Orbitocranial fibrous dysplasia: a case report

This report is of a 12-year-old boy with fibrous dysplasia affecting the craniofacial and orbital bones. The presenting symptom of diplopia started 2 days after a blunt injury to the left eye. CT scan and biopsy of the involved bone revealed the nature of the lesion. MRI, though not helpful in diagnosing the condition, was useful in explaining the ocular motility disturbances observed. The condition is very uncommon. CT scan is diagnostic of the lesion

Tangential perforation of the globe during retrobulbar anesthesia

Inadvertent double perforation of the globe at the posterior pole by means of a 35 mm straight needle during retrobulbar anesthesia for cataract extraction in a moderately myopic, slightly elongated eye, went unnoticed at the time of surgery. Vitreous and retinal hemorrhages were confirmed postoperatively, but there was no retinal detachment. The vitreous hemorrhage had absorbed sufficiently after 4 weeks to permit photography of an unusual fluorescein angiogram, which outlined the needle track running between macula and optic disk. Two years after the event, unaided visual acuity in this eye is 6/18

Acquired double depressor palsy: a case report

Head injuries are frequently associated with ocular problems; ocular motility disturbances, possibly due to associated cranial nerve palsy or other factors, are often seen. We report here a rare case of double depressor palsy following head injury. The diagnosis should be suspected if there is restriction in downgaze in all directions, together with hypertropia increasing upon head tilt to either shoulder, in the presence of a normal forced duction test. Diagnosis can be confirmed by CT and MRI scan demonstrating absence of abnormalities in the region of the affected muscles. Acquired double depressor palsy is a rare entity; most cases of double depressor palsy reported in the literature are congenital

Endocapsular hematoma following suture removal in a pseudophakia patient

An unusual complication following extracapsular cataract extraction with implantation of an intraocular lens is reported. One day after removal of the sutures three months after the original surgery, the patient returned with blood within the capsular bag. This resorbed, on conservative treatment within five days