안와에 발생한 결막 유피낭종 1예

• 영문명: A Case of Conjunctival Dermoid Cyst of the Orbit
• 발행기관: 대한안과학회
• 저자명: 이승희 김근해 김숙영,Seung-Hee Lee, MD, Keun-Hae Kim, MD, Sook-Young Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number4, 601~605쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.04.15

영문 초록

Purpose: To report a case of primary conjunctival dermoid of the superonasal orbit. Case summary: A 41-year-old man complained of swelling of the left lower eyelid and left periocular pain for a week. Examination revealed 3 mm of proptosis with superotemporal displacement of the left eye. Orbital CT revealed a 32×27×33-mm well-defined giant cyst with a fat-fluid level in the superonasal aspect of the left orbit. Orbital MRI showed bone remodeling around the cyst, consistent with a dermoid cyst. The cyst was approached via lateral orbitotomy and transcaruncular incision but was ruptured just prior to the end of the dissection and was totally excised using a cryoprobe to freeze the ruptured site. Upon histopathological examination, the cyst was misdiagnosed as a conjunctival cyst because there was no dermal appendage but was rediagnosed as a conjunctival dermoid cyst after the tissue sample was examined more thoroughly. After surgery, the patient presented with diplopia due to esodeviation and was prescribed prismatic lenses. J Korean Ophthalmol Soc 2010;51(4):601-605

키워드

Conjunctival cyst, Conjunctival dermoid, Dermoid cyst, Orbital cyst