Presentation
Soft tissue bulge in temporal side of the right upper eyelid.
Patient Data
There is a well-defined fat-containing cyst more compatible with a dermoid cyst in the subdermal of right upper eyelid extended within adjacent anterior temporal fossa with impression on related supratemporal orbital bony wall. The cyst has no obvious deep or postseptal extension.
Case Discussion
The case is a 20-year-old male with a history of enlarged soft tissue bulge in the outer side of the right upper eyelid. The orbital multislice Helical CT scan requested and relatively large well-defined fat-containing cyst more compatible with a dermoid cyst in the subdermal of the outer side of the right upper eyelid with an impression on the adjacent bone and also extension within anterior temporal fossa was found. Both the orbital CT scan and orbital MRI can be diagnostic for eyelids and orbital dermoid cyst.
The definitive treatment of eyelid dermoid cyst is complete surgical excision of the cyst, otherwise can be recurrent.