A case of eyelid neuroma with recurrent ptosis
Purpose: We report a rare case of eyelid neuroma, discovered nine years after external levator advancement, presenting with recalcitrant ocular foreign body sensation and pain, persistent corneal epithelial defect, followed by corneal scarring, and ptosis. Observations: An 85-year-old man with a his...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245199362300124X |
| _version_ | 1827591537102422016 |
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| author | Elana Meer Caitlyn Tse Raul Del Rosario Justin Karlin |
| author_facet | Elana Meer Caitlyn Tse Raul Del Rosario Justin Karlin |
| author_sort | Elana Meer |
| collection | DOAJ |
| description | Purpose: We report a rare case of eyelid neuroma, discovered nine years after external levator advancement, presenting with recalcitrant ocular foreign body sensation and pain, persistent corneal epithelial defect, followed by corneal scarring, and ptosis. Observations: An 85-year-old man with a history of multiple skin cancers presented with left ptosis, epiphora and recalcitrant eye pain. Nine years prior to presentation, he underwent excision of melanoma in situ of the left forehead, followed by simultaneous forehead reconstruction and left external ptosis repair. At presentation, he had left ptosis and left superior corneal scarring. Eversion of the eyelid demonstrated the presence of a nodule at the superior border of the tarsus. The patient underwent simultaneous excisional biopsy of the lesion and posterior ptosis repair by Müller muscle conjunctival resection (MMCR). He experienced postoperative resolution of pain, ptosis and epiphora. Histopathologic examination demonstrated the presence of a foreign body granuloma alongside a neuroma. Conclusions: This case highlights the importance of thorough eyelid exam in individuals with ocular surface disease. We review herein the pathophysiology and histopathology of eyelid neuroma. |
| first_indexed | 2024-03-09T01:34:09Z |
| format | Article |
| id | doaj.art-5168fb4838d7400fbebfc6bc00255c0b |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-03-09T01:34:09Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-5168fb4838d7400fbebfc6bc00255c0b2023-12-09T06:07:14ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362023-12-0132101916A case of eyelid neuroma with recurrent ptosisElana Meer0Caitlyn Tse1Raul Del Rosario2Justin Karlin3Department of Ophthalmology, University of California, San Francisco, CA, USADivision of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, CA, USABarr Dermatopathology, Irvine, CA, USADivision of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, CA, USA; Corresponding author. Doheny and Stein Eye Institutes, Division of Orbital and Oculoplastic Surgery, David Geffen School of Medicine at UCLA, 300 Stein Plaza, University of California, Los Angeles, CA, 90095, USA.Purpose: We report a rare case of eyelid neuroma, discovered nine years after external levator advancement, presenting with recalcitrant ocular foreign body sensation and pain, persistent corneal epithelial defect, followed by corneal scarring, and ptosis. Observations: An 85-year-old man with a history of multiple skin cancers presented with left ptosis, epiphora and recalcitrant eye pain. Nine years prior to presentation, he underwent excision of melanoma in situ of the left forehead, followed by simultaneous forehead reconstruction and left external ptosis repair. At presentation, he had left ptosis and left superior corneal scarring. Eversion of the eyelid demonstrated the presence of a nodule at the superior border of the tarsus. The patient underwent simultaneous excisional biopsy of the lesion and posterior ptosis repair by Müller muscle conjunctival resection (MMCR). He experienced postoperative resolution of pain, ptosis and epiphora. Histopathologic examination demonstrated the presence of a foreign body granuloma alongside a neuroma. Conclusions: This case highlights the importance of thorough eyelid exam in individuals with ocular surface disease. We review herein the pathophysiology and histopathology of eyelid neuroma.http://www.sciencedirect.com/science/article/pii/S245199362300124XEyelid neuromaRecurrent ptosisForeign body granulomaTraumatic neuroma |
| spellingShingle | Elana Meer Caitlyn Tse Raul Del Rosario Justin Karlin A case of eyelid neuroma with recurrent ptosis American Journal of Ophthalmology Case Reports Eyelid neuroma Recurrent ptosis Foreign body granuloma Traumatic neuroma |
| title | A case of eyelid neuroma with recurrent ptosis |
| title_full | A case of eyelid neuroma with recurrent ptosis |
| title_fullStr | A case of eyelid neuroma with recurrent ptosis |
| title_full_unstemmed | A case of eyelid neuroma with recurrent ptosis |
| title_short | A case of eyelid neuroma with recurrent ptosis |
| title_sort | case of eyelid neuroma with recurrent ptosis |
| topic | Eyelid neuroma Recurrent ptosis Foreign body granuloma Traumatic neuroma |
| url | http://www.sciencedirect.com/science/article/pii/S245199362300124X |
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