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Isolated Superficial Myxoma Above the Eyebrow
Woojin Kim1, Joohyun Kim, Sehyun Baek
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Republic of Korea.
The Journal of Craniofacial Surgery
|November 30, 2020
Summary
A rare eyelid tumor, myxoma, was diagnosed in a patient with a history of glaucoma surgery. Complete surgical excision is crucial due to its high recurrence rate.
Area of Science:
- Ophthalmology
- Dermatology
- Pathology
Background:
- The case involves a 59-year-old male with a history of pseudophakic glaucoma and Ahmed glaucoma valve implant surgery.
- The patient presented with a large, soft, nontender mass above the left eyebrow that developed over one year.
Observation:
- Slit lamp examination revealed the Ahmed valve in the superotemporal limbal conjunctiva without other abnormalities.
- Computerized tomography (CT) imaging identified a dense, soft tissue lesion in the left upper lateral periorbital area.
Findings:
- Surgical excision and biopsy confirmed the mass as a myxoma.
- Dermatological and cardiac evaluations excluded Carney complex, leading to a diagnosis of isolated myxoma.
Implications:
- Isolated myxoma of the eyelid is an extremely rare clinical finding.
- Complete surgical excision is recommended to manage this condition due to its high recurrence rate.
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