PMC8232379_01
Photograph of the patient showing proptosis of the right eye.
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A 30-year male presented to the outpatient department with pain and bulging over the right eye for 3 months and diplopia for 2 months (Figure 1).
Orbit MRI. The cyst showed a hyperintense signal in both T1 (A) and T2-weighted images (B); C and D - T1- weighted image with fat-saturated sequence shows hypointense signals.
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On the MRI, the mass was hyperintense in both T1-weighted and T2-weighted images (Figure 2A and 2B).
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A - Photomicrograph of the cystic lesion shows the cyst wall lined by stratified squamous epithelium with keratinization and presence of adnexal structures [H&E 4x]; B - Photomicrograph shows part of cyst wall with lymphocytic infiltration (marked a) and focal foreign body giant cell reaction (marked b). [H&E 40x].
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On histopathology, a cyst wall was identified and was lined by keratinized stratified squamous epithelium with the presence of adnexal structures (Figure 3A). There was lymphocytic infiltration with a focal giant cell reaction without any evidence of granuloma or malignancy (Figure 3B).
Postoperative photograph of the patient one month after the surgery.
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The patient is on regular follow-up for the past six months with normal ocular motility without radiological/clinical recurrence of the disease (Figure 4).