RESUMO
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.
Assuntos
Cegueira/etiologia , Catarata/diagnóstico , Neoplasias da Coroide/diagnóstico , Dilatação Patológica , Enucleação Ocular , Feminino , Humanos , Imageamento por Ressonância Magnética , Melanoma/diagnóstico , Melanoma/cirurgia , Pessoa de Meia-Idade , Doenças da Esclera/diagnósticoRESUMO
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.
Assuntos
Adulto , Idoso , Antibacterianos/uso terapêutico , Bactérias/isolamento & purificação , Cefazolina/uso terapêutico , Doença Crônica , Ciprofloxacina/uso terapêutico , Dacriocistite/tratamento farmacológico , Quimioterapia Combinada , Infecções Oculares Bacterianas/tratamento farmacológico , Infecções Oculares Fúngicas/tratamento farmacológico , Humanos , Pessoa de Meia-Idade , Soluções Oftálmicas/uso terapêutico , Estudos RetrospectivosRESUMO
A rare case of oncocytoma of the caruncle in a 75-year-old female is reported. Clinical differential diagnosis and histopathologic features are discussed.