Pediatric Periocular Dermoid Cysts: Incidence, Clinical Characteristics, and Surgical Outcomes. Ophthalmic Epidemiol 2019 Apr;26(2):117-120
Date
09/28/2018Pubmed ID
30260262Pubmed Central ID
PMC6839760DOI
10.1080/09286586.2018.1525412Scopus ID
2-s2.0-85053909598 (requires institutional sign-in at Scopus site) 13 CitationsAbstract
PURPOSE: To report the incidence, clinical findings, and surgical outcomes of periocular dermoid cysts diagnosed among children over a 20-year period.
METHODS: All patients ≤5 years of age, who were diagnosed with a periocular dermoid cyst in Olmsted County, Minnesota from 1986 to 2005 were reviewed to determine the population incidence, clinical presentation, and management outcomes.
RESULTS: A total of 54 children were diagnosed with a periocular dermoid cyst during the 20-year period, yielding a birth incidence of 1 in 638 live births. The mean age at diagnosis was 12 months (range, 1 month-60 months) and 29 (53.7%) were female. A total of 44 cysts (81.5%) occurred in the superotemporal orbital rim, 6 (11.1%) in the superonasal orbital rim, 3 (5.6%) in other periocular areas, and one (1.9%) within the orbit. A total of 34 (63%) children had an ophthalmic exam, all without amblyopia or other ocular sequelae. A total of 48 (88.9%) patients underwent surgical excision with 5 (10.4%) having documented intra-operative cyst rupture, none of whom had post-operative complications. Two (4.2%) other patients were, however, noted to have lesion recurrence following surgical intervention.
CONCLUSIONS: Periocular dermoid cysts occur in approximately 1 in 650 live births and most commonly occur in the superotemporal region of children aged 1 year or less. Ocular sequelae are rare and surgical excision often yields excellent results.
Author List
Bajric J, Griepentrog GJ, Mohney BGAuthor
Gregory J. Griepentrog MD Associate Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Child, PreschoolDermoid Cyst
Eyelid Neoplasms
Female
Humans
Incidence
Infant
Male
Minnesota
Orbital Neoplasms
