American Journal of Ophthalmology Case Reports (Jun 2022)

Congenital orbital teratoma: A clinicopathologic case report

  • Aja Reinhold,
  • Peter Meyer,
  • Elisabeth Bruder,
  • Jehuda Soleman,
  • Nicolas von der Weid,
  • Andreas Albert Mueller,
  • Miodrag Savic

Journal volume & issue
Vol. 26
p. 101420

Abstract

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Purpose: Orbital teratoma can be removed in order to preserve the bulb. Observations: Case report of a newborn with an orbital tumor. After spontaneous birth, a massive bulbus protrusion on the left side was observed. Magnetic Resonance Imaging (MRI) diagnosis showed an intraorbital cystic lesion containing solid parts and displacing the bulbus oculi. Suspecting a teratoma, primarily a cystic puncture was performed on the first day of life. On the 3rd day of life, cystic lesion was completely resected while preserving the bulbus. Histologically a mature cystic teratoma was observed. Conclusion and Importance: This case shows how important prenatal diagnostics is in order to plan the necessary birth preparations in advance and that a bulbus-preserving surgery in orbital teratoma is possible. In the absence of yolk-salk tumor it is associated with a good prognosis.

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