Orbital Epidermoid Cysts: A Diagnosis to Consider
Background. Orbital epidermoids form a rare pathological entity that is separate from dermoid cysts. They have variable clinical and radiological presentations and they should be considered in the differential diagnosis of orbital cystic lesions. This work describes the various clinical and radiolog...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2014/508425 |
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| author | Rania A. Ahmed Rasha M. Eltanamly |
| author_facet | Rania A. Ahmed Rasha M. Eltanamly |
| author_sort | Rania A. Ahmed |
| collection | DOAJ |
| description | Background. Orbital epidermoids form a rare pathological entity that is separate from dermoid cysts. They have variable clinical and radiological presentations and they should be considered in the differential diagnosis of orbital cystic lesions. This work describes the various clinical and radiological presentations of 17 cases of epidermoid cysts and the surgical outcome. Method. A prospective interventional study was conducted on 17 patients diagnosed with epidermoid cysts. Patients’ symptoms and signs were recorded; CT scan was done for all patients. All lesions were removed through anterior orbitotomy and histopathological diagnosis confirmed. Results. Mean age of patients was 16.3 years ± 10.54. Main complaints were lid swelling, masses, ocular dissimilarity, chronic pain, and ocular protrusion. Clinical signs varied from lid swelling and masses in all cases to proptosis, globe displacement, limitation of ocular motility, and scars. Radiological findings ranged from homogenous hypodense masses (58.8%) to homogenous radiolucent (17.6%) and heterogenous masses (23.5%). No recurrences following surgeries were reported throughout the follow-up (mean 18.8 months ± 0.72). Conclusion. Deep orbital epidemoid cysts are a separate entity that can behave like deep orbital epidermoid; however, they usually present at a relatively older age. They can be associated with increased orbital volume but not necessarily related to bony sutures. |
| format | Article |
| id | doaj-art-289e0bc9c9d54e89926bb4934dc5d0ef |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-289e0bc9c9d54e89926bb4934dc5d0ef2025-08-20T03:54:41ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/508425508425Orbital Epidermoid Cysts: A Diagnosis to ConsiderRania A. Ahmed0Rasha M. Eltanamly1Ophthalmology Department, Kasr Al Ainy Medical School, Cairo University, Cairo, EgyptOphthalmology Department, Kasr Al Ainy Medical School, Cairo University, Cairo, EgyptBackground. Orbital epidermoids form a rare pathological entity that is separate from dermoid cysts. They have variable clinical and radiological presentations and they should be considered in the differential diagnosis of orbital cystic lesions. This work describes the various clinical and radiological presentations of 17 cases of epidermoid cysts and the surgical outcome. Method. A prospective interventional study was conducted on 17 patients diagnosed with epidermoid cysts. Patients’ symptoms and signs were recorded; CT scan was done for all patients. All lesions were removed through anterior orbitotomy and histopathological diagnosis confirmed. Results. Mean age of patients was 16.3 years ± 10.54. Main complaints were lid swelling, masses, ocular dissimilarity, chronic pain, and ocular protrusion. Clinical signs varied from lid swelling and masses in all cases to proptosis, globe displacement, limitation of ocular motility, and scars. Radiological findings ranged from homogenous hypodense masses (58.8%) to homogenous radiolucent (17.6%) and heterogenous masses (23.5%). No recurrences following surgeries were reported throughout the follow-up (mean 18.8 months ± 0.72). Conclusion. Deep orbital epidemoid cysts are a separate entity that can behave like deep orbital epidermoid; however, they usually present at a relatively older age. They can be associated with increased orbital volume but not necessarily related to bony sutures.http://dx.doi.org/10.1155/2014/508425 |
| spellingShingle | Rania A. Ahmed Rasha M. Eltanamly Orbital Epidermoid Cysts: A Diagnosis to Consider Journal of Ophthalmology |
| title | Orbital Epidermoid Cysts: A Diagnosis to Consider |
| title_full | Orbital Epidermoid Cysts: A Diagnosis to Consider |
| title_fullStr | Orbital Epidermoid Cysts: A Diagnosis to Consider |
| title_full_unstemmed | Orbital Epidermoid Cysts: A Diagnosis to Consider |
| title_short | Orbital Epidermoid Cysts: A Diagnosis to Consider |
| title_sort | orbital epidermoid cysts a diagnosis to consider |
| url | http://dx.doi.org/10.1155/2014/508425 |
| work_keys_str_mv | AT raniaaahmed orbitalepidermoidcystsadiagnosistoconsider AT rashameltanamly orbitalepidermoidcystsadiagnosistoconsider |