Abstract
Abstract: :
Purpose: Deep granuloma annulare (also known as pseudorheumatoid nodules) is an idiopathic condition characterized by necrobiotic granulomas surrounded by palisading fibroblasts and histiocytes. It is, in general, a benign entity usually occurring in children. While associations with other systemic and ocular conditions have been found, to our knowledge granuloma annulare has not been previously reported in connection with congenital ptosis. Method: Case report with histopathologic confirmation of granuloma annulare in association with congenital ptosis. Results: A two–year–old boy with unilateral congenital ptosis of the right eye underwent levator resection. Three weeks after successful eyelid surgery, he sustained blunt trauma to the involved eye resulting in immediate reappearance of the ptosis. During subsequent resection of the levator superiorus muscle, skin and scar tissue were excised. Histopathologic examination of the surgical specimen led to a diagnosis of deep granuloma annulare.Conclusion: This case raises the possibility that there is a causal relationship between deep granuloma annulare and congenital ptosis, perhaps due to interference with normal development and function of the levator complex.
Keywords: eyelid • pathology: human