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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.
Insights
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.
Abstract:
There have been nine previously reported cases of intraocular lacrimal gland choristoma. This case report is of an infant with an intraocular lacrimal gland choristoma which was managed conservatively for a 19-month period until the onset of glaucoma. Tumour biopsy was initially performed because until this time the tumour's behaviour suggested it was not malignant. The latter was confirmed on biopsy, however hypotony resulted following the surgical intervention.