Concluded Case

Patient came with history of swelling in the right eye. H/o normal eye at birth, but presence of a minor swelling under the right eye. Grew to the current size over past two months. On examination, Left eye - micro cornea. Right eye - behind the swelling, had iris coloboma. The swelling was fixed, skin couldn't be pinched, tense, brilliantly transilluminant. Appears to be a cystic swelling. Is it part of any syndrome or any other diagnosis. What should be the appropriate management?

3 Likes

LikeAnswersShare
Concluded answer

As per opinions by eminent doctors, this seems to be a case of orbital tumor most probably rhabdomyosarcoma with associated findings of coloboma and microcornea. The patient needs imaging methods such as USG scan and MRI to confirm the diagnosis and plan for further evaluation management.

All Answers

Considering the right eye only we may consider orbital tumors such as retinoblastoma/ rhabdomyosarcoma. Consider fundus evaluation under anaeasthesia for LE, MRI orbit to rule out any tumors. Presence of microcornea and coloboma may be coincidental/ syndromic assoc. Pls look for systemic anomalies if any.

Could be sturge weber syndrome... Rapid progression of swelling pointing towards rhabdomyosarcoma

Thank you doctor
0

Rhabdomyosarcoma

As per opinions by eminent doctors, this seems to be a case of orbital tumor most probably rhabdomyosarcoma with associated findings of coloboma and microcornea. The patient needs imaging methods such as USG scan and MRI to confirm the diagnosis and plan for further evaluation management.

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

DD are rhabdomyosarcoma Lymphangioma Capillary Hemangioma Dermoid Cyst Leukemia Lymphoma Metablastic Neuroblastoma Orbital Aspergillosis

Most probably rhabdomyosarcoma but with M.R.I. report make it confirm

Thank you doctor
0

Look like Rhaybdomyosarcoma but MRI is must to confirm

Cryptoophthalmos,isolated or syndromic

Thanks Sir for your valuable opinion. But the upper and lower eyelids weren't fused.
0

View 1 other reply

Rhabdomyosarcoma with cryptophthalmos

Thank you doctor
0
Load more answers