RESUMO
CLINICAL CASE: A four year-old boy, diagnosed of palpebral ptosis since he was 2 by his paediatrician. At the initial ophthalmological revies he had asymmetrical upper eyelids. In the follow-up a mild ocular hypotrophy appeared in his left eye and an increasing astigmatism, which made us suspect an orbital disease. The MRI confirmed a mass, compatible with a dermoid cyst. CONCLUSION: Due to the slow growth of these tumours, it is only with clinical follow-up and the aid of imaging techniques that we may achieve the diagnosis and offer a definitive treatment with surgical extirpation.
Assuntos
Blefaroptose/diagnóstico , Cisto Dermoide/diagnóstico , Neoplasias Orbitárias/diagnóstico , Pré-Escolar , Erros de Diagnóstico , Humanos , MasculinoRESUMO
Caso clínicoNiño de 4 años diagnosticado por su pediatra de ptosis congénita en ojo izquierdo a los 2 años. En su valoración oftalmológica inicial, únicamente se aprecia discreta asimetría entre los párpados superiores. Es en consultas posteriores cuando aparece discreta hipotropia del ojo izquierdo, y un astigmatismo creciente que hacen sospechar sobre patología orbitaria. La RMN confirma la presencia de una masa compatible con un quiste dermoide.ConclusiónDebido al crecimiento lento de estos tumores, sólo un seguimiento de la clínica y la ayuda de pruebas de imagen, llevará al diagnóstico y al tratamiento definitivo mediante extirpación quirúrgica(AU)
Clinical caseA four year-old boy, diagnosed of palpebral ptosis since he was 2 by his paediatrician. At the initial ophthalmological revies he had asymmetrical upper eyelids. In the follow-up a mild ocular hypotrophy appeared in his left eye and an increasing astigmatism, which made us suspect an orbital disease. The MRI confirmed a mass, compatible with a dermoid cyst.ConclusionDue to the slow growth of these tumours, it is only with clinical follow-up and the aid of imaging techniques that we may achieve the diagnosis and offer a definitive treatment with surgical extirpation(AU)
