ABSTRACT
El ojo seco constituye una de las principales afecciones de la superficie ocular por la que acuden las personas a la consulta de Oftalmología. El 70 % de los pacientes con este diagnóstico presentan algún signo relacionado con la enfermedad de las glándulas de Meibomio y su control con los tratamientos habituales continúa siendo un problema. Las compresas calientes y los lavados con champú infantil darán alivio temporal, pero por lo general son abandonados por los pacientes. Otro enfoque es la expresión de las glándulas de Meibomio, la cual es molesta y por lo general necesita realizarse más de una vez; de ahí que el sondeo quirúrgico de esta sea una alternativa a utilizar. El sondaje mediante las sondas de Maskin introducidas desde el 2009 constituye una nueva modalidad terapéutica, la cual, de acuerdo con el conocimiento de los autores, no había sido introducida previamente en el país. La no disponibilidad de sondas con este fin en Cuba fue la motivación para diseñarla con el objetivo de permeabilizar los conductos excretores en la disfunción obstructiva de las glándulas de Meibomio (O- MGD), y así implementar esta técnica. Este dispositivo se construyó con medios propios en el taller de prototipos del laboratorio, de acuerdo con las características anatómicas del sistema glandular. Actualmente se usa de manera regular por doctores con resultados alentadores, como en los casos que se presentan.
Dry eye is one of the main eye surface diseases that make people go to the ophthalmological service. Seventy percent of patients with such diagnosis present with some type of symptoms related to the meibonian gland disease and its control with the regular treatments remains a problem. Hot pads and washing using shampoo for children give temporary relief, but are generally the patients do not comply with them for a long period of time. Another approach is the meibonian gland expression, which is uncomfortable and the treatment should be repeated more than once. Hence, the surgical probing seems to be a good alternative. Probing with Maskin probes introduced in 2009 is a new therapeutic variant which, according to the authors, had not been practiced in Cuba before. The lack of this type of probes in Cuba was the main incentive for their design in order to create permeabilization of the excretory ducts in the obstructive meibonian gland dysfunction, and to implement this technique. The devise was built with the resources of the lab prototype shop, taking the anatomical characteristics of the glandular system into consideration. The probes are presently used on a regular basis by ophthalmologists with encouraging results as in the reported cases.
Subject(s)
Humans , Female , Aged , Catheters, Indwelling/statistics & numerical data , Chalazion/diagnosis , Eyelid Diseases/therapy , Meibomian GlandsABSTRACT
El carcinoma de glándulas sebáceas es un tumor altamente maligno y potencialmente letal. Puede enmascarar enfermedades inflamatorias como blefaritis, blefaroconjuntivitis, meibomitis, tarsitis y chalazión recurrente. Por eso, ante la presencia de una lesión palpebral de presentación atípica o recidivante se impone una exéresis completa con margen oncológico para su estudio anatomopatológico. Esta afección cursa con un diagnóstico clínico difícil, y en ocasiones inadvertido, por lo que se realizó una revisión bibliográfica para profundizar en sus diferentes formas de presentación, pronóstico y tratamiento.
The sebaceous gland carcinoma is a highly malignant tumor and potentially lethal; it may masquerade inflammatory diseases such as blepharitis, blepharoconjunctivitis, meibomitis, tarsitis and recurrent chalazion. Hence, the presence of palpebral injury of recurrent or atypical presentation imposes a complete resection with oncological margin for pathological examination. This condition presents with difficult clinical diagnosis and sometimes unnoticed, so we conducted a literature review to delve into its various forms of presentation, prognosis and treatment.
Subject(s)
Humans , Blepharitis/diagnosis , Blepharitis/therapy , Chalazion/diagnosis , Chalazion/therapy , Eyelid Neoplasms/diagnosis , Eyelid Neoplasms/therapy , Meibomian GlandsABSTRACT
PURPOSE: To report the first case of a solitary eyelid fibrofolliculoma and to review the literature. METHODS: A 37-year-old female patient visited the outpatient department with a lesion in the right upper lid that had been growing steadily for a year. The patient had visited the local clinic, and under the diagnosis of chalazion had received incision and curettage twice, but the lesion had recurred. RESULTS: The 5 x 5 mm lesion was located near the upper lid margin. It was a red, hemispheric, smooth nodule, relatively solid to palpation and not painful. Excision and biopsy were performed, and through a histological exam, the diagnosis of fibrofolliculoma was later confirmed. CONCLUSIONS: Solitary fibrofolliculoma is rare, and to the authors' knowledge, a lesion arising in the eyelid has not yet been reported. Fibrofolliculoma should be included in the differential diagnosis when a localized mass lesion arising in the eyelid is encountered.
Subject(s)
Adult , Female , Humans , Chalazion/diagnosis , Diagnosis, Differential , Eyelid Neoplasms/diagnosis , Fibroma/diagnosis , Ophthalmologic Surgical ProceduresABSTRACT
Os autores relatam 4 casos de carcinoma de glândulas sebáceas (Meibomius) sendo dois deles inicialmente diagnosticados comom Calázio. Enfatizam a necessidade do diagnóstico e tratamento cirúrgico precoces.
Subject(s)
Male , Female , Middle Aged , Carcinoma , Eyelid Neoplasms , Adenocarcinoma, Sebaceous/surgery , Adenocarcinoma, Sebaceous/diagnosis , Chalazion/surgery , Chalazion/diagnosis , Meibomian Glands/surgeryABSTRACT
Estudou-se a ocorrência de neoplasias palpebrais malígnas na Faculdade de Medicina de Botucatu de 1978 a 1988. Neste período encontramos 89 tumores malígnos nas pálpebras, sendo 77,53//Ca basocelular, 12,36//Ca espinocelular, 7,86//Ca basoespinocelular e 2,25//Ca meibomiano. A maioria dos pacientes apresentava mais de 40 anos, trabalhava ao sol e 55,05//eram masculinos. O exame histopatológicos foi importante para esclarecimento diagóstico em vários casos