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Lipodermoid Cyst: A Report of a Rare Caruncular Case.

Rajabi MT, Ramezani K - Middle East Afr J Ophthalmol (2015 Oct-Dec)

Bottom Line: They are usually located superotemporally, and basically tend not to involve the peripheral cornea.If the dermoid or lipodermoid is accompanied by other systemic conditions or ocular anomalies in young children, a consultation with an Internist or pediatrician is required to rule out Goldenhar syndrome which is a oculoauriculovertebral dysplasia.This paper reports a unilateral lipodermoid cyst which is remarkable regarding its caruncular origin, in an otherwise healthy adult female.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmic Plastic and Reconstructive Surgery, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT
Ocular lipodermoid cysts and solid dermoid tumors are choristomas which are described as normal tissue growth in an abnormal location. Congenital epibulbar lipodermoid comprises adipose tissue that is covered by connective tissue. They are usually located superotemporally, and basically tend not to involve the peripheral cornea. If the dermoid or lipodermoid is accompanied by other systemic conditions or ocular anomalies in young children, a consultation with an Internist or pediatrician is required to rule out Goldenhar syndrome which is a oculoauriculovertebral dysplasia. This paper reports a unilateral lipodermoid cyst which is remarkable regarding its caruncular origin, in an otherwise healthy adult female.

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(a) Histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix, (b) histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix
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Figure 2: (a) Histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix, (b) histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix

Mentions: The lesion was surgically excised. The surgical approach for lesion excision was as follows: Under general anesthesia, following an incision between plica semilunaris and caruncle, the dissection was made between the mass and mucosa and adhesions between the conjunctiva, plica, and caruncle were released. The mass was tightly attached to the caruncular tissue and fine dissection with Westcott scissors was performed to save the caruncle, though most parts of the caruncle were involved. The mass was extended deeply in the medial part but there was no adhesion to deep tissues such as medial rectus and sclera. Followed by dissection, the medial aspect of the mass was released using Stevens scissors. After the mass excision, an incision was sutured with 8.0 Vicryl suture. Our clinical suspicion of a lipodermoid was confirmed by histopathologic examination [Figure 2].


Lipodermoid Cyst: A Report of a Rare Caruncular Case.

Rajabi MT, Ramezani K - Middle East Afr J Ophthalmol (2015 Oct-Dec)

(a) Histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix, (b) histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4660547&req=5

Figure 2: (a) Histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix, (b) histologic section of the lesion, showing the adipose tissue covered by connective tissue matrix
Mentions: The lesion was surgically excised. The surgical approach for lesion excision was as follows: Under general anesthesia, following an incision between plica semilunaris and caruncle, the dissection was made between the mass and mucosa and adhesions between the conjunctiva, plica, and caruncle were released. The mass was tightly attached to the caruncular tissue and fine dissection with Westcott scissors was performed to save the caruncle, though most parts of the caruncle were involved. The mass was extended deeply in the medial part but there was no adhesion to deep tissues such as medial rectus and sclera. Followed by dissection, the medial aspect of the mass was released using Stevens scissors. After the mass excision, an incision was sutured with 8.0 Vicryl suture. Our clinical suspicion of a lipodermoid was confirmed by histopathologic examination [Figure 2].

Bottom Line: They are usually located superotemporally, and basically tend not to involve the peripheral cornea.If the dermoid or lipodermoid is accompanied by other systemic conditions or ocular anomalies in young children, a consultation with an Internist or pediatrician is required to rule out Goldenhar syndrome which is a oculoauriculovertebral dysplasia.This paper reports a unilateral lipodermoid cyst which is remarkable regarding its caruncular origin, in an otherwise healthy adult female.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmic Plastic and Reconstructive Surgery, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT
Ocular lipodermoid cysts and solid dermoid tumors are choristomas which are described as normal tissue growth in an abnormal location. Congenital epibulbar lipodermoid comprises adipose tissue that is covered by connective tissue. They are usually located superotemporally, and basically tend not to involve the peripheral cornea. If the dermoid or lipodermoid is accompanied by other systemic conditions or ocular anomalies in young children, a consultation with an Internist or pediatrician is required to rule out Goldenhar syndrome which is a oculoauriculovertebral dysplasia. This paper reports a unilateral lipodermoid cyst which is remarkable regarding its caruncular origin, in an otherwise healthy adult female.

Show MeSH
Related in: MedlinePlus