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JAMA Ophthalmology Clinical Challenge
November 2018

Hidden Globe in an Infant

Author Affiliations
  • 1Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York
JAMA Ophthalmol. 2018;136(11):1295-1296. doi:10.1001/jamaophthalmol.2018.0932

A healthy 7-month-old boy presented for oculoplastic evaluation with an enlarging right periorbital mass. He was born full term with no complications during pregnancy or delivery. The parents noticed asymmetry between the child’s eyes since birth and progressive right lower eyelid fullness. He was seen by his pediatrician, a general ophthalmologist, and a pediatric ophthalmologist before presenting to our institution. On examination, the boy fussed when his left eye was covered, and his left eye was able to fixate and follow. The right globe could not be visualized within the palpebral fissure because of a large compressible mass that transilluminated (Figure, A). The remainder of the left eye examination findings were noncontributory. Orbital magnetic resonance imaging was ordered (Figure, B).

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