Indian Journal of Ophthalmology

BRIEF COMMUNICATION
Year
: 2014  |  Volume : 62  |  Issue : 3  |  Page : 344--346

Cholesterol granuloma of the orbit: An atypical presentation


Syed A R Rizvi1, Mahboob Hasan2, Mohammad S Alam1 
1 Institute of Ophthalmology, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India
2 Department of Pathology, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India

Correspondence Address:
Syed A R Rizvi
7, Alig Apartments, Shamshad Market, Aligarh - 202002,Uttar Pradesh
India

Cholesterol granuloma is a rare, well-defined lesion of the orbit. In the orbit, diploe of the frontal bone is involved almost exclusively. We report an atypical case of cholesterol granuloma involving superomedial quadrant of orbit. A 42-year-old male presented with progressive, painless, proptosis with infero-temporal displacement of left eye. A large mass was felt beneath the bony orbital margin in the superomedial quadrant of the left orbit. Computerized tomography (CT) scan revealed an extraconal superomedial, heterogeneous enhancing mass which was isodense with brain and pushing the globe inferolaterally and anteriorly. Excision biopsy of the tumor revealed the typical features of a cholesterol granuloma without any epithelial elements. Cholesterol granuloma of the orbit is a rare entity, but it can be diagnosed and differentiated from other lesions of the superior orbit by its characteristic clinical, radiological and histopathological features. An appropriate intervention in time carries a good prognosis with almost no recurrence.


How to cite this article:
Rizvi SA, Hasan M, Alam MS. Cholesterol granuloma of the orbit: An atypical presentation.Indian J Ophthalmol 2014;62:344-346


How to cite this URL:
Rizvi SA, Hasan M, Alam MS. Cholesterol granuloma of the orbit: An atypical presentation. Indian J Ophthalmol [serial online] 2014 [cited 2020 Feb 27 ];62:344-346
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=344;epage=346;aulast=Rizvi;type=0