Traumatic intraconal hematic cyst of the orbit.
A 35-year-old man with a history of repeated previous facial injuries presented with acute onset of a right orbital mass less than 2 weeks after blunt trauma to the right eye. Orbital B-scan ultrasonography and computed tomography showed an intraconal cystic lesion. The tumor was excised via lateral orbitotomy. Pathologic evaluation demonstrated a hematic cyst containing fresh blood. The presence of hemosiderin in the cyst wall suggested recent bleeding in a preexisting orbital hemorrhagic lesion. Patients with hematic cysts of the orbit usually present with a subperiosteal mass months to years after trauma.
Goldberg
S H
SH
Department of Ophthalmology, Penn State University College of Medicine, Hershey 17033.
Sassani
J W
JW
Parnes
R E
RE
D000328:Adult; D003560:Cysts / Q000175:diagnosis / Q000209:etiology*; D005131:Eye Injuries / Q000150:complications*; D005151:Facial Injuries / Q000150:complications; D005654:Fundus Oculi; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D009915:Orbit / Q000293:injuries*; D009916:Orbital Diseases / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity