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An Eye for an Eye and a Tooth for a Tooth!

Dave, Tarjani Vivek, M.D.; Krishnamurthy, Ajay, M.D.; Patel, Anamika, M.D.

Ophthalmic Plastic & Reconstructive Surgery: September/October 2018 - Volume 34 - Issue 5 - p e176
doi: 10.1097/IOP.0000000000001004
OPRS Images

Ophthalmic Plastic Surgery Service, L V Prasad Eye Institute, Hyderabad, India

Accepted for publication July 26, 2017.

This study was supported by a research grant from the Hyderabad Eye Research Foundation.

The authors have no conflicts of interest to disclose.

Address correspondence and reprint requests to Tarjani Vivek Dave, M.D., Ophthalmic Plastic Surgery Service, L V Prasad Eye Institute, Hyderabad-34, India. E-mail: tvdeye@gmail.com

A 13-year-old girl, with congenital left dystopia, treated with prior excision biopsies, presented with recurrent dystopia (Fig. A). CT scan revealed a well-defined cystic lesion in the left orbit (Fig. B) with 2 teeth at the apex of the orbit (Fig. C). Intraoperative image–guided excision biopsy was performed through the inferior transconjunctival approach. The cyst was removed completely, exposing the teeth (Fig. D). The bone around the teeth was drilled (Fig. E), and both the teeth delivered with the roots (Fig. F). Intra- and postoperative course was uneventful. Histopathology of the cyst wall showed fibrocollagenous capsule but failed to show adnexal elements, possibly due to prior excision biopsies.

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