Clinical, radiological and histopathological characteristics of surgically removed orbital hematic cysts: A case series

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
Hind Manaa AlkatanAdel H Alsuhaibani

Abstract

Hematic cyst is a rare orbital condition that has a wide range of clinical presentation and is characterized pathologically by lack of endothelial lining. To correlate clinical and radiological features of hematic cysts, to tissue diagnosis, and investigate the possible etiology behind this condition, its relation to trauma and other interesting histopathological findings. Retrospective case series at King Khaled Eye Specialist Hospital (KKESH) and King Abdulaziz University Hospital (KAUH) of all orbital lesions with tissue findings supporting the clinical and/or radiological diagnosis of hematic cyst. A series of 13 cases was studied, 8 males and 5 females. Age ranged from 2 to 84 years with a median of 54. Most cases presented with proptosis (76.9%) and limitation of eye movements (69.2%). History of trauma was confirmed in only 2/13. The clinical diagnosis of hematic cyst was made prior to surgery in 38.4%. Magnetic Resonance Imaging (MRI) confirmed the presence of blood in the orbit in 7/7. Surgical intervention was the mainstay of treatment. Histopathologically, these lesions demonstrated variable constituents including blood break-down products (hemosiderin), macrophages, mononuclear inflammatory cells, hemorrhage, absent...Continue Reading

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Citations

Mar 5, 2019·Clinical Nuclear Medicine·Zhanli FuQian Li
Sep 29, 2021·Indian Journal of Ophthalmology·Chinmay P NageshSantosh G Honavar

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