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    Conjunctival Dermolipoma

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    IJAR JOURNAL
    This document reports a case study of a 2-year-old male child who presented with a painless swelling in his left eye since birth. Upon examination, a non-mobile, non-tender lesion was located in the temporal aspect of the left eye. An orbital CT scan ruled out orbital extension and clarified the relationship with ocular structures. The patient underwent surgical excision and the anatomo-pathological study confirmed the diagnosis of dermolipoma, a benign conjunctival tumour composed of adipose tissue and dense connective tissue. The post-operative follow-up was simple without complications.

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    Conjunctival Dermolipoma

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    IJAR JOURNAL
    42 views2 pages
    This document reports a case study of a 2-year-old male child who presented with a painless swelling in his left eye since birth. Upon examination, a non-mobile, non-tender lesion was located in the temporal aspect of the left eye. An orbital CT scan ruled out orbital extension and clarified the relationship with ocular structures. The patient underwent surgical excision and the anatomo-pathological study confirmed the diagnosis of dermolipoma, a benign conjunctival tumour composed of adipose tissue and dense connective tissue. The post-operative follow-up was simple without complications.

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    International Journal of Advanced Research (IJAR)

    Original Title

    CONJUNCTIVAL DERMOLIPOMA

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    This document reports a case study of a 2-year-old male child who presented with a painless swelling in his left eye since birth. Upon examination, a non-mobile, non-tender lesion was located in the temporal aspect of the left eye. An orbital CT scan ruled out orbital extension and clarified the relationship with ocular structures. The patient underwent surgical excision and the anatomo-pathological study confirmed the diagnosis of dermolipoma, a benign conjunctival tumour composed of adipose tissue and dense connective tissue. The post-operative follow-up was simple without complications.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views2 pages

    Conjunctival Dermolipoma

    Uploaded by

    IJAR JOURNAL
    This document reports a case study of a 2-year-old male child who presented with a painless swelling in his left eye since birth. Upon examination, a non-mobile, non-tender lesion was located in the temporal aspect of the left eye. An orbital CT scan ruled out orbital extension and clarified the relationship with ocular structures. The patient underwent surgical excision and the anatomo-pathological study confirmed the diagnosis of dermolipoma, a benign conjunctival tumour composed of adipose tissue and dense connective tissue. The post-operative follow-up was simple without complications.

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    ISSN: 2320-5407 Int. J. Adv. Res.

    10(01), 1187-1188

    Journal Homepage: - www.journalijar.com

    Article DOI: 10.21474/IJAR01/14162


    DOI URL: http://dx.doi.org/10.21474/IJAR01/14162

    RESEARCH ARTICLE
    CONJUNCTIVAL DERMOLIPOMA

    Kamelia Rifai, Salma Moutamani and Lalla Ouafa Cherkaoui


    Department A of Ophthalmology, Mohammed V University Souissi, Rabat, Morocco.
    ……………………………………………………………………………………………………....
    Manuscript Info Abstract
    ……………………. ………………………………………………………………
    Manuscript History
    Received: 30 November 2021
    Final Accepted: 31 December 2021
    Published: January 2022

    Key words:-
    Dermolipoma, Benign Conjunctival
    Tumour, Surgical Excision Copy Right, IJAR, 2022,. All rights reserved.
    ……………………………………………………………………………………………………....
    Introduction:-
    Case Report:
    Dermolipoma is an ectopic skin formation, it’s a conjunctival lesioncomposed of adipose tissue and dense
    connective tissue that develops at the level of the fornix of the external canthus. Such choristomas of dermal
    elements are normally found at the outer canthus and have a gelatinous appearance. Classically, there is an indistinct
    posterior border and a well-demarcated anterior border several millimeters posterior to the limbus. Histologically, a
    lipodermoid is adipose tissue covered by connective tissue while a dermoid is comprised of collagen connective
    tissue covered by epidermal epithelium.

    If the dermoid or dermolipoma is accompanied by other systemic conditions or ocular anomalies in young children,
    Goldenhar syndrome needs to be ruled out. This paper reports a unilateral conjunctival dermolipoma in a healthy
    male child2.

    Dermolipoma surgery is not without its dangers, there is essentially a risk of injuring the lateral rectus muscle and
    the levator muscleof the upper eyelid; because there is no cleavage plane between the lesion and the adjacent normal
    tissues to which it adheres. The anterior surface of the dermolipoma is inseparable from the temporal bulbar
    conjunctiva. Its posterior surface is adjacent to the lateral rectus muscle and may extend upward to the levator-
    Müller complex of the upper eyelid and to the lacrimal gland.

    We report the case of a 2-years-old with who presented painless swelling in the lateral aspect of the left eye since
    birth. He had no visual disturbances. He had no documented history of infection, trauma, or surgery to the orbit or
    adjacent skin. On examination, the nonmobile, non-tender lesion was located in the temporal aspect of the left eye
    (figure1)It could not be repositioned into the orbit. There was no associated feature of surrounding inflammation.
    The other eye did not show any finding.The child had undergone an orbital CT scan to eliminate orbital extension
    and clarify the relationship with the different ocular structures.

    The main differential diagnoses are conjunctival cyst, Complex choristoma of the conjunctiva, and dermoid cyst.

    Corresponding Author:- Kamelia Rifai


    Address:- Department A of Ophthalmology, Mohammed V University Souissi, Rabat, Morocco.
    1187
    ISSN: 2320-5407 Int. J. Adv. Res. 10(01), 1187-1188

    The patient underwent surgical excision, the anatomo-pathological study confirmed the diagnosis of dermolipoma.
    The post-operative follow-up was simple.

    Figure 1:- Dermolipoma.

    Competing interest:
    No potential conflict of interest relevant to this article was reported.

    Authors’ contributions:
    All authors have contributed to redaction, verification, and correction of this work.

    References:-
    1. Kim E, Kim HJ, Kim YD, et al. Subconjunctival fat prolapse and dermolipoma of the orbit: differentiation on
    CT and MR Imaging AJNR. Am J Neuroradiol 2011;32(3):465-7.
    2. Ding X, Wang X, Cao Y, et al. Goldenhar syndrome with blepharophimosis and limb deformities: a case report
    BMC Ophthalmology 2018;18(1):206.

    1188

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