Congenital orbital teratoma

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Shereen Aiyub ; WengOnn Chan ; John Szetu ; Laurence J Sullivan ; John Pater ; Peter Cooper ; Dinesh Selva (2013)
  • Publisher: Wolters Kluwer Medknow Publications
  • Journal: Indian Journal of Ophthalmology, volume 61, issue 12, pages 767-769 (issn: 0301-4738, eissn: 1998-3689)
  • Related identifiers: doi: 10.4103/0301-4738.111219, pmc: PMC3917402
  • Subject: optimizing donor tissue utilization | spectacles use | RE1-994 | glaucoma | orbital | uncorrected refractive errors | Traumatic chiasmal syndrome | rapid | death to enucleation time | cross-sectional studies | subretinal abscess | Duane syndrome | indo cyanine green angiography | death to preservation time | Children | Phaeohyphomycosis | Thailand | vascular pattern | Bevacizumab | Aphakia | drug-induced | Drug reaction | Age-related macular degeneration | pigmented fungi | esotropia | neurosensory retinal cells | combination | eye bank specular microscopy | timolol | mitochondrial function | endodiathermy bipolar probe | retinal nerve fiber layer thickness | Biological amniotic membrane | dermis fat graft | tissue culture | rapid assessment of refractive errors | Congenital | GDx variable corneal compensation | lutein | strabismus | subacute cutaneous lupus erythematosus | retinal vasculitis | nasolacrimal duct obstruction | Coloboma of the choroid | pediatric aphakia | Bitemporal hemianopia | Brimonidine | carotenoids | intraocular pressure | visual field | ranibizumab | Prevalence | DCR | vanadium steel | retina | secondary intraocular lens implantation | retinal pigment epithelial cells | visual impairment | steel suture | Ophthalmology | teratoma | coloboma optic disc | probing | normal | complications | Amblyopia | Brief Communication | trabeculectomy | microvascular endothelial cells | subretinal biopsy | recanalize | etiology | 5-fluorouracil | Clinical donor tissue grading | inadequate capsular support | trans-scleral fixation | Indian | Clinical features
    mesheuropmc: genetic structures | endocrine system diseases | eye diseases | body regions | sense organs

We present a case of mature congenital orbital teratoma managed with lid-sparing exenteration and dermis fat graft. This is a case report on the management of congenital orbital teratoma. A full-term baby was born in Fiji with prolapsed right globe which was surrounded by a nonpulsatile, cystic mass. Clinical and imaging features were consistent with congenital orbital teratoma. Due to limited surgical expertise, the patient was transferred to Adelaide, Australia for further management. The patient underwent a lid-sparing exenteration with frozen section control of the apical margin. A dermis fat graft from the groin was placed beneath the lid skin to provide volume. Histopathology revealed mature tissues from each of the three germ cell layers which confirmed the diagnosis of mature teratoma. We describe the successful use of demis fat graft in socket reconstruction following lid-sparing exenteration for congenital orbital teratoma.
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