ABSTRACT
A 58-year-old-man presented with painful rapidly progressive bilateral proptosis with restricted ocular movements of 15 days duration. There was history of significant weight loss in the recent past. Computed tomography scan of the head and orbit revealed bilateral multiple, well-defined, round, soft tissue masses, isointense with muscles in intraconal and extraconal space. Fine needle aspiration cytology and incision biopsy from the lesion, urine for Bence-Jones proteins and immunofixation clinched the diagnosis of multiple myeloma. Skeletal survey did not reveal any bony involvement.The diagnosis of multiple myeloma should be kept in mind in cases of bilateral proptosis. Bony involvement is not universal in cases of orbital myeloma. Early diagnosis can be established with extensive biochemical and histopathological investigations and timely treatment is life saving for these patients.
Subject(s)
Antineoplastic Agents/therapeutic use , Biopsy, Fine-Needle , Diagnosis, Differential , Exophthalmos/diagnosis , Exophthalmos/etiology , Follow-Up Studies , Humans , Male , Middle Aged , Multiple Myeloma/complications , Multiple Myeloma/diagnosis , Multiple Myeloma/drug therapy , Remission Induction , Tomography, X-Ray ComputedABSTRACT
A case of a 56 year old lady presenting clinically with a slow growing painless mass of the left lacrimal gland, the histopathplogical examination of which was consistent with a diagnosis of tubercular dacryoadenitis, is described. Tubercular dacryoadenitis is uncommon, with the diagnosis usually made on histological examination of the lacrimal gland. Other cases of tubercular dacryoadenitis reported in literature are also reviewed.
Subject(s)
Dacryocystitis/diagnosis , Female , Humans , Lacrimal Apparatus/pathology , Middle Aged , Tomography, X-Ray Computed , Tuberculosis, Ocular/diagnosisABSTRACT
A rare case of choroidal melanoma with exudative retinal detachment and a full-thickness macular hole is reported in an Indian patient.
Subject(s)
Choroid Neoplasms/complications , Female , Fluorescein Angiography , Fundus Oculi , Humans , Magnetic Resonance Imaging , Melanoma/complications , Middle Aged , Retinal Detachment/complications , Retinal Perforations/complications , Tomography, X-Ray Computed , Ultrasonography, Doppler, ColorABSTRACT
An unusual case of posterior scleritis mimicking macular serpiginous choroiditis is reported.
Subject(s)
Adult , Choroiditis/diagnosis , Diagnosis, Differential , Fluorescein Angiography , Glucocorticoids/therapeutic use , Humans , Male , Prednisolone/therapeutic use , Scleritis/diagnosis , Visual AcuityABSTRACT
A superomedial orbital dermal cylindroma in an adult female is described.
Subject(s)
Carcinoma, Adenoid Cystic/pathology , Diagnosis, Differential , Female , Humans , Middle Aged , Ophthalmologic Surgical Procedures , Orbital Neoplasms/pathology , Skin Neoplasms/pathology , Treatment OutcomeABSTRACT
This report describes a rare case of hypertensive retinopathy with choroidopathy secondary to bilateral renal artery stenosis in a young non-pregnant female patient.