Iridocorneal endothelial syndrome: iris naevus (Cogan-Reese) syndrome. A case report.

The purpose is to present a case of iridocorneal endothelium Syndrome with glaucoma and discuss clinical presentation and management strategies. A 45 year old female presented with redness, pain and diminision of vision in left eye. The patient was completely evaluated for the complaints. Slit lamp biomicroscopy revealed semidilated pupil not reacting to light and variation in iris colour pattern. Intraocular pressure was 14mmHg in the right eye and 46mmHg in the left eye. Gonioscopy of the left eye revealed broad based peripheral anterior synechiae. The optic disc of the left eye had a cup of 0.7. Specular microscopy of the left eye showed pleomorphism and polymegathism with multiple guttatae. This case reports the importance of specular microscopy in the evaluation of ICE syndrome and to plan the appropriate management strategies. We performed a trabeculectomy surgery for this patient with a well-functioning bleb to reduce the intraocular pressures following failure of topical anti-glaucoma medications.

Actinomycotic lid abscess: a rare presentation.

Actinomycosis is a gram positive filamentous branching anaerobic bacilli that Is difficult to Isolate and Identify. We present this case of a 15 year old patient who developed repeated infection over a Contused lacerated wound (CLW) on forehead. Cytology revealed Actinomycosis. He subsequently developed upper eyelid actinomycotic inflammatory swelling. Modified Welsh treatment was started and five months of therapy resulted in complete resolution of the infection. Hence any wound with repeated infection should be examined for Act inomycosis. When identified at the right time, such infections show dramatic response to Modified Welsh Therapy

Disseminated orbital actinomycetoma: A case report.

Mycetoma is a chronic granulomatous infection. Lower extremities are commonly involved. A 20-year-old male came with complaints of multiple sinuses on scalp, left eyelid swelling with a sinus and dystopia, since one year. On examination there was relative proptosis in left eye of 2 mm. Computed tomography scan showed soft tissue swelling of the pre-septal area of the left upper eyelid with orbital involvement. Magnetic resonance imaging showed increased left orbital volume and evident dystopia. Microbiology testing of the erosive scalp and lid lesions showed genus Nocardia, suggestive of actinomycetoma. This case is presented as it shows an unusual involvement of the orbit.