A case of dermoid cyst

Abstract

Dermoid cyst is a common ocular tumour, it accounts for 3-9% of paediatic ocular tumour. Childers with dermoid tumour persent with other congenital abnormality 13 year old girl presented to our OPD, with complains of swelling in her left eye upperlid since birth, patient has multiple facial anomalies. On ocular examination, her vision in both eyes were 6/6. A 3*3cm noted in the left upper lid near the lateral canthus. Clinical diagnosis of Dermoid cyst left eye upperlid made. A surgical excision biopsy was planned under General anaesthesia. Intraoperatively the cyst removed with the cyst wall intact. Cut section revealed cystic lesion with tangle of hair follicles. Specimen sent for histopathology. HPE confirmed the diagnosis of teratomatous dermoid cyst. Dermoid cysts account for 5% of all orbital lesions and are among the most common orbital tumors of childhood. Ophthalmologist should be aware to surgically excise these cyst meticulously so as to provide good cosmetic result to the patient.