Epibulbar osseous choristoma: a case report.

J Surg Case Rep

Middle Technical University, College of Medical and Health Techniques, Optical Techniques Department, Baghdad, Iraq.

Published: June 2023

Peribulbar osseous choristoma is a benign, solid nodule; it is a subtype of epibulbar choristomas (belongs to single tissue choristomas), consisting of pure bony tissues. Epibulbar osseous choristoma is the rarest subtype of epibulbar choristomas, with only 65 cases reported since the mid-19th century; so, the rarity of the disease drove me to report it. A 7-year-old female presented with a painless left ocular superotemporal mass, which was present since birth and located under the conjunctiva. The primary diagnoses included lipodermoid and subconjunctival foreign bodies. Ocular interventions included a B-scan, examination under anesthesia and surgical excision of the mass in toto, and the histopathological examination showed that it was an osseous choristoma.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299902PMC
http://dx.doi.org/10.1093/jscr/rjad371DOI Listing

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Article Synopsis
  • An ocular osseous choristoma is a rare growth of mature bone found in the eye or surrounding tissue, representing just 1.7% of all epibulbar choristomas.
  • The case study discusses a 20-month-old girl with a painless, firm mass at the left lateral canthus, which had been present since birth, and was diagnosed as an osseous choristoma after biopsy.
  • The findings suggest that osseous choristomas should be included in the diagnosis of eyelid lesions present from birth and highlight the need for further research on their potential links to eye structures.
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