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September 1988, Vol 142, No. 9 >
Article | September 1988

Radiological Case of the Month FREE

Robert S. Baker, MD; Steven J. Goldstein, MD; Lionel W. Young, MD; Beverly P. Wood, MD
[+] Author Affiliations

Accepted and edited for publication by Lionel W. Young, former section editor, April 29, 1987.

Reprint requests to Children's Hospital Medical Center of Akron, 281 Locust St, Akron, OH 44308 (Dr L. W. Young).


Am J Dis Child. 1988;142(9):979-980. doi:10.1001/archpedi.1988.02150090077027.
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A 15-year-old girl was examined for right-sided ocular proptosis that had been gradually progressive over a one-year period. Her right eye bulged approximately 0.5 cm and was oriented medially and slightly downward. She had no pain or tenderness. Visual acuity was 20/20 OU and visual fields were full, with no diplopia in any field of gaze. Results of neurologic and physical examinations were normal.

The orbits were examined by complex motion tomography (Fig 1) and computed tomography (Fig 2). The right orbit was surgically explored through a lateral approach.

Denouement and Discussion 

Epidermoid Cyst of the Orbit  A gray, cystic mass was found on surgical exploration of the right orbit via a lateral approach, without excision of bone. The lesion, limited by periosteum below and dura above, was totally removed by stripping it away from surrounding tissues. Postoperatively, right-sided ocular proptosis resolved.

REFERENCES

1 +
Haye C, Haut J, Romain M:  A propos des kystes dermoides de l'orbite . Arch Ophtal 1966;;26:471-480.
2 +
Henderson JW: Orbital Tumors . Philadelphia, WB Saunders Co, 1973;.
3 +
Iliff WJ, Green WR:  Orbital tumors in children , in Jakobiec FA (ed): Ocular and Adnexal Tumors . New York, Aesculapius Publishers Inc, 1978;, pp 669-684.
4 +
Youssefi B:  Orbital tumors in children: A clinical study of 62 cases . J Pediatr Ophthalmol 1969;;6:177-181.
5 +
Eldrup-Jorgensen P, Fledelius H:  Orbital tumors in infancy: An analysis of Danish cases from 1943-1962 . Acta Ophthalmol 1975;;53:887-893.
6 +
Nicholson DH, Green WR:  Tumors of the eye, lids, and orbit in children , in Harley RD (ed): Pediatric Ophthalmology , ed 2. Philadelphia, WB Saunders Co, 1983;, pp 1223-1271.
7 +
Noden DM:  Periocular mesenchyme: Neural crest and mesodermal interactions , in Duane TD, Jaeger EA (eds): Biomedical Foundations of Ophthalmology . Philadelphia, Harper & Row Publishers Inc, 1982;, vol 1, chap 3.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Haye C, Haut J, Romain M:  A propos des kystes dermoides de l'orbite . Arch Ophtal 1966;;26:471-480.
2 +
Henderson JW: Orbital Tumors . Philadelphia, WB Saunders Co, 1973;.
3 +
Iliff WJ, Green WR:  Orbital tumors in children , in Jakobiec FA (ed): Ocular and Adnexal Tumors . New York, Aesculapius Publishers Inc, 1978;, pp 669-684.
4 +
Youssefi B:  Orbital tumors in children: A clinical study of 62 cases . J Pediatr Ophthalmol 1969;;6:177-181.
5 +
Eldrup-Jorgensen P, Fledelius H:  Orbital tumors in infancy: An analysis of Danish cases from 1943-1962 . Acta Ophthalmol 1975;;53:887-893.
6 +
Nicholson DH, Green WR:  Tumors of the eye, lids, and orbit in children , in Harley RD (ed): Pediatric Ophthalmology , ed 2. Philadelphia, WB Saunders Co, 1983;, pp 1223-1271.
7 +
Noden DM:  Periocular mesenchyme: Neural crest and mesodermal interactions , in Duane TD, Jaeger EA (eds): Biomedical Foundations of Ophthalmology . Philadelphia, Harper & Row Publishers Inc, 1982;, vol 1, chap 3.

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