"An eye for a tooth:" Orbital teratoma in an adult

A 27-year-old female presented with progressive prominence of her right eye since childhood. On examination, a pinkish mass filling the right orbit with no evidence of an eyeball was seen. She also had bilateral preauricular skin tags. Imaging revealed a mass with solid and cystic components in the right orbit, with a well-formed tooth in situ, suggestive of a teratoma. The tumor was removed and histopathology confirmed the diagnosis. Orbital teratoma in an adult is a rare presentation. The presence of preauricular skin tags in association with orbital teratoma is a new finding.