Malaikah Rawan H, Altwijri Rahaf J, Alkatan Hind M, Alsuhaibani Adel H
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Saudi J Ophthalmol. 2021 Nov 17;35(3):273-275. doi: 10.4103/SJOPT.SJOPT_160_21. eCollection 2021 Jul-Sep.
Ocular choristomas are rare lesions that have been reported at the conjunctiva, sclera, orbit, or intraocularly with significant potential for visual disturbance. The complex type of choristomas shows a mixture of different cartilaginous, glandular, and muscular tissue in addition to fat. We present a patient with an associated eyelid coloboma and complex choristoma. A 12-day-old baby boy was referred to our hospital with an upper medial eyelid coloboma affecting almost two-thirds of the eyelid length with an additional sub-brow mass since birth. The baby also had secondary findings to the eyelid coloboma defect: temporal conjunctival symblepharon, vascularized cornea, and inferior pannus. The patient underwent an upper eyelid reconstruction with excisional biopsy of the sub-brow mass, which was diagnosed as a complex choristoma. This is the first case of an eyelid coloboma-associated with complex choristoma without any other systemic associations.
眼迷离瘤是一种罕见的病变,已报道于结膜、巩膜、眼眶或眼内,具有显著的视力障碍风险。复杂型迷离瘤除脂肪外,还表现为不同软骨、腺体和肌肉组织的混合。我们报告一例伴有眼睑缺损和复杂迷离瘤的患者。一名12天大的男婴因上睑内侧缺损几乎累及三分之二的睑裂长度并自出生起伴有眉下肿物被转诊至我院。该婴儿还存在眼睑缺损的继发表现:颞侧结膜睑球粘连、角膜血管化和下方血管翳。患者接受了上睑重建术并对眉下肿物进行了切除活检,诊断为复杂迷离瘤。这是首例眼睑缺损与复杂迷离瘤相关且无任何其他全身关联的病例。