A Simple Orbital Lymphatic Malformation Clinically Mimics Primary Conjunctival Cyst.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2024-07-25 eCollection Date: 2024-01-01 DOI:10.1159/000540126

Sasikant Leelawongs, Luksanaporn Krungkraipetch

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引用次数: 0

Abstract

Introduction: A simple orbital lymphatic malformation usually presents with acute proptosis with ophthalmoplegia after an upper respiratory tract infection. Various treatments have been described but the lesions often recur after treatment due to their infiltrative nature.

Case presentations: A 6-year-old girl presented with a 5 × 10 mm translucent mass in the left inferior fornix for 3 years but she denied diplopia and visual disturbance. Orbital computed tomography with contrast emphasized the clinical findings, a nonseptated cystic lesion without enhancement in the anterior orbit. The lesion was surgically totally excised. Histopathological findings revealed an endothelial lining cyst without intraluminal cells consistent with a lymphatic malformation. In a 1-year follow-up, the lesion does not recur.

Conclusion: The simple orbital lymphatic malformation can present as a single nonseptate cystic lesion. Pathological study should be done for the definitive diagnosis. Surgical excision can achieve a favorable outcome.

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临床上与原发性结膜囊肿相似的单纯眼眶淋巴畸形

简介单纯性眼眶淋巴畸形通常在上呼吸道感染后表现为急性突眼并伴有眼肌麻痹。已有多种治疗方法，但由于其浸润性，病变往往在治疗后复发：一名 6 岁女孩因左侧下穹窿有一个 5 × 10 毫米的半透明肿块就诊 3 年，但她否认有复视和视力障碍。眼眶计算机断层扫描造影证实了临床发现，即眼眶前部无强化的非化脓性囊性病变。病灶经手术完全切除。组织病理结果显示，病变为内皮衬里囊肿，无腔内细胞，与淋巴畸形一致。随访1年，病变未再复发：结论：单纯性眼眶淋巴畸形可表现为单发无隔膜的囊性病变。结论：单纯性眼眶淋巴畸形可表现为单发无隔膜囊性病变，应进行病理检查以明确诊断。手术切除可获得良好的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.