Abstract:
:Two patients developed proptosis and a slowly enlarging mass with increasing discomfort in the orbital socket 17 and 25 years following enucleation. Preoperative CT scans revealed a single cystic structure within the orbits of each case with distinct soft tissue tumors adjacent to the cysts. The cystic structures and the adjacent solid masses were removed en bloc necessitating reconstruction of the orbits with a dermal fat pad (case 1) and a mucous membrane graft (case 2). Postoperatively the patients were free of complaints. Microscopically, the cystic structures were identified as conjunctival inclusion cysts while the soft tissue masses were traumatic neuromas with irregular tangles and whorls composed of proliferated axons, Schwann cells and connective tissue. Only seven amputation neuromas of the orbit have been reported. Pain related to the neuroma is rarely encountered and is probably caused by mechanical irritation of the amputation neuroma, by retracting scar tissue, or compression from an adjacent cystic mass as in one of our cases.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Messmer EP,Camara J,Boniuk M,Font RLdoi
10.1016/s0161-6420(84)34134-3subject
Has Abstractpub_date
1984-11-01 00:00:00pages
1420-3issue
11eissn
0161-6420issn
1549-4713pii
S0161-6420(84)34134-3journal_volume
91pub_type
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