Spontaneous Hematic Cysts of the Orbit Presenting with Acute Proptosis A Report of Three Cases

Amrith, Shantha; Baratham, Gopal; Khoo, Chong Yew; Low, C. H.; Sinniah, Raja

doi:10.1097/00002341-199012000-00009

Cited by 18 publications

(9 citation statements)

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“… 14 , 15 This contrasts with the insidious and gradual development of lesions in the superior, superotemporal, and intraconal locations. 10 , 16 , 17 , 18 …”

Section: Discussionmentioning

confidence: 99%

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Orbital cholesterol granuloma: A report and discussion of orbital findings

Rong

Erickson

Blessing

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose To report a case of orbital cholesterol granuloma and discuss the orbital findings seen in this entity. Observation A 38-year-old male presented with an 8-month history of progressive left upper lid ptosis and hypoglobus. Clinical examination was significant for 3 mm of hypoglobus and restricted supraduction in the left eye. Contrasted computed tomography imaging revealed a well-circumscribed lesion in the superotemporal orbit causing extensive bone erosion that appeared to arise from the lacrimal gland. An incisional biopsy was performed, and histopathological evaluation demonstrated fibrovascular tissue surrounding a mixture of histiocytes and cholesterol clefts, consistent with a cholesterol granuloma. Conclusions and importance Orbital cholesterol granulomas are rare lesions that are predominantly found in the superotemporal orbit. These lesions can be associated with marked bony changes in the superotemporal fossa that can be mistaken for a lacrimal gland neoplasm; however, bony erosion is a hallmark of this lesion and should be considered on the differential diagnosis of any lacrimal gland mass with extensive bony erosion.

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“… 14 , 15 This contrasts with the insidious and gradual development of lesions in the superior, superotemporal, and intraconal locations. 10 , 16 , 17 , 18 …”

Section: Discussionmentioning

confidence: 99%

“…Amrith et al found that even in cases of severe visual impairment, vision can improve from hand motion to 20/20 post-operatively; only one patient in their cohort had a poor visual outcome and this patient presented with no light perception vision. 18 …”

Section: Discussionmentioning

confidence: 99%

Orbital cholesterol granuloma: A report and discussion of orbital findings

Rong

Erickson

Blessing

et al. 2019

American Journal of Ophthalmology Case Reports

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“…Akut hematik kist, genellikle travma sonrası proptozise neden olan ve kapsülsüz, kolesterol kristalleri olmayan hematik birikimler için kullanılırken; kronik hematik kistler ise kolesterol kristalleri, büyük hücreler, hematoidin, hemosiderin ve fibroz psö-dokapsüle sahip kanamalar için kullanılmaktadır. 1,6 Yine anatomik olarak orbital yerleşimine göre hematik kist; subperiostal, intrakonal veya inraorbital ekstrakonal olarak sınıflanabilmektedir.…”

Section: Resi̇m 2: Abunclassified

“…İğne aspirasyonu ile tedavi öne-ren araştırmacılar mevcut olsa da birçok araştır-macı kistin tamamını çıkarmaktan yanadır. 1,2,6,7 Olgumuzda da ön orbitotomi yaklaşımı ile önce kistin içi aspirasyon ile boşaltılmış ve ardından kalan kapsül tamamen eksize edilmiştir.…”

Section: Resi̇m 2: Abunclassified

“…Orbital hematik kist oldukça nadir olup, sıklıkla travma sonrası oluşabileceği gibi koagülasyon bozuklukları veya koagülasyon bozukluğu olmadan spontan bir şekilde de gelişebilmektedir. [1][2][3] Bizim bu çalışmadaki amacımız, kraniyal travma nedeni ile epidural hematom gelişen ve orbital tavan duvarı intakt olan olguda meydana gelen subperiostal hematik kist olgusunu sunmak, muhtemel nedenleri tartışmak ve tedavi yaklaşımımızı paylaşmaktır.…”

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