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Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood

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 f...

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Autores principales: Kumar, Dhivya Ashok, Agarwal, Amar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621279/
https://www.ncbi.nlm.nih.gov/pubmed/28905840
http://dx.doi.org/10.4103/ijo.IJO_78_17
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author Kumar, Dhivya Ashok
Agarwal, Amar
author_facet Kumar, Dhivya Ashok
Agarwal, Amar
author_sort Kumar, Dhivya Ashok
collection PubMed
description 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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spelling pubmed-56212792017-10-04 Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood Kumar, Dhivya Ashok Agarwal, Amar Indian J Ophthalmol Brief Communications 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. Medknow Publications & Media Pvt Ltd 2017-09 /pmc/articles/PMC5621279/ /pubmed/28905840 http://dx.doi.org/10.4103/ijo.IJO_78_17 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Brief Communications
Kumar, Dhivya Ashok
Agarwal, Amar
Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
title Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
title_full Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
title_fullStr Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
title_full_unstemmed Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
title_short Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
title_sort giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood
topic Brief Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621279/
https://www.ncbi.nlm.nih.gov/pubmed/28905840
http://dx.doi.org/10.4103/ijo.IJO_78_17
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