ABSTRACT
A 61-year-old woman had gradual onset of ptosis and painless proptosis of her left eye of 1-year duration. Orbital computed tomography (CT) showed a well-circumscribed superior nasal orbital tumor with uniform density. The mass was removed by anterior orbitotomy and histopathologically diagnosed as a conjunctival cyst. Recent reports have increased awareness of this entity. This case typifies findings of conjunctival orbital cysts. These cysts should be considered when a differential diagnosis is formulated for orbital tumors with a similar presentation.
Subject(s)
Conjunctival Diseases/diagnosis , Cysts/diagnosis , Orbital Diseases/diagnosis , Blepharoptosis/etiology , Conjunctival Diseases/complications , Cysts/complications , Exophthalmos/etiology , Female , Humans , Lacrimal Apparatus/diagnostic imaging , Middle Aged , Orbital Diseases/complications , Radionuclide Imaging , Tomography, X-Ray ComputedABSTRACT
This is the first known report of a relatively large postoperative pyogenic granuloma developing after a nonsutured transconjunctival blepharoplasty. Inflammation and separation or malapposition of the conjunctival wound edges probably permitted the lesion to proliferate in the inferior fornix. No foreign material could be implicated because no suture was used to close this incision. Additionally, Polydek suture material (braided polyester fiber) was associated with the complication of a suture tract and granuloma when used for a tarsal suspension procedure for ectropion repair in this patient.
