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Intraocular lacrimal gland choristoma
B A O'Donnell1, F J Martin, A E Kan
1Sydney Eye Hospital, Woolloomooloo, New South Wales.
Summary
This case report details an infant with an intraocular lacrimal gland choristoma, a rare benign tumor. Conservative management was followed by glaucoma and hypotony after tumor biopsy.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Ocular Oncology
Background:
- Intraocular lacrimal gland choristoma is an extremely rare congenital tumor, with only nine previous cases reported.
- Choristomas are benign tumors composed of tissue normally found elsewhere.
Observation:
- A case of intraocular lacrimal gland choristoma in an infant is presented.
- The tumor was managed conservatively for 19 months.
- Glaucoma developed subsequently, necessitating further intervention.
Findings:
- Tumor biopsy was performed due to the tumor's behavior, initially suggesting a non-malignant nature.
- Biopsy confirmed the tumor was not malignant.
- Hypotony (low intraocular pressure) occurred as a complication following the surgical biopsy.
Implications:
- This case highlights the potential complications of conservative management and surgical intervention for intraocular lacrimal gland choristoma.
- It underscores the importance of vigilant monitoring for secondary glaucoma in such cases.
- Further research into optimal management strategies for this rare condition is warranted.