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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2008, Number 3

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Rev Mex Oftalmol 2008; 82 (3)

Ruptura aguda de tumor dermoide intraorbitario. Presentación de un caso

Cortés-Vela JJ, Concepción-Aramendía L, Avendaño-Cantos EM
Full text How to cite this article

Language: Spanish
References: 6
Page: 173-175
PDF size: 67.33 Kb.


Key words:

dermoid cyst, orbit, radiology.

ABSTRACT

We present a case of a 24 year old female referred to her ophthalmologist after presenting right orbital pain, photophobia and blurred vision of sudden onset. Physical examination revealed respected visual acuity in right eye, conjunctival hyperemia, and slight downward globe displacement and diminished upward motility. A Magnetic Resonance (MR) scan showed the presence of an orbital lateral wall lesion with similar signal intensity to that of the subcutaneous fat in all pulse sequences, and signal annulment on fat-suppressed techniques suggesting the diagnosis of dermoid orbital tumor. Surgical resection of the lesion confirmed the presence of a foamy white content in the lesion. After orbital wall reconstruction the patient’s symptoms resolved completely.


REFERENCES

  1. Sherman RP, Rootman J, Lapointe JS. Orbital dermoids: clinical presentation and management. Br J Ophthalmol 1984; 68:642-652.

  2. Smirniotopoulos JG, Chiechi MV. Teratomas, dermoids and epidermoids of the head and neck. Radiographics 1995; 15(6):1437-55.

  3. Bouguila H, Malek I, Nacef L, Marrakchi S, Dagfous F, Ayed S. Intraorbital dermoid cyst. A case report. J Fr Ophtalmol 1999; 22(4):438-441.

  4. Nugent RA y cols. Orbital dermoids: features on CT. Radiology 1987; 165:475-478.

  5. Hopper KD, Sherman JL, Boal DK, Eggli KD. CT and MR imaging of the pediatric orbit. Radiographics 1992; 12(3):485-503.

  6. Born C, Rademaker J, Hosten N, Felix R. Hemorrhagic cavernoma or ruptured dermoid of the orbit: Diagnosis with MRI. Orbit 2001; 20(4):291-295.




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Rev Mex Oftalmol. 2008;82