To the Editor: Osseous choristoma is the rarest type of the epibulbar
Eye involvement presents with epibulbar
dermoid/lipodermoid, microphthalmia, anophthalmia, cataract, astigmatism, antimongoloid obliquity of palpebral fissures, blepharophimosis and colobomata of the upper eyelid, iris, and retina.
Oculoauricular dysplasia, consisting of preauricular appendages, fistulas, and epibulbar
dermoids, was first described in 1952 by the Swiss ophthalmologist Maurice Goldenhar and hence named Goldenhar syndrome.
Ocular examination revealed yellowish soft noninflamed mass in the right eye identified as epibulbar
dermoid at the inferotemporal limbus.
Goldenhar Syndrome, also termed oculo-auriculovertebral spectrum, is a congenital birth defect, which can result in ocular changes such as microphthalmia, epibulbar
dermoids, lipodermoids and coloboma, along with aural anomalies and vertebral defects.
Rare subconjunctival epibulbar
tumor (pure myxoma) [in German].
It is generally accepted that the spectrum includes some of the following abnormalities: ear malformations, micrognathia, epibulbar
dermoids/lipodermoids and/or colobomas, and vertebral defects.
Although the expressiveness of epibulbar
lipodermoides was variable, all individuals had polythelia and pre-auricular manifestations.
A 74-year-old, non-obese (Body mass index <25 kg/[m.sup.2]) male patient presented with a unilateral epibulbar
mass in the superotemporal quadrant of right eye.