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Congenital sudoriferous cyst within the orbit followed by esotropia.

Chung JK, Lee SJ, Kang SK, Park SH - Korean J Ophthalmol (2007)

Bottom Line: A well circumscribed round cystic mass, measuring 1.4 x 1.3 cm was noted at medial superior aspect of the left orbit.It compressed and displaced the left globe to inferior posterior position with intact optic nerve.If an orbital cyst affects the globe or extraocular muscles, it should be excised as soon as possible to prevent strabismus and amblyopia especially in infant.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Soonchunhyang University Hospital, Seoul, Korea.

ABSTRACT

Purpose: To report a case of congenital sudoriferous cyst of the orbit with esotropia.

Methods: A 20-day-old male, born prematurely presented with a palpable lump on left upper lid. Orbital ultrasonography including color doppler image and orbital magnetic resonance image were performed to evaluate the lid lesion. The mass was excised and histologically examined. Complete ocular examination including visual acuity, duction, version, and the presence of strabismus were performed.

Results: A well circumscribed round cystic mass, measuring 1.4 x 1.3 cm was noted at medial superior aspect of the left orbit. It compressed and displaced the left globe to inferior posterior position with intact optic nerve. Histopathologic examination showed the lesion to be a solitary sudoriferous cyst lined by two layers of cuboidal epithelial cells with eosinophilic cytoplasm. After the excision of the mass, limitations of extraocular muscle movements, esotropia, and amblyopia were noted.

Conclusions: If an orbital cyst affects the globe or extraocular muscles, it should be excised as soon as possible to prevent strabismus and amblyopia especially in infant.

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Related in: MedlinePlus

(A) A round palpable pinkish lump on left upper lid with limitation of eye opening due to the mass. (B) Three dimensional reconstruction of orbit MRI. (C) An orbit ultrasonography shows well circumscribed, round, anechogenic cyst (left) and the left globe is displaced to posterior lateral portion and compressed by the mass (right). (D) Orbit MRI. A 1.4×1.3 cm sized circumscribed, round, cystic mass in medial superior aspect in left orbit. Eye ball is displaced to the inferior posterior portion with intact optic nerve and the mass shows low signal intensity on Gd-DTPA enhancement sagittal T1WI.
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Figure 1: (A) A round palpable pinkish lump on left upper lid with limitation of eye opening due to the mass. (B) Three dimensional reconstruction of orbit MRI. (C) An orbit ultrasonography shows well circumscribed, round, anechogenic cyst (left) and the left globe is displaced to posterior lateral portion and compressed by the mass (right). (D) Orbit MRI. A 1.4×1.3 cm sized circumscribed, round, cystic mass in medial superior aspect in left orbit. Eye ball is displaced to the inferior posterior portion with intact optic nerve and the mass shows low signal intensity on Gd-DTPA enhancement sagittal T1WI.

Mentions: A 20-day-old male, born prematurely, with a palpable round lump on the upper left eyelid was presented to us for consultation by the department of pediatrics. The upper eyelid was closed due to the mass and could not be opened nor everted. There was no change in the color or the size when the patient's head was placed in a dependent position or when the infant cried (Fig. 1A, B). His mother was in good general health and had not taken any medications during pregnancy. Examination of the infant showed no other congenital malformations.


Congenital sudoriferous cyst within the orbit followed by esotropia.

Chung JK, Lee SJ, Kang SK, Park SH - Korean J Ophthalmol (2007)

(A) A round palpable pinkish lump on left upper lid with limitation of eye opening due to the mass. (B) Three dimensional reconstruction of orbit MRI. (C) An orbit ultrasonography shows well circumscribed, round, anechogenic cyst (left) and the left globe is displaced to posterior lateral portion and compressed by the mass (right). (D) Orbit MRI. A 1.4×1.3 cm sized circumscribed, round, cystic mass in medial superior aspect in left orbit. Eye ball is displaced to the inferior posterior portion with intact optic nerve and the mass shows low signal intensity on Gd-DTPA enhancement sagittal T1WI.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629699&req=5

Figure 1: (A) A round palpable pinkish lump on left upper lid with limitation of eye opening due to the mass. (B) Three dimensional reconstruction of orbit MRI. (C) An orbit ultrasonography shows well circumscribed, round, anechogenic cyst (left) and the left globe is displaced to posterior lateral portion and compressed by the mass (right). (D) Orbit MRI. A 1.4×1.3 cm sized circumscribed, round, cystic mass in medial superior aspect in left orbit. Eye ball is displaced to the inferior posterior portion with intact optic nerve and the mass shows low signal intensity on Gd-DTPA enhancement sagittal T1WI.
Mentions: A 20-day-old male, born prematurely, with a palpable round lump on the upper left eyelid was presented to us for consultation by the department of pediatrics. The upper eyelid was closed due to the mass and could not be opened nor everted. There was no change in the color or the size when the patient's head was placed in a dependent position or when the infant cried (Fig. 1A, B). His mother was in good general health and had not taken any medications during pregnancy. Examination of the infant showed no other congenital malformations.

Bottom Line: A well circumscribed round cystic mass, measuring 1.4 x 1.3 cm was noted at medial superior aspect of the left orbit.It compressed and displaced the left globe to inferior posterior position with intact optic nerve.If an orbital cyst affects the globe or extraocular muscles, it should be excised as soon as possible to prevent strabismus and amblyopia especially in infant.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Soonchunhyang University Hospital, Seoul, Korea.

ABSTRACT

Purpose: To report a case of congenital sudoriferous cyst of the orbit with esotropia.

Methods: A 20-day-old male, born prematurely presented with a palpable lump on left upper lid. Orbital ultrasonography including color doppler image and orbital magnetic resonance image were performed to evaluate the lid lesion. The mass was excised and histologically examined. Complete ocular examination including visual acuity, duction, version, and the presence of strabismus were performed.

Results: A well circumscribed round cystic mass, measuring 1.4 x 1.3 cm was noted at medial superior aspect of the left orbit. It compressed and displaced the left globe to inferior posterior position with intact optic nerve. Histopathologic examination showed the lesion to be a solitary sudoriferous cyst lined by two layers of cuboidal epithelial cells with eosinophilic cytoplasm. After the excision of the mass, limitations of extraocular muscle movements, esotropia, and amblyopia were noted.

Conclusions: If an orbital cyst affects the globe or extraocular muscles, it should be excised as soon as possible to prevent strabismus and amblyopia especially in infant.

Show MeSH
Related in: MedlinePlus