ABSTRACT
El granuloma aséptico facial idiopático (GAFI) es una afección de la infancia, que se caracteriza por nodulos faciales eritematovioláceos asintomáticos, usualmente confundidos con abscesos. Su patogénesis es desconocida, pero algunos autores han postulado su relación con la rosácea infantil. Se presenta el caso de un paciente con diagnóstico clínico de granuloma aséptico facial idiopático, con compromiso ocular y buena respuesta al tratamiento con metronidazol por vía oral.
Idiopathic facial aseptic granuloma is a childhood condition characterized by asymptomatic erythematous-violaceous nodules, often confused with abscesses. Its pathogenesis is unknown, but some authors have postulated its relationship with infantile rosacea. We present a case of a patient with a clinical diagnosis of idiopathic facial aseptic granuloma, with ocular involvement and a good response to oral metronidazole treatment.
Subject(s)
Humans , Male , Infant , Pediatrics , Hordeolum , Rosacea , GranulomaABSTRACT
Se presenta el caso clínico de un paciente ecuatoriano de 62 años, mestizo, con antecedente de orzuelos reiterados en el ojo izquierdo, atendido en la consulta de Oftalmología del Hospital del Tena, del Instituto Ecuatoriano de Seguridad Social de Ecuador, por presentar desde hacía 8 meses molestias en ese mismo ojo y presencia de una lesión en el párpado inferior que sangraba con facilidad, acompañado de dificultad al cierre palpebral, por lo cual se le realizó una resección quirúrgica de la lesión con biopsia incluida, cuyo resultado confirmó el diagnóstico de carcinoma epidermoide de la conjuntiva
The case report of a 62 years mixed race Ecuadorian patient, is presented with a history of repeated sties in the left eye, assisted in the Ophthalmology Service of Tena Hospital in the Social Security Ecuadorian Institute of Ecuador, due to discomfort in that same eye during 8 months and an injury in the lower lid with easy bleeding, accompanied by difficulty to the palpebral closing , reason why a surgical resection of the injury was carried out with biopsy which result confirmed the diagnosis of epidermoid carcinoma of the conjunctiva
Subject(s)
Carcinoma, Squamous Cell , Hordeolum , Conjunctiva , EyeABSTRACT
RESUMO Objetivo: Observar a frequência de ocorrência das afecções que acometem os anexos oculares e o olho externo, assim como descrever o perfil demográfico dos portadores, na região centro oeste do estado de São Paulo. Métodos: Estudo prospectivo, populacional e aleatorizado, no qual foram avaliadas 11.000 pessoas da região centro-oeste do Estado de São Paulo, nos anos de 2004/2005, por meio de consultas oftalmológicas e utilizando uma unidade móvel. Foi realizado exame oftalmológico completo. Os dados foram transferidos para tabela Excel, utilizando-se para o presente estudo dados referentes aos anexos e doenças do olho externo. A frequência de ocorrência dos problemas detectados foi analisada estatisticamente. Resultados: Foram detectadas 1.581 (14,6%) afecções de anexos ou do olho externo, sendo as mais frequentes o pterígio (9,4%), o hordéolo (0,8%) e as alterações do posicionamento palpebral (1,7%) (ectrópio, ptose e triquíase). Trauma, ectrópio e pterígio foram estatisticamente mais frequentes na população masculina. Conclusão: Das afecções pesquisadas, a de maior ocorrência na população foi o pterígio, seguido das alterações inflamatórias e do posicionamento palpebral.
ABSTRACT Purpose: To observe the frequency of occurrence of affections involving the adnexa or the external eye, as well as to describe the demographic profile of patients. Methods: A prospective, population based, randomized study was done in the Midwest region of the state of São Paulo, in the years 2004/2005. Using a Mobile Ophthalmic Unit we evaluated 11,000 people. A comprehensive eye exam was performed. Data were transferred to excel table and for this study we used information relating to annexes and external eye diseases. The frequency of occurrence of the problems detected was statistically analyzed. Results: We identified 1,581(14.4%) disorders in the adnexa or in the external eye. The most common disorders were pterygium (9.4%), hordeolum (0.8%) and changes in eyelid position (1.7%) (ectropion, ptosis and trichiasis). Trauma, ectropion and pterygium were statistically more frequent in the male population. Conclusion: Of the surveyed disorders the most frequent in the population was pterygium, followed by inflammatory changes and alterations in the eyelid position.
Subject(s)
Humans , Male , Female , Orbital Diseases/epidemiology , Pterygium/epidemiology , Conjunctival Diseases/epidemiology , Eyelid Diseases/epidemiology , Lacrimal Apparatus Diseases/epidemiology , Ophthalmology/statistics & numerical data , Referral and Consultation/statistics & numerical data , Random Allocation , Sex Factors , Hordeolum/epidemiology , Cross-Sectional Studies , Prospective Studies , Diagnostic Techniques, Ophthalmological , Measures of Disease Occurrence , Observational Study , Mobile Health Units/statistics & numerical dataABSTRACT
PURPOSE: To report a case of Descemet's membrane detachment and corneal edema caused by an iatrogenic corneal perforation created while performing a local anesthetic (lidocaine) injection into the eyelid for a hordeolum incision and a drainage procedure. The detachment resolved after 14% C₃F₈ gas and air injections into the anterior chamber. CASE SUMMARY: An 8-year-old female visited our clinic after the onset of severe pain and decreased visual acuity while receiving a local anesthetic injection into the upper eyelid in preparation for a hordeolum incision and drainage procedure. Corneal optical coherence tomography (OCT) showed Descemet's membrane detachment. Three days after the first visit, the corneal epithelium had entirely healed. However, Descemet's membrane detachment persisted even after three weeks of follow-up. A corneal OCT was repeated after three weeks and showed a partial Descemet's membrane rupture. A more aggressive treatment method was deemed necessary, and gas and air injections into the anterior chamber were performed. After 48 hours, aside from some Descemet's membrane rolling at the site of rupture, overall reattachment of Descemet's membrane was noted. After three months of follow-up, the patient showed a stable corneal state and normalized vision. CONCLUSIONS: Descemet's membrane detachment and rupture resulting from an iatrogenic corneal perforation during an injection of lidocaine to the eyelid led to decreased visual acuity from corneal edema. As a more aggressive treatment method, 14 % C₃F₈ gas and air injections into the anterior chamber were performed and resulted in near complete reattachment of Descemet's membrane's and normalization of the patient's visual acuity.
Subject(s)
Child , Female , Humans , Anesthesia, Local , Anterior Chamber , Corneal Edema , Corneal Perforation , Descemet Membrane , Drainage , Epithelium, Corneal , Eyelids , Follow-Up Studies , Hordeolum , Lidocaine , Methods , Rupture , Tomography, Optical Coherence , Visual AcuityABSTRACT
Cutaneous leishmaniasis (CL) is a protozoan disease which is endemic in Iran. It is transmitted by the Phlebotomus sand fly. The eyelid is rarely involved possibly because the movement of the lids impedes the sand fly from biting the skin in this region. Here, we report 6 rare cases of eyelid CL. The patients were diagnosed by skin scraping, culture, and PCR from the lesions. Skin scraping examination showed Leishmania spp. amastigotes in the cytoplasm of macrophages. Culture examination was positive for Leishmania spp. PCR was positive for Leishmania major and Leishmania tropica. The lesions were disguised as basal cell carcinoma, chalazion, hordeolum, and impetigo. The patients were treated with intramuscular meglumine antimoniate (20 mg/kg/day) for at least 3 weeks. They showed a dramatic response, and the lesions almost completely disappeared. We emphasized the importance of clinical and diagnostic features of lesions, characterized the phylogenetic relationship of isolated parasites, and reviewed the literature on ocular leishmaniasis.
Subject(s)
Humans , Carcinoma, Basal Cell , Chalazion , Cytoplasm , Eyelids , Hordeolum , Impetigo , Iran , Leishmania , Leishmania major , Leishmania tropica , Leishmaniasis , Leishmaniasis, Cutaneous , Macrophages , Meglumine , Parasites , Phlebotomus , Polymerase Chain Reaction , Psychodidae , SkinABSTRACT
PURPOSE: To investigate the clinical characteristics and management of lacrimal gland ductal disease, a rare disease often mistaken for other diseases. METHODS: A retrospective chart review of 11 patients (11 eyes, 5 males, 6 females) diagnosed with lacrimal ductal disease between March 2007 and April 2013 was performed. RESULTS: Among 11 eyes in 11 patients, 4 were diagnosed with dacryops and 7 with lacrimal gland ductulitis initiated by dacryolith. The mean age of the subjects was 47.9 years (range, 30-80 years). Lacrimal gland ductulitis patients received treatment for conjunctivitis or hordeolum for several months. Four cases involved the right eye and 7 cases involved the left eye. Symptoms included foreign body sensation, pus-like discharge and palpable mass. Biopsy was performed in 3 cases and showed no specific findings. Patients with dacryops underwent marsupialization, whereas patients diagnosed with lacrimal gland ductulitis underwent excision and dacryolith curettage. During the 2-month follow-up period, all cases showed no signs of recurrence or complications. CONCLUSIONS: Lacrimal gland ductal disease can be mistaken for other diseases such as conjunctivitis, hordeolum, or orbital cyst, thus requiring accurate diagnosis and appropriate management.
Subject(s)
Humans , Male , Biopsy , Conjunctivitis , Curettage , Diagnosis , Follow-Up Studies , Foreign Bodies , Hordeolum , Lacrimal Apparatus , Orbit , Rare Diseases , Recurrence , Retrospective Studies , SensationABSTRACT
Infestation by Demodex spp. in the palpebral edge follicles in humans is common. However, these mites are not routinely diagnosed in patients with or without ocular pathologies in Chile and their relevance is unclear. One of the eye diseases most related to infestation by Demodex spp. is blepharitis, a chronic inflammation of the eyelid margin with intermittent exacerbations, which is very common in ophthalmic practice. Its management is prolonged treatment, which is often ineffective, leading to relapses and frustration of patient and treating physician. Blepharitis can be typed by its etiology into various types, one of them is caused by Demodex folliculorum and another species, D. brevis. Objective: The overall objective was to detect the presence and estimate the rate of infestation of Demodex spp. in healthy subjects and in patients with ocular pathology such as blepharitis, bacterial conjunctivitis, chalazion, and stye. Patients and Methods: Samples of tabs from both lower eyelids of ophthalmologically healthy patients (23) and patients with ocular pathologies (9) were mounted in immersion oil as described in literature, then visualized with a 10x objective and confirmed with 40x objective. Results. Detection rates of eggs, nymphs or adults of Demodex spp. in patients with and without ophthalmological problems were above and below 0.5 mites per tab, respectively. D.folliculorum was the species most frequently found. Discussion: The results are consistent with the international literature on both the rate of infestation as the predominant species. Conclusion: This paper is the first study in Chile on this subject and represents a significant contribution to ophthalmic clinical diagnosis and treatment of patients with this disease.
La infestación por Demodex spp. en los folículos del borde palpebral en humanos es frecuente; no obstante, en Chile no se diagnostica de rutina la presencia de estos ácaros en pacientes sin o con patologías oculares por lo cual no se conocen aspectos de esta parasitosis. Una de las patologías oculares que más se relaciona con infestación por Demodex spp. es la blefaritis, enfermedad muy común en la práctica oftalmológica, que cursa con inflamación crónica del borde palpebral, con exacerbaciones intermitentes de los síntomas. Su manejo suele llevar mucho tiempo frecuentemente ineficaz, con múltiples recaídas que terminan desmoralizando al paciente y, al médico que las trata. De acuerdo a la etiología, se caracterizan varios tipos de blefaritis y una de ellas es asociada a Demodexfolliculorum, existiendo también la especie D. brevis. Objetivo: Detectar la presencia y calcular el índice de infestación de Demodex spp. en pacientes sanos y en pacientes con alguna patología ocular como blefaritis crónica, conjuntivitis bacteriana, chalazión y orzuelo. Pacientes y Métodos: Se tomaron muestras de pestañas desde el párpado inferior de ambos ojos en pacientes oftalmológicamente sanos23 y pacientes con patologías oculares9 las que fueron montadas en aceite de inmersión según técnica descrita en la literatura, visualizadas con objetivo 10x y confirmadas con objetivo 40x. Resultados: Se encontró la presencia de huevos, ninfas y ejemplares adultos de D. folliculorum y D. brevis, tanto en pacientes normales como en pacientes oftalmológicos siendo el índice de infestación menor a 0,5 ácaros por pestaña en los pacientes sanos y mayor o igual a 0,5 en pacientes oftalmológicos. La especie más frecuentemente encontrada fue D. folliculorum. Discusión: Los resultados encontrados coinciden con la literatura internacional tanto en el índice de infestación como en la especie predominante. Conclusión: Este trabajo constituye el primero realizado en Chile en esta temática, de acuerdo a la literatura revisada, lo cual constituye un gran aporte al diagnóstico clínico oftalmológico con implicancias en el tratamiento de estos pacientes.
Subject(s)
Adolescent , Adult , Aged , Animals , Child , Female , Humans , Male , Middle Aged , Young Adult , Blepharitis/parasitology , Chalazion/parasitology , Conjunctivitis, Bacterial/complications , Hordeolum/parasitology , Mite Infestations/parasitology , Age Factors , Blepharitis/complications , Case-Control Studies , Chronic Disease , Cross-Sectional Studies , Chalazion/complications , Hordeolum/complications , Mite Infestations/complications , Severity of Illness IndexABSTRACT
Este estudo teve como objetivo verificar a prevalência de doenças palpebrais nos pacientes atendidos emergencialmente no ambulatório do Serviço de Oftalmologia do Hospital Universitário da Universidade Federal de Santa Catarina (HU/UFSC), associando-a com o ano, mês, procedência, sexo, faixa etária, diagnóstico e estação do ano.Método: Foram estudados, retrospectivamente, os dados de 385 pacientes com diagnóstico de doenças palpebrais, no período de janeiro de 2000 a dezembro de 2004.Resultados: As enfermidades palpebrais foram responsáveis por 24,2% dos atendimentos realizados no Serviço no período analisado. O ano com o maior número de atendimentos foi 2004 (25,7%), e o mês foi setembro (11,2%). Constatou-se que Florianópolis foi a cidade de procedência do maior número de pacientes (80,8%). Houve predomínio do sexo feminino (56,0%) sobre o masculino (44,0%) e a faixa etária mais acometida foi a de 15 a 29 anos (36,9%). Os diagnósticos mais freqüentes foram: blefarite (41,0%), hordéolo (31,4%) e calázio (17,4%). Verificou-se que o número de pacientes com doenças palpebrais foi maior na primavera (29,9%) e no inverno (27,8%). Conclusão: as doenças palpebrais são causas freqüentes de atendimento emergencial no ambulatório do Serviço de Oftalmologia do HU/UFSC, principalmente em mulheres jovens, procedentes de Florianópolis e nas estações frias do ano...
The aim of the study was to verify the prevalence of eyelid diseases at the Ophthalmologic Service of the Santa Catarina Federal University Hospital (HU/UFSC) from january/2000 to december/2004. Method: the data of 385 patients with eyelid diseases which were found through this period, were retrospectively studied and associated with the following variables: year, month, city of residence, sex, age, diagnosis and season. Results: these diseases were responsible for 24.2% of the medical attendances at the Service during the analysed period. The year that had the greatest number of patients with eyelid diseases was 2004 (25.7%), and the month that figured as the one with more cases was september (11.2%). Florianopolis was the hometown of most of the patients (80.8%). There was a preponderance of the feminine sex (56.0%) on masculine sex (44.0%) and the most prevalent age was between 15 and 29 years (36.9%). The most frequent diagnostics were: blepharitis (41.0%), hordeolum (31.4%) and 65 chalazion (17.4%). It was verified that the number of patients with eyelid diseases was higher in spring (29.9%) and winter (27.8%).Conclusion: Eyelid diseases are frequent reasons of medical attendance at the Ophthalmic Service of the Santa Catarina Federal University Hospital (HU/UFSC), mainly in young women, proceeding from Florianopolis and in the cold seasons of the year...
Subject(s)
Humans , Male , Female , Adolescent , Adult , Emergencies , Eyelid Diseases , Prevalence , Blepharitis , Chalazion , HordeolumSubject(s)
Child , Blepharitis , Conjunctivitis , Conjunctivitis, Bacterial , Conjunctivitis, Viral , Hordeolum , Hyphema , Uveitis , Glaucoma , Orbital CellulitisABSTRACT
PURPOSE: Ocular perforation during lid anesthesia is rarely reported. We describe here a case of inadvertent corneal perforation and traumatic cataract that occurred during lid anesthesia in a procedure for hordeolum removal. METHODS: A 33-year-old woman presented with a sudden visual loss of her left eye. She had undergone hordeolum removal the day before at a local clinic. On ophthalmologic examination, the cornea was perforated and the lens cortex was extruded into the anterior chamber. After cataract removal and IOL implantation, antibiotics were injected into the vitreous. RESULTS: Her final visual acuity of the left eye was 20/20. Postoperative specular microscopic examination revealed a normal-range endothelial cell count, coefficient of variation, and hexagonality despite the intracameral lidocaine injection. CONCLUSIONS: Anesthetic injection of an infected lid should be done with great caution. Although there are possibilities of corneal endothelial toxicity and endophthalmitis in case of intracameral lidocaine injection through the infected lid, yet proper management may save the patient's vision without complications.
Subject(s)
Humans , Female , Adult , Lidocaine/administration & dosage , Lens Implantation, Intraocular , Lens Capsule, Crystalline/injuries , Injections/adverse effects , Hordeolum/surgery , Follow-Up Studies , Eyelids , Eyelid Diseases/surgery , Eye Injuries, Penetrating/diagnosis , Diagnosis, Differential , Cornea/injuries , Cataract Extraction , Anesthetics, Local/administration & dosage , Anesthesia, Local/adverse effectsABSTRACT
The presented pilot study compared the effectiveness of combined antibiotic ophthalmic solution (neomycin sulfate, polymyxin B sulfate and gramicidin) with a placebo (artificial tear) in the treatment of hordeolum after incision and curettage (I&C). A randomized, placebo-controlled trial with patients and investigators blinded from the start started from June 2002 to May 2003. Subjects were patients with untreated hordeolum who subsequently underwent I&C at the Ophthalmology Department. The patients were randomized into 2 groups: group A for combined antibiotic ophthalmic solution, and group B for artificial tear containing the antibiotic solution base. Pain score, mass size and duration of cure were recorded before and on the 3rd and 7th day after treatment. The study included 14 patients in each group. Two subjects in group A and three subjects in group B dropped out. There were no statistically significant differences of all outcomes in both groups, even with the intention-to-treat analysis. The conclusion is combined antibiotic ophthalmic solution is not more effective than placebo in the treatment of hordeolum after I&C.
Subject(s)
Anti-Bacterial Agents/administration & dosage , Double-Blind Method , Drug Combinations , Gramicidin/administration & dosage , Hordeolum/drug therapy , Humans , Neomycin/administration & dosage , Ophthalmic Solutions , Ophthalmologic Surgical Procedures , Pilot Projects , Polymyxin B/administration & dosage , Postoperative ComplicationsABSTRACT
The present study of ocular infections was conducted amongst primary school children residing in an urban slum and rural area of Delhi. A total of four schools were selected, two from urban slum in Central Delhi Rouse Avenue and two from a peripheral village on the outskirts of Delhi. All the children studying in the above mentioned schools and residing in the same area were covered. All the study subjects were interviewed, clinically examined and given a proforma to be filled by their parents. Of the total 775 subjects only 91 (11.74%) had ocular infections. Conjunctivitis was the most prevalent infection followed by trachoma, stye, blepharitis and chalazion. The type and prevalence of infection was similar, in both sexes and both areas, rural and urban. There was a significant rising trend of ocular infection with increase in age. A significant association was found between ocular infections and religion but the association with per capita income was not significant.
Subject(s)
Adolescent , Age Distribution , Blepharitis/epidemiology , Chalazion/epidemiology , Child , Child, Preschool , Conjunctivitis/epidemiology , Eye Infections/epidemiology , Female , Hordeolum/epidemiology , Humans , India/epidemiology , Male , Poverty Areas , Prevalence , Rural Population , Schools , Trachoma/epidemiology , Urban PopulationABSTRACT
El Hospital Santa Lucía es una entidad de alta complejidad en oftalmología que sirve de referente para todo el territorio nacional. Es por ello que se deriva una gran cantidad de pacientes desde otros hospitales y desde distintos puntos del país, para atenderse tanto en la guardia como en sus diferentes servicios. El promedio de pacientes atendidos mensualmente es de 5078. (Gráfico 1). El objetivo de este estudio fue determinar las patologías más frecuentemente observada en la atención del Servicio de Guardia del Hospital Santa Lucía.
Subject(s)
Blepharitis , Conjunctivitis , Corneal Ulcer , Dry Eye Syndromes , Eye Foreign Bodies , Eye Injuries , Glaucoma , Hematoma, Subdural, Chronic , Hordeolum , Hyperemia , Keratitis , PterygiumABSTRACT
Este capítulo trata sobre las enfermedades oculares y como reconocer las condiciones anormales de los ojos, para prevenir las complicaciones, se presenta un breve resímen de las enfermedades oculares más frecuentes
Subject(s)
Humans , Male , Female , Eye Infections , Eye Infections, Bacterial , Iris Diseases , Bolivia , Entropion , Hordeolum , PterygiumABSTRACT
Manual que tiene como objetivo proporcionar una información general sobre la salud ocular y va dirigido a los trabajadores de la salud
Subject(s)
Cataract/rehabilitation , Cataract/therapy , Eye Injuries/diagnosis , Eye Injuries/therapy , Hordeolum/rehabilitation , Hordeolum/therapy , Eye Health , Conjunctivitis/diagnosis , Conjunctivitis/therapy , Paraguay , Eye Banks , Eye Abnormalities/surgery , Eye Foreign Bodies , Eyelid DiseasesABSTRACT
En este artículo se comentarán los cuadros de mayor frecuencia que afectan al ojo, y que pueden ser abordados directamente por el pediatra. Se analizarán tambien los signos de riesgo que permiten determinar el momento en que el paciente debe referirse, en forma mas o menos urgente, al oftalmólogo
Subject(s)
Humans , Male , Female , Emergencies , Eye Diseases , Conjunctivitis/diagnosis , Hordeolum/diagnosis , Keratitis/diagnosis , Lacrimal Duct Obstruction/diagnosis , Keratitis, Herpetic/diagnosisABSTRACT
Se presenta una modificación de chalazótomo de Servat-Rodríguez para la extirpación del chalazion en botón de camisa; el cual fue utilizado en 8 casos sin ninguna complicación. Se concluye que por su simpleza y facilidad de manejo con una sola mano, debe incorporarse al arsenal quirúrgico para el tratamiento del chalazion en dicha modalidad
Subject(s)
Humans , Eyelid Diseases/surgery , Hordeolum/pathologyABSTRACT
Los procesos inflamatorios oculares son un frecuente motivo de consulta al medico general. La inflamacion ocular puede ser de origen infeccioso (bacterias y virus principalmente) o secundaria a una enfermedad inflamatoria sistemica. La conjuntivitis, el orzuelo y la blefaritis son las infecciones oculares mas frecuentes. En este articulo los autores revisan la manera de enfocar el diagnostico y el tratamiento de estos problemas en la actualidad
Subject(s)
Child, Preschool , Adolescent , Adult , Humans , Male , Female , Blepharitis , Hordeolum , Conjunctivitis , Blepharitis/diagnosis , Blepharitis/therapy , Hordeolum/diagnosis , Hordeolum/therapy , Conjunctivitis/diagnosis , Conjunctivitis/therapyABSTRACT
To investigate the present status with its side effect of ocular tatooing for cosmetic purpose in our country, 150 patients with the eyelid and eyebrow tatooing who visited my clinic from July 1986 to October 1988 were enrolled in this study. Six patients who complained the early complications after the cosmetic tatooing were included in the tatooing group, and 150 patients without the tatooing were used as a control group for the statistical study. The following results were obtained: 1. The ages tatooed ranged from 19 to 68 years old age with the mean age of 39.65 +/- 9.46 years. Fourth and fifth decades consited of 76% of the total subjects tatooed. 2. At their first visit, blepharitis, external hordeolum, pingueculitis, subconjunctival hemorrhage and keratitis were more statistically frequent than the control gruop(p<0.05), but chalazion was not so. 3. Cosmetic tatooing was gradually noted after 1984 and was most frequently performed in 1986(41%). Thereafter, it reduced from 1987(35%) until now. 4. One half was tatooed once and 1 to 3 times of tatooing were added for the remainder. 5. Ninetyseven % of tatooing was done by non-medical doctor in beauty parlor or the other places excluding the hospital, and only 3% was performed by medical doctor in the hospital. 6. Eyelid tatiooing was noted in 96% of the total subjects tatooed and eyebrow tatooing was shown in over half of them(53%). 7. Early complication of the tatooing was confirmed by history taking in 29% of the total subjects tatooed, which consited of lid swelling(23%), subcutaneous hemorrhage of lid(4%), itching sensation(2%) and conjunctival redness(1%). Clinical Observations on Cosmetic Ocular Tatooing Six patients were treated for one to 10 days for the early complication of tatooing under the diagnosis of lid edema(100%), keratitis(83%), subcutaneous hemorrhage of lid(50%), blepharititis(33%), conjunctivitis(33%), corneal abrasion(33%) and conjunctival foreign body(17%). 8. Thirtysix % out of the patients confirmed by history taking was regretful after the cosmetic tatooing.
Subject(s)
Aged , Humans , Beauty , Blepharitis , Chalazion , Diagnosis , Eyebrows , Eyelids , Hemorrhage , Hordeolum , Keratitis , Pruritus , Statistics as TopicABSTRACT
Rosacea is a disease of skin and eye that is widely underdiagnosed by ophthalmologists. Rosacea is a common chronic skin disease in Caucacian, affecting flush areas of the face that include the skin, cheeks, nose, and forehead. Ocular manifestations of rosacea mainly involve the eyelids, conjunctiva, and cornea. These include blepharitis, meibomitis, chalazia, styes, and diffusely hyperemic conjunctiva. The cornea is involved with superior punctate epithelial erosions and is most severely involved by a peripheral vascularization, usually of the lower twothirds of the cornea followed by subepithelial infiltrates. A 18 year old Korean lady was found to have hyperemic conjunctiva, chronic recurrent multiple erythematous pustular skin lesion in the face. Systemic administration of tetracycline and penglobe resulted in marked improvement in the signs and symptoms of disease. Topical corticosteroid 0.5% and chloramphenicol 0.5% also improved the manifestations of ocular rosacea.