Cargando…
A case of eyelid neuroma with recurrent ptosis()
PURPOSE: We report a rare case of eyelid neuroma, discovered nine years after external levator advancement, presenting with recalcitrant ocular foreign body sensation and pain, persistent corneal epithelial defect, followed by corneal scarring, and ptosis. OBSERVATIONS: An 85-year-old man with a his...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466909/ https://www.ncbi.nlm.nih.gov/pubmed/37654425 http://dx.doi.org/10.1016/j.ajoc.2023.101916 |
_version_ | 1785098996558069760 |
---|---|
author | Meer, Elana Tse, Caitlyn Del Rosario, Raul Karlin, Justin |
author_facet | Meer, Elana Tse, Caitlyn Del Rosario, Raul Karlin, Justin |
author_sort | Meer, Elana |
collection | PubMed |
description | PURPOSE: We report a rare case of eyelid neuroma, discovered nine years after external levator advancement, presenting with recalcitrant ocular foreign body sensation and pain, persistent corneal epithelial defect, followed by corneal scarring, and ptosis. OBSERVATIONS: An 85-year-old man with a history of multiple skin cancers presented with left ptosis, epiphora and recalcitrant eye pain. Nine years prior to presentation, he underwent excision of melanoma in situ of the left forehead, followed by simultaneous forehead reconstruction and left external ptosis repair. At presentation, he had left ptosis and left superior corneal scarring. Eversion of the eyelid demonstrated the presence of a nodule at the superior border of the tarsus. The patient underwent simultaneous excisional biopsy of the lesion and posterior ptosis repair by Müller muscle conjunctival resection (MMCR). He experienced postoperative resolution of pain, ptosis and epiphora. Histopathologic examination demonstrated the presence of a foreign body granuloma alongside a neuroma. CONCLUSIONS: This case highlights the importance of thorough eyelid exam in individuals with ocular surface disease. We review herein the pathophysiology and histopathology of eyelid neuroma. |
format | Online Article Text |
id | pubmed-10466909 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-104669092023-08-31 A case of eyelid neuroma with recurrent ptosis() Meer, Elana Tse, Caitlyn Del Rosario, Raul Karlin, Justin Am J Ophthalmol Case Rep Case Report PURPOSE: We report a rare case of eyelid neuroma, discovered nine years after external levator advancement, presenting with recalcitrant ocular foreign body sensation and pain, persistent corneal epithelial defect, followed by corneal scarring, and ptosis. OBSERVATIONS: An 85-year-old man with a history of multiple skin cancers presented with left ptosis, epiphora and recalcitrant eye pain. Nine years prior to presentation, he underwent excision of melanoma in situ of the left forehead, followed by simultaneous forehead reconstruction and left external ptosis repair. At presentation, he had left ptosis and left superior corneal scarring. Eversion of the eyelid demonstrated the presence of a nodule at the superior border of the tarsus. The patient underwent simultaneous excisional biopsy of the lesion and posterior ptosis repair by Müller muscle conjunctival resection (MMCR). He experienced postoperative resolution of pain, ptosis and epiphora. Histopathologic examination demonstrated the presence of a foreign body granuloma alongside a neuroma. CONCLUSIONS: This case highlights the importance of thorough eyelid exam in individuals with ocular surface disease. We review herein the pathophysiology and histopathology of eyelid neuroma. Elsevier 2023-08-19 /pmc/articles/PMC10466909/ /pubmed/37654425 http://dx.doi.org/10.1016/j.ajoc.2023.101916 Text en © 2023 The Authors. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Meer, Elana Tse, Caitlyn Del Rosario, Raul Karlin, Justin A case of eyelid neuroma with recurrent ptosis() |
title | A case of eyelid neuroma with recurrent ptosis() |
title_full | A case of eyelid neuroma with recurrent ptosis() |
title_fullStr | A case of eyelid neuroma with recurrent ptosis() |
title_full_unstemmed | A case of eyelid neuroma with recurrent ptosis() |
title_short | A case of eyelid neuroma with recurrent ptosis() |
title_sort | case of eyelid neuroma with recurrent ptosis() |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466909/ https://www.ncbi.nlm.nih.gov/pubmed/37654425 http://dx.doi.org/10.1016/j.ajoc.2023.101916 |
work_keys_str_mv | AT meerelana acaseofeyelidneuromawithrecurrentptosis AT tsecaitlyn acaseofeyelidneuromawithrecurrentptosis AT delrosarioraul acaseofeyelidneuromawithrecurrentptosis AT karlinjustin acaseofeyelidneuromawithrecurrentptosis AT meerelana caseofeyelidneuromawithrecurrentptosis AT tsecaitlyn caseofeyelidneuromawithrecurrentptosis AT delrosarioraul caseofeyelidneuromawithrecurrentptosis AT karlinjustin caseofeyelidneuromawithrecurrentptosis |