Mechanical blepharoptosis from giant conjunctival cyst

Mechel, Elzbieta; Daniel, David R.; Shinder, Roman

doi:10.1080/01676830.2019.1595013

Cited by 2 publications

(5 citation statements)

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“…4,6 Most primary orbital conjunctival cysts appear bluish purple if they are observed through the conjunctiva. 5,6 In this case, the lesion was mainly located in the inferior orbit and markedly protruded to the subconjunctiva, and appeared dark red, which were unique clinical manifestations unlike the typical features of primary orbital conjunctival cysts. Therefore, those clinical findings led us to suspect other differential diagnoses such as lymphatic malformation.…”

Section: Discussionmentioning

confidence: 71%

“…An primary orbital conjunctival inclusion cyst usually appears as a bluish purple mass when it can be observed through the conjunctiva. 5,6 However, the case reported here involved a dark red cyst, which is considered relatively uncommon. It was previously reported that a conjunctival cyst showed a dark chocolate-colored appearance due to internal hemorrhage.…”

Section: Discussionmentioning

confidence: 74%

“…4 Primary conjunctival cysts are considered congenital but are often not apparent at birth and enlarge during childhood or sometimes later in life. 1,5,6 They are most commonly located superiomedially or medially in the orbit, and can be located in the superior orbit, associated with the superior rectus-levator muscle. 4,5 On the other hand, a location in the inferior orbit is less common.…”

Section: Discussionmentioning

confidence: 99%

“…1,5,6 They are most commonly located superiomedially or medially in the orbit, and can be located in the superior orbit, associated with the superior rectus-levator muscle. 4,5 On the other hand, a location in the inferior orbit is less common. 4 On MRI, conjunctival cysts in the orbit show sharply circumscribed cystic lesions and can have septations, with various intensities on T1-weighted imaging depending on the content of the cyst, and high intensity on T2-weighted imaging.…”

Section: Discussionmentioning

confidence: 99%

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A case of giant orbital conjunctival cyst mimicking lymphatic malformation

Suimon

Kase

Ito

et al. 2020

European Journal of Ophthalmology

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A conjunctival inclusion cyst is a colorless or whitish translucent cystic lesion, frequently occurring on the conjunctiva. Here, we describe a patient with a giant conjunctival cyst, mainly existing in the orbit, which clinically resembled lymphatic malformation. A 34-year-old male complained of a subconjunctival mass on his left infero-medial side persisting since childhood. It had gradually enlarged over the 3 months before the initial visit. He had no history of trauma, surgery, or conjunctivitis. The mass was dark red, with superficial dilated blood vessels. Magnetic resonance imaging showed a well-circumscribed mass in the inferior orbit, measuring 12 × 25 mm, which had an internal septum. The lesion was completely resected without rupture of the mass through a transcutaneous approach. Histopathologically, the mass was a cyst composed of columnar epithelium with goblet cells and lymphoid follicles adjacent to the wall. In conclusion, a giant orbital conjunctival cyst and a lymphatic malformation should be differentiated at diagnosis.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A case of giant orbital conjunctival cyst mimicking lymphatic malformation

Suimon

Kase

Ito

et al. 2020

European Journal of Ophthalmology

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“…[3][4][5][6]8 Of the 54 cases in the literature we reviewed, only 1 had bone destruction. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] In this case, a recurrent cyst in the superolateral orbit was associated with frontal bone destruction. 2 A dumbbell-shaped cystic lesion in the orbital-temporal region is primarily suggestive of a dermoid cyst.…”

Section: Discussionmentioning

confidence: 99%

Dumbbell-Shaped Congenital Conjunctival Cyst of the Orbit

Yazıcı

Kiristioglu

Karaman

2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Congenital conjunctival cysts often occur in the medial orbit without adjacent bone destruction and have not been previously reported in a dumbbell configuration. A 46-year-old female patient presented with left proptosis and headache. A radiological study revealed a large, cystic, bilobed mass in the orbital-temporal area with an osseous defect in the lateral wall. A histological examination of the excised lesion showed that the cyst wall consisted of nonkeratinized stratified epithelium with goblet cells. There was no recurrence during the follow-up. Of the previously reported 54 cases, only 1 had bone erosion due to a recurrent cyst in the frontal bone. Although rare, a primary conjunctival cyst can create a dumbbell-shaped lesion in the lateral orbit and temporal fossa.

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Mechanical blepharoptosis from giant conjunctival cyst

Cited by 2 publications

References 0 publications

A case of giant orbital conjunctival cyst mimicking lymphatic malformation

A case of giant orbital conjunctival cyst mimicking lymphatic malformation

Dumbbell-Shaped Congenital Conjunctival Cyst of the Orbit

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