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D. S. Gombos, A. Husain, G. Fuller, B. Esmaeli; Microphthalmia With Orbital Cyst: Features Unique to Adult Presentation. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3570. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To assess microphthalmia with colobomatous orbital cyst presenting in the adult population.
Case report and literature review.
Sixteen patients were identified with an average age of presentation of 41 (range 21- 75). 12 of 16 cases (75%) occurred in males. Eight (50 %) were unilateral. The most common chief complaints were poor vision (31%) and pain (25%). In those cases in which vision was reported, 10/16 patients (62.5%) had a visual acuity ranging from 20/400 to NLP. Six patients (37.5%) had a lens opacity/cataract. Five cases (31%) had some form of glaucoma. Seven cases (44%) revealed an anterior segment dysgenesis. Eight cases (50%) were diagnosed with ophthalmic echography. In half of these cases a connection between the cyst and vitreous cavity was identified. Histopathology obtained in 5 cases demonstrated a collagen/vascular outer shell with a neuroectoderm inner core. Five cases (31%) required enucleation for symptomatic relief. Four elected to have no treatment (25%). Cystic aspiration was not performed in any patient.
Main Outcome Measures::
age, presenting symptoms, clinical features, treatment, and histopathologic findings.
Adult microphthalmia with cyst presents differently from those in the pediatric population. In adults, history of poor vision and new onset orbital pain with orbital malformation should incite the clinician to consider imaging such as echography to rule out this phenomenon. These patients may benefit from enucleation for pain management.
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