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Orbital and periorbital cystic lesions in Indian children : A retrospective analysis from a tertiary care hospital
Author(s) -
SETHI S,
BAJAJ MS,
PUSHKER N,
MEHTA M,
KASHYAP S,
SEN S,
CHAWLA B,
GHOSE S
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.352.x
Subject(s) - medicine , lesion , maldevelopment , mucocele , retrospective cohort study , lymphangioma , cysticercosis , cyst , pathology , anatomy
Purpose Cystic lesions in orbital and periorbital area constitute a group with diverse etiopathogenesis and varied clinical and histopathologic findings. Through this study we present a review of all patients 18 years or less diagnosed histopathologically as orbital or periorbital cystic lesions, over a period of 3 years. Methods Retrospective observational case series of histopathologically proven cysts or lesions with cystic changes, in patients 18 years or less, from Jan 2006 to Dec 2008. Results There were a total of 97 patients, age 4 months to 18 years (mean 11.63 ± 4.48). Cysts of the surface epithelium were the most frequent lesion seen (n:50; 51.5%), of which 39 (40.2%) were dermoid cysts and 11 (11.3%) were simple epithelial cysts. Other lesions in decreasing order of frequency were: inflammatory cystic lesions ‐ abscesses and parasitic cysts (n:16, 16.5%); neural cysts associated with ocular maldevelopment or associated with brain and meningeal tissue (n:14; 14.4%); non‐cystic lesions with cystic components like lymphangioma (n:12; 12.4%); and secondary cysts ‐ mucoceles and lacrimal cysts (n:5; 5.2%). Conclusion In our series cysts of the surface epithelium were the most commonly seen cystic lesion. Also noticeable is the high frequency of inflammatory lesions including parasitic and cysticercosis cysts. Cystic lesions behave clinically as benign lesions, however significant morbidity can be associated because of aesthetic considerations and vision loss owing to optic nerve compression.