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Lacrimal gland choristoma of the ciliary body

Hee Yoon Cho1, Ho-Seok Sa, Se Woong Kang

  • 1Department of Ophthalmology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.

Japanese Journal of Ophthalmology
|April 11, 2006
PubMed

Insights

This study reports a rare case of lacrimal gland choristoma in an infant's ciliary body, alongside orbital cellulitis. Early diagnosis and surgical removal led to a favorable outcome, highlighting the importance of considering this in pediatric ciliary body masses.

Area of Science:

  • Ophthalmology
  • Pediatric Oncology
  • Pathology

Background:

  • Lacrimal gland choristoma is an exceptionally rare condition when presenting within the ciliary body.
  • This case involves an infant diagnosed with a ciliary body mass and concurrent orbital cellulitis.

Observation:

  • A 10-month-old female infant presented with right upper eyelid swelling and tenderness, indicative of orbital cellulitis.
  • Ophthalmic examination revealed a fleshy mass in the superotemporal ciliary body, detected incidentally during funduscopy.
  • Pathologic examination confirmed the mass as a lacrimal gland choristoma with an epithelial-lined cyst.

Findings:

  • Surgical resection of the ciliary body mass was performed.
  • The patient experienced no hypotonia or lesion enlargement one year post-surgery, indicating successful treatment.
  • Histopathology confirmed lacrimal gland choristoma with an associated epithelial-lined cyst.

Implications:

  • Lacrimal gland choristoma should be considered in the differential diagnosis for pediatric patients presenting with ciliary body masses.
  • This case underscores the importance of thorough ophthalmic examination in infants with suspected orbital inflammation.
  • Prompt diagnosis and surgical intervention can lead to positive outcomes for rare pediatric ocular tumors.
Abstract

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