ABSTRACT
To report the clinical, paraclinical and histopathologic features of eyelid mass lesions in a patient with tuberous sclerosis. A 14 year old boy with a slowly progressive right upper lid mass and history of seizures, mental retardation and multiple skin lesions on the face and body was referred to Labbafinejad Medical Center. Cortical tubers and subepandimal nodules were reported in neuroimaging and fibroadenoma with sebaceous hyperplasia were observed on histopathologic assessment. A diagnosis of tuberous sclerosis was made based on multiple major signs and the patient was referred to other subspecialities for comprehensive medical care. The ophthalmologist may be the first specialist to diagnose tuberous sclerosis because of associated ocular signs. Attention to systemic signs is necessary to establish a diagnosis
ABSTRACT
To evaluate the complications of scleral perforation during strabismus surgery and the role of cryopexy, laser therapy, and conservative management in an animal model. In this experimental study, 42 pigmented-eye rabbits were included. An S-24 needle attached to a 6-0 polyglactin suture was passed through the sclera and into the vitreous cavity in both eyes of the animals. One eye of the rabbits received either laser therapy [n=20] or cryopexy [n=22] and the fellow eyes were left untreated [n=42]. The incidence of complications was compared between the three groups. Cataracts developed in 7 [8.3%] eyes. Corneal opacity and transient localized sub-retinal fluid around the break were observed in one [1.2%] eye each. Other complications such as endophthalmitis and retinal detachment were not seen. There was no significant difference between the study groups in terms of complications. Vision-threatening complications following scleral perforation during strabismus surgery are uncommon and long-term follow-up is sufficient for management of this complication