A Case of Intraconal Hematic Pseudocyst.
- Author:
Jong Joo LEE
1
;
Jong Hyun KIM
;
Sang Won HWANG
;
Nam Ju KIM
;
Ho Kyung CHOUNG
;
Sang In KHWARG
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. khwarg@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Hematic pseudocyst;
Intraconal;
Orbit
- MeSH:
Contusions;
Follow-Up Studies;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Orbit;
Visual Acuity;
Visual Fields
- From:Journal of the Korean Ophthalmological Society
2006;47(4):661-666
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Orbital hematic pseudocyst is the localized accumulation of organized blood-breakdown products within a fibrous capsule, and is known to be typically located subperiosteally. We report a case of orbital hematic pseudocyst in the intraconal space. METHODS: A 51-year-old man visited our clinic, complaining of injection and bruise of his right eye one month before. On the orbit MRI, a mass assumed to be benign was detected in the intraconal space of his right orbit. After several months of follow-up, a decrease of visual acuity and visual field defect were detected in his right eye. Excision of the mass was done through lateral and medial orbitotomy. RESULTS: Histologic examination showed the accumulation of blood-breakdown products within a fibrous capsule, and the mass was diagnosed as a hematic pseudocyst. CONCLUSIONS: When a well-demarcated and slowly growing mass is detected in the intraconal space of the orbit, the possibility of hematic pseudocyst should be considered.
