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Gonzalo Blanco, MD, PhD; Rosario Esteban, MD, PhD; David Galarreta, MD; M. Antonia Saornil, MD, PhD

Arch Ophthalmol. 2001;119:771-773.

We report a case of an intradiploic epidermoid cyst of the lateral orbital wall that resulted in proptosis and downward displacement of the left eye. Computed tomography and magnetic resonance imaging revealed a bone-destroying mass involving the frontal, sphenoid, and zygomatic bones that extended into the orbit, temporalis, and anterior cranial fossa. Complete surgical removal was performed through a lateral orbitotomy. The lateral wall was reconstructed with a porous polyethylene sheet. The cyst has not recurred after 18 months of follow-up.

From the Instituto Universitario de Oftalmobiología Aplicada, Universidad de Valladolid (Drs Blanco, Galarreta, and Saornil), and the Departments of Ophthalmology (Drs Blanco, Galarreta, and Saornil) and Radiology (Dr Esteban), Hospital Universitario, Valladolid, Spain.