Giant eyelid eccrine hidrocystoma-induced progressive ptosis in childhood

• Main Authors: Dhivya Ashok Kumar, Amar Agarwal
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Childhood acquired ptosis; eccrine hidrocystoma; giant hidrocystoma; progressive ptosis
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=9;spage=884;epage=886;aulast=Kumar

An upper lid eccrine hidrocystoma presenting as early childhood progressive ptosis is very rare. We present a 9-year-old female child with droopy right upper lid since birth and progressive increase in symptoms. She had right upper lid ptosis (marginal reflex distance 1 of −1 mm) with fair levator function (8 mm) and abnormal cystic change on the conjunctival side. Computerized tomography imaging delineated the well-defined cystic lesion with homogeneous cavity with no contrast enhancement. Following the cyst excision, a giant eccrine hidrocystoma measuring 25 mm × 15 mm was removed, the largest reported in pediatric eyes. The case demonstrates the possibility of giant lid eccrine hidrocystomas presenting as progressive ptosis at a pediatric age and the need for early surgical intervention to prevent amblyopia.