An orbital calcific cyst following exenteration

Naomi Hasegawa, Jiawei Zhao, Daniel A. Greninger, Jonathan Lu, Michael K. Yoon, Ying Chen, Timothy J. McCulley

Research output: Contribution to journalArticlepeer-review

Abstract

A 77-year-old Asian female with a history of left orbit exenteration and lid-sparing reconstruction for recurrent sebaceous carcinoma presented with fluid-like sensation of the left orbit. Magnetic resonance imaging (MRI) demonstrated bright T2 signal and a cyst-like cavity within the exenterated orbit. Decision was made to proceed with surgical exploration and excision. A calcified, bone-like cavity was encountered intraoperatively and removed. Histopathology revealed dense fibrous connective tissue with areas of calcification without osseous metaplasia, suggestive of retained blood in the orbit that underwent dystrophic calcification. This case report illustrates a rare occurrence of a bone-like calcific cyst following exenteration.

Original languageEnglish (US)
Pages (from-to)385-388
Number of pages4
JournalOrbit (London)
Volume43
Issue number3
DOIs
StatePublished - 2024
Externally publishedYes

Keywords

  • Orbital calcific cyst
  • dystrophic calcification
  • hyperostosis
  • orbital exenteration
  • osseous metaplasia

ASJC Scopus subject areas

  • Ophthalmology

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