Herzau V, Steuhl K P, Ioannakis K, Petersen D
Klin Monbl Augenheilkd. 1987 May;190(5):431-5. doi: 10.1055/s-2008-1050427.
Teratomas are rare cystic tumors of the orbit which lead to excessive congenital exophthalmos. They increase rapidly in size after birth and therefore require immediate surgical treatment. Initial puncture of the cyst under sonographic control prevents progressive mechanical damage to the globe and the optic nerve, providing sufficient time for the preoperative measures required prior to final surgical removal. The characteristic clinical features make it easy to identify a teratoma provided it has been taken into consideration in the differential diagnosis. It is shown with reference to one of the authors' own cases that a good functional result is possible after removal of the encapsulated tumor with preservation of the globe, even when the eye has been excessively displaced by the tumor.
畸胎瘤是眼眶罕见的囊性肿瘤，可导致先天性眼球突出过度。出生后其大小迅速增加，因此需要立即进行手术治疗。在超声控制下对囊肿进行初始穿刺可防止对眼球和视神经造成进行性机械损伤，为最终手术切除前所需的术前措施提供足够的时间。如果在鉴别诊断中考虑到畸胎瘤，其特征性的临床特征使其易于识别。本文结合作者自身的一个病例表明，即使眼球已被肿瘤过度移位，在保留眼球的情况下切除包膜完整的肿瘤后仍可能获得良好的功能结果。
