ABSTRACT
PURPOSE: To study the clinical features, histopathology, and management of congenital upper eyelid coloboma (CEC) in the Saudi population. METHODS: A retrospective review of health records evaluated the demographics, histopathology, and surgical outcomes of patients with CEC. RESULTS: Thirty-nine eyelids of 27 patients were included in this study. CEC was bilateral in 12 (44.4%) patients, isolated in 17 (62.9%), and as part of a syndrome in 10 (37.1%) patients. CEC was commonly located in the medial upper lid (22 lids, 56.4%) and mostly involved the full thickness of the lid (27 lids, 69.2%). Corneal adhesion (18 eyes, 46.1%) and poorly formed eyebrows (21 eyebrows, 53.8%) were the most common ocular/adnexa associations. Histopathology was similar in all cases and the main features were scarred dermis, atrophic orbicularis oculi, and atrophic or absent tarsus. Visual acuity at the final follow-up was 20/50 or better in 13 (33.3%) eyes. Complete lid closure without lagophthalmos after one or more surgical procedures was achieved in 11 (40.7%) cases. CONCLUSIONS: CEC features in Saudi patients are similar to those described in the literature. Dermal scarring and defective orbicularis muscles are common. Achieving cosmetic and functional success after management remains challenging.
Subject(s)
Coloboma/pathology , Eyelids/abnormalities , Adolescent , Adult , Aged , Child , Child, Preschool , Coloboma/epidemiology , Coloboma/surgery , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Ophthalmologic Surgical Procedures , Retrospective Studies , Saudi Arabia/epidemiology , Visual AcuityABSTRACT
Ocular osseous choristoma, a rare idiopathic benign deposit of bone, is typically a static epibulbar lesion that occurs sporadically in the supertemporal quadrant of an otherwise normal eye. The subject of this report is a unique U-shaped subcutaneous osseous choristoma that did not involve the eye itself but rather conformed to the right lateral canthus in an otherwise normal 2-year-old boy.
Subject(s)
Bone and Bones , Choristoma/diagnosis , Eyelid Diseases/diagnosis , Child, Preschool , Choristoma/congenital , Choristoma/surgery , Diagnosis, Differential , Eyelid Diseases/congenital , Eyelid Diseases/surgery , Follow-Up Studies , Humans , Male , Ophthalmologic Surgical Procedures/methodsABSTRACT
A rare cause of axial proptosis, orbital epithelial cysts are presumed to be of conjunctival origin if the wall is composed of nonkeratinized squamous epithelium (especially if goblet cells are present). These cysts can occur at any age and are typically surgically resected if symptomatic. The subject of this report is the management of a congenital orbital epithelial cyst by needle aspiration in a newborn with ipsilateral esotropia and severe unilateral proptosis.
Subject(s)
Cysts/surgery , Exophthalmos/surgery , Orbital Diseases/surgery , Cysts/complications , Cysts/pathology , Diagnosis, Differential , Epithelium/pathology , Exophthalmos/complications , Exophthalmos/congenital , Humans , Infant, Newborn , Magnetic Resonance Imaging , Male , Ophthalmologic Surgical Procedures , Orbital Diseases/complications , Orbital Diseases/pathology , Suction/methodsABSTRACT
PURPOSE. A 32-year-old Saudi female presented with typical Kikuchi-Fujimoto disease, i.e., fever, cervical lymphadenitis and leukopenia, but there was also painful upper eyelid swelling with pain on upgaze. METHODS. A connective tissue disease and lymphoma workup were unremarkable, as were antibody titers to Apifia felis and Bartonella henselae. RESULTS. Orbital computed tomography showed significant lacrimal gland enlargement. Cervical node biopsy revealed necrotizing lymphadenitis. CONCLUSION. Concomitant lacrimal gland inflammation and cervical lymphadenopathy may be a benign self-limited disease.
