Clinical Significance of Hematic Cyst of the Orbit

Jd, Cameron; Rd, Letson; Cg, Summers

doi:10.1097/00002341-198804020-00007

Cited by 8 publications

(1 citation statement)

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“…Lesions found within the intraconal space are extremely rare with only four reported cases representing about 2% of all documented cases 16 , 18, 19, 20. All patients presented with decreased visual acuity and choroidal folds.…”

Section: Discussionmentioning

confidence: 99%

Orbital cholesterol granuloma: A report and discussion of orbital findings

Rong

Erickson

Blessing

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose To report a case of orbital cholesterol granuloma and discuss the orbital findings seen in this entity. Observation A 38-year-old male presented with an 8-month history of progressive left upper lid ptosis and hypoglobus. Clinical examination was significant for 3 mm of hypoglobus and restricted supraduction in the left eye. Contrasted computed tomography imaging revealed a well-circumscribed lesion in the superotemporal orbit causing extensive bone erosion that appeared to arise from the lacrimal gland. An incisional biopsy was performed, and histopathological evaluation demonstrated fibrovascular tissue surrounding a mixture of histiocytes and cholesterol clefts, consistent with a cholesterol granuloma. Conclusions and importance Orbital cholesterol granulomas are rare lesions that are predominantly found in the superotemporal orbit. These lesions can be associated with marked bony changes in the superotemporal fossa that can be mistaken for a lacrimal gland neoplasm; however, bony erosion is a hallmark of this lesion and should be considered on the differential diagnosis of any lacrimal gland mass with extensive bony erosion.

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