Delhi Journal of Ophthalmology

A Misleading Orbital Cystic Lesion

Shruthi Tara, Shraddha Shah
Department of Orbit and Oculoplasty, Sankara Eye Hospital, Coimbatore, Tamil nadu, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Shruthi Tara (DO)
Deparment of Orbit and Oculoplasty, 
Sankara Eye Hospital,Coimbatore, Tamil nadu, India
E-mail: shruthitarav@gmail.com


Received: 12-MAR-2021 Accepted: 26-JAN-2022 Published Online: 03-APR-2022
DOI: https://dx.doi.org/10.7869/djo.742

Abstract
Orbital schwannomas are rare and arise from the Schwann cells of sensory nerves. Cystic degeneration has been known to occur with orbital schwannomas but those occurring intra-ocularly have not been reported till date. Authors here report a rare case of a 24 year old woman, blind in the right eye, presenting with right sided headache and progressive proptosis since four years. Computer tomography (CT) of right eye showed presence of a well-demarcated, retro-orbital cystic lesion with a solid component causing displacement of the globe-like structure and bony remodelling. From the clinical and radiological features a pre-operative diagnosis of a right congenital cystic eyeball and a left microphthalmos with cyst was made. The patient underwent enucleation of the right eye along with the cystic lesion as a whole. Based on histopathology, a final diagnosis of an orbital schwannoma with extensive cystic degeneration and intra-ocular extension was made 

Keywords :Bilateral, Cystic degeneration, Intra-ocular extension, Orbital, Schwannoma

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