Severe microphthalmos with cyst and unusually huge dermolipoma

The Journal of Craniofacial Surgery
Weidong LiJianhua Yan

Abstract

The purpose of this study was to report an unusual case of severe microphthalmos, together with an orbital cyst and huge ocular surface dermolipoma. This is a clinical report relating clinical features as well as imaging and histopathologic findings, along with surgical management of the patient. A 5-month-old Chinese male infant was referred, with 2 large masses in the left eye that were present since birth. Ocular examination results revealed a complete absence of any eye structures in the left orbit. In its place were 2 large masses between the left upper and lower palpebral fissure. One was a 3 × 3 × 2.5-cm spherical red tumor with a smooth surface. The other was a large solid spherical tumor, 4 × 4 × 5 cm, covered with normal skin located in the temporal region and attached to the red mass by a pedicle. Orbital magnetic resonance imaging examination findings confirmed that no eye structures were present in the left orbit. However, a cystic lesion was found in the left orbit, with a low signal on T1-weighted imaging and high signal on T2-weighted imaging, and another huge spherical heterogeneous mass was located "outside" the left orbit. Anterior orbitotomy by conjunctival incision was performed under general anesthesia. A ...Continue Reading

References

Feb 15, 1990·American Journal of Ophthalmology·C GutermanM B Mets
Nov 1, 1984·Archives of Ophthalmology·J A ShieldsJ C Flanagan
Jun 19, 2003·The British Journal of Ophthalmology·C J McLeanJ R O Collin
Dec 16, 2004·Ophthalmic Plastic and Reconstructive Surgery·Imtiaz A ChaudhryMilton Boniuk

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Citations

Feb 9, 2018·The Journal of Craniofacial Surgery·Ofira Zloto, Mordechai Rosner

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