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A 23-year-old female symptomatic with unilateral proptosis with superior globe displacement and hypertropia was found to have a multiloculated cystic lesion with bony lining arising from the inferomedial orbit. The adjacent maxillary sinus was markedly smaller on the affected side, with no defect of the wall on radiographic or intraoperative examination. Surgical excision and histological analysis of the lesion demonstrated an orbital respiratory epithelial cyst.

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Article Synopsis
  • Epibulbar choristoma is a benign congenital lesion with normal tissue but in the wrong location, categorized into three types based on histology: dermoid, dermolipoma, and complex choristoma.
  • In this case, a 9-year-old girl had a mass initially thought to be an epibulbar dermolipoma, which after surgery was revealed to be a complex choristoma upon histological examination.
  • The case highlights the need for orbital surgeons to recognize potential ossification in these lesions while providing clarity on the classification system for better diagnosis and management.*
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A primary orbital respiratory cyst is a congenital choristoma that presents in the orbit and with different signs and symptoms depending on the location, which might also change the surgical approach. The aim of this report is to describe 2 new cases of primary respiratory epithelial cysts and to review the literature on presentation, management, and risk factors with different surgical approaches and complications. Two cases presenting with gradually increased proptosis had a confirmed diagnosis of a respiratory epithelial cyst.

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Introduction: Schimmelpenning-Feurstein-Mims Syndrome (SFMS) is a rare neurocutaneous disorder. Herein, we describe a novel case and review the phenotypic spectrum and molecular findings of SFMS from an ophthalmology perspective.

Methods: Clinical case including presentation, management, pathology, and genetic analysis is described.

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[DEEP ORBITAL DERMOID CYSTS].

Harefuah

February 2023

Department of Ophthalmology, Edith Wolfson Medical Center, Israel, Sackler Faculty of Medicine, Tel-Aviv University, Israel.

Orbital dermoid cysts are benign choristomas that arise from the entrapment of ectodermal elements adjacent to the fetal bony suture lines. They are considered congenital, but not all are diagnosed at birth. They are the most common orbital tumors in children.

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