BRIEF COMMUNICATION |
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Year : 2017 | Volume
: 65
| Issue : 9 | Page : 884-886 |
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Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
Dhivya Ashok Kumar, Amar Agarwal
Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, India
Correspondence Address:
Amar Agarwal Dr. Agarwal's Eye Hospital and Eye Research Centre, 19, Cathedral Road, Chennai - 600 086, Tamil Nadu India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_78_17
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An upper lid eccrine hidrocystoma presenting as early childhood progressive ptosis is very rare. We present a 9-year-old female child with droopy right upper lid since birth and progressive increase in symptoms. She had right upper lid ptosis (marginal reflex distance 1 of −1 mm) with fair levator function (8 mm) and abnormal cystic change on the conjunctival side. Computerized tomography imaging delineated the well-defined cystic lesion with homogeneous cavity with no contrast enhancement. Following the cyst excision, a giant eccrine hidrocystoma measuring 25 mm × 15 mm was removed, the largest reported in pediatric eyes. The case demonstrates the possibility of giant lid eccrine hidrocystomas presenting as progressive ptosis at a pediatric age and the need for early surgical intervention to prevent amblyopia. |
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