DR. SNEHA JAIN

Dr. SALIL KUMAR MANDAL, DR. SNEHA JAIN, Dr.SUMAN LODH

Abstract

Epidermoid cyst within the lid and orbit is extremely rare. A forty five years old male complaints of swelling at the right upper lid and orbital region .First noticed two years back with painless progressively increased in size and shape. Difficulties in opening of eye lid due to large swelling, feeling of heaviness in the right upper lid , occasional headache. Three years back , History of Right eye ocular infection following vegetative matter injury. Evisceration of right eye done for aforementioned reason. USG report shows Cystic encapsulated mass with calcification foci in Right upper lid -orbital region with fat component. MRI Right orbit shows Fairly large hyperintense cystic lesion with posterior extension up to optic canal.No intracranial extension. FNAC confirmed epidermal inclusion cyst. We did removal of mass with upper lid reconstruction .Great experience from superficial lid to deep orbital cavity is really amazing journey