Abstract
Over a thirteen year period forty patients underwent surgery to remove an orbital dermoid cyst. Cysts which became manifest after the age of three years were deeper and larger than most that were noted before that age. Three out of four epidermoid cysts appeared after the age of 17 years and had an intracranial component. The majority of cysts showed histological evidence of leakage and associated inflammation. It is our view that dermoid cysts should be totally excised because they gradually enlarge and cause inflammation and scarring in adjacent structures.
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Batsakis JG : Teratomas of the head and neck. In tumours of the head and neck. Clinical and pathological considerations. Williams and Wilkins Co. 1974. 155–161.
Brownstein MH and Helwig EB : Subcutaneous dermoid cysts. Arch Dermatol 1973; 10: 237–9.
Jakobiec FA, Bonnano PA, Sigelman J : Con-junctival adnexal cysts and dermoids. Arch Ophthalmol 1978; 96: 1404–9.
Shields JA, Augsburger JJ, Donoso LA : Orbital dermoid cyst of conjunctival origin. Am J Ophthalmol 1986; 101: 726–9.
Pollard ZF, Harley RD, Colhoun J : Dermoid cysts in children. Pediatrics 1976; 57: 379–82.
Nicholson DH, Green WR : Tumors of the eye, lids and orbit. In Harley RD ed. Pediatric Ophthalmology. Philadelphia, WB Saunders & Co. 1975; 1001.
Grove AS Jr: Orbital disorders: diagnosis and management. In McCord CD Jr. ed. Oculoplastic surgery. New York: Raven Press 1981: 274–277.
Sherman RP, Rootman J, LaPointe JS : Orbital dermoids: clinical presentation and management. Br J Ophthalmol 1984; 68; 642–52.
Wright JE, Lloyd GAS, Ambrose J : Computerised Tomography in the detection of orbital space occupying lesions. Am J Ophthalmol 1975; 80: 78–81.
Blei L, Chambers JT, Liotta LA, Di Chiro G : Orbital dermoid diagnosed by computed tomographic scanning. Am J Ophthalmol 1978; 85: 58–61.
Moseley IF and Sanders MD : Compterised Tomography in neuro-ophthalmology. London: Chapman and Hall 1982; 59.
Zimmerman RA, Bilaniuk LT, Yanoff M, Schenk JF, Hart HR, Foster TH, Edelstein WA, Bottomley PA, Redington RW, Hardy CJ : Orbital magnetic resonance imaging. Am J Ophthalmol 1985; 100: 312–7.
Pfeiffer RL and Nicholl RJ : Dermoid and epidermoid tumours of the orbit. Arch Ophthalmol 1948; 40: 639–64.
Carey PC : Epidermoid and dermoid tumours of the orbit. Br J Ophthalmol 1958; 42: 225–39.
Warwick R and Williams PW eds. Gray's Anatomy . 35th Edition Norwich: Longman 1973: 125.
Grove AS : Giant dermoid cysts of the orbit. Ophthalmology 1979; 86: 1513–20.
Kennedy RE : Marsupialization of inoperable orbital dermoids. Trans Am Ophthalmol Soc 1970; 68: 146–64.
Cullen JF : Orbital diploic dermoids. Br J Ophthalmol 1974; 58; 105–6.
Pollard ZF and Calhoun J : Deep orbital dermoid with draining sinus. Am J Ophthalmol 1975; 79: 310–13.
MacDonald R and Byers J : Dermoid tumour simulating a neoplasm. Am J Ophthalmol 1959; 47: 863–6.
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Presented at the Annual Congress of the Opthalmological Society of the United Kingdom, April 1987.
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Lane, C., Ehrlich, W. & Wright, J. Orbital dermoid cyst. Eye 1, 504–511 (1987). https://doi.org/10.1038/eye.1987.76
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DOI: https://doi.org/10.1038/eye.1987.76