone remodeling around the cyst, consistent with a dermoid cyst. The cyst was approached via lateral orbitotomy and transcaruncular incision but was ruptured just prior to the end of the dissection and was totally excised using a cryoprobe to freeze the ruptured site. Upon histopathological examination, the cyst was misdiagnosed as a conjunctival cyst because there was no dermal appendage but was rediagnosed as a conjunctival dermoid cyst after the tissue sample was examined more thoroughly. After surgery, the patient presented with diplopia due to esodeviation and was prescribed prismatic lenses.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Esotropia
/
Exophthalmos
/
Bone Remodeling
/
Dermoid Cyst
/
Diplopia
/
Displacement, Psychological
/
Eye
/
Eyelids
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2010
Type:
Article
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