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Ectopic lacrimal gland causing intermittent proptosis.
I U Kwang Kwok1,2, Zakariah Sakinah3, Mokhtar Elmina4
1Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu, Kelantan.
Taiwan Journal of Ophthalmology
|April 11, 2022
Summary
Ectopic lacrimal gland tissue, a rare cause of unilateral proptosis, can mimic orbital tumors in children. Surgical excision of this benign condition provides a good outcome with no recurrence.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Orbital Surgery
Background:
- Ectopic lacrimal gland tissue is an uncommon condition.
- The most frequent locations are the bulbar conjunctiva and limbal area.
- Intraorbital ectopic lacrimal gland tissue can present as proptosis, mimicking orbital neoplasms.
Observation:
- A 14-year-old girl experienced intermittent proptosis since childhood.
- Symptoms included subconjunctival hemorrhage and severe pain.
- The proptosis was caused by intraconal ectopic lacrimal gland tissue.
Findings:
- The patient underwent lateral orbitotomy with orbital mass excision.
- The ectopic lacrimal gland tissue was successfully removed.
- Post-operative follow-up at 6 months showed no recurrence.
Implications:
- This case highlights the importance of considering rare diagnoses like ectopic lacrimal gland tissue in pediatric proptosis.
- Early diagnosis and surgical intervention can lead to favorable outcomes.
- Accurate diagnosis prevents unnecessary aggressive treatments for suspected orbital tumors.
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