XXXX : Diagnostic Clues and Management.

@entity1 @entity3169 @entity267 @entity66 @entity1711 @entity1710 @entity2687 @entity12556 @entity4457
PURPOSE: To describe the clinical and histopathologic features distinguishing an extensive complex @entity12556 of the epibulbar surface and to address the management of such lesions. METHODS: Clinical history, diagnostic imaging studies, and histopathologic sections stained with @entity1710 and @entity1711 were reviewed from a 2-year-old @entity1 with a @entity3169 of the right eye that was surgically excised. RESULTS: The @entity1 clinically displayed an extensive, vascularized amelanotic @entity3169 located superotemporally with extension onto the @entity267 . Her visual acuity was reduced to 20/670. The clinical diagnosis was a large lacrimal gland @entity12556 with @entity2687 and resulting deprivation @entity4457 . The @entity1 underwent an excision of the lesion including the corneal portion, and the ocular surface was reconstructed with amniotic membrane. Histopathologic evaluation disclosed lobules of lacrimal tissue and cartilage plaques, smooth muscle, and nerves consistent with a complex @entity12556 . Six weeks postoperatively, the visual acuity had improved to 20/180. The @entity1 returned to her local ophthalmologist for @entity4457 management. CONCLUSIONS: We emphasize the importance of recognizing lesion-induced @entity4457 and the timely performance of appropriate surgery for complex epibulbar @entity12556 . A differential diagnosis of other @entity66 is provided.
