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[Orbital dermoid cysts. Apropos of a case]
L Poirier1, C Brindeau, B Mortemousque
1Centre Jean Abadie, Service d'Ophtalmologie, Bordeaux.
Journal Francais D'Ophtalmologie
|January 1, 1995
Summary
This case study details a rare orbital dermoid cyst in a 53-year-old female, presenting with proptosis and vision changes. Surgical removal confirmed the diagnosis, highlighting the cyst's unusual occurrence in later life.
Area of Science:
- Ophthalmology and Neurosurgery
- Diagnostic Imaging
- Surgical Pathology
Background:
- Orbital dermoid cysts are congenital tumors, typically presenting in children and young adults.
- Their incidence significantly decreases after the second decade of life.
- These benign neoplasms can cause mass effects leading to ocular and neurological symptoms.
Observation:
- A 53-year-old female presented with symptoms including proptosis, hypotropia, and choroidal folds.
- Clinical examination and imaging (radiography, ultrasonography, computed tomography) suggested a deep orbital mass.
- The patient exhibited signs indicative of a space-occupying lesion within the orbit.
Findings:
- Imaging findings were highly suggestive of a deep orbital dermoid cyst.
- A fronto-temporal neuro-surgical approach was employed for tumor resection.
- Histopathological examination confirmed the diagnosis of a dermoid cyst.
Implications:
- This case is notable due to the patient's advanced age at diagnosis, contrasting with the typical age of incidence for orbital dermoid cysts.
- It underscores the importance of considering dermoid cysts in the differential diagnosis of orbital masses, regardless of patient age.
- Successful surgical management demonstrates the efficacy of neurosurgical intervention for deep-seated orbital tumors.