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Updated: Sep 5, 2025

Three-Dimensional Reconstruction of Orbital Fractures

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Published on: May 16, 2025

Elastoma of the Orbit: A Case Report.

Krishna Komzak¹, Penelope McKelvie², Lucy Goold³

¹Launceston Clinical School, University of Tasmania, Launceston, Tasmania, Australia.

Ophthalmic Plastic and Reconstructive Surgery

|July 7, 2022

Summary

This study reports the first known case of an orbital elastoma, a benign tumor, found in a 78-year-old man during revision ptosis surgery. The asymptomatic mass was successfully biopsied for diagnosis.

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Area of Science:

Ophthalmology
Dermatopathology
Oncology

Background:

Orbital masses are rare, with diverse etiologies.
Elastomas are benign connective tissue tumors typically found in the skin.
This case presents a unique orbital location for an elastoma.

Observation:

An asymptomatic inferomedial orbital mass was incidentally discovered in a 78-year-old male patient.
The mass was visible externally and subconjunctivally, abutting the globe.
The patient had a history of prior excision of a similar mass 60 years earlier.

Findings:

Histopathological examination and immunohistochemistry confirmed the diagnosis of an isolated orbital elastoma.
Imaging revealed the soft tissue lesion in close proximity to the left globe.
This represents the first reported instance of an orbital elastoma in medical literature.

Implications:

Highlights the importance of considering rare orbital tumors in differential diagnoses.
Suggests elastomas can occur in the orbit, albeit infrequently.
Further research may elucidate the pathogenesis and long-term behavior of orbital elastomas.