RESUMEN
Blind eyes can harbor a choroidal melanoma. We report a case of uveal melanoma presenting as staphyloma and complicated cataract in a 45-year-old female. The left eye was blind for six months. She underwent comprehensive ocular examination but fundus examination was precluded due to total cataract. The ultrasound of the eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity. Magnetic resonance imaging (MRI) confirmed the diagnosis of choroidal melanoma. The patient underwent extended enucleation and histopathology was consistent with uveal melanoma.
Asunto(s)
Ceguera/etiología , Catarata/diagnóstico , Neoplasias de la Coroides/diagnóstico , Dilatación Patológica , Enucleación del Ojo , Femenino , Humanos , Imagen por Resonancia Magnética , Melanoma/diagnóstico , Melanoma/cirugía , Persona de Mediana Edad , Enfermedades de la Esclerótica/diagnósticoRESUMEN
Chronic suppurative lacrimal canaliculitis is an important cause of ocular surface discomfort. Treatment with topical antibiotics is often inadequate and surgical treatment by canaliculotomy and canalicular curettage has been the mainstay of treatment in the past. The role of canalicular antibiotic irrigation has been inadequately studied. We report the clinical features, microbiological profile and treatment outcome in a series of 12 patients with suppurative lacrimal canaliculitis. Two patients had Actinomyces infection, five had Nocardia infection and seven patients had polymicrobial infection. Three patients had resolution of canaliculitis on combination broad-spectrum topical antibiotic therapy using ciprofloxacin and fortified cefazolin. In nine patients, topical antibiotic therapy was combined with canalicular irrigation using fortified cefazolin. All patients had excellent resolution of canaliculitis without the need for surgical treatment. Availability of broad-spectrum antibiotics and canalicular irrigation may offer an alternative to surgery in the management of suppurative lacrimal canaliculitis.
Asunto(s)
Adulto , Anciano , Antibacterianos/uso terapéutico , Bacterias/aislamiento & purificación , Cefazolina/uso terapéutico , Enfermedad Crónica , Ciprofloxacina/uso terapéutico , Dacriocistitis/tratamiento farmacológico , Quimioterapia Combinada , Infecciones Bacterianas del Ojo/tratamiento farmacológico , Infecciones Fúngicas del Ojo/tratamiento farmacológico , Humanos , Persona de Mediana Edad , Soluciones Oftálmicas/uso terapéutico , Estudios RetrospectivosRESUMEN
A rare case of oncocytoma of the caruncle in a 75-year-old female is reported. Clinical differential diagnosis and histopathologic features are discussed.