ABSTRACT
Este manuscrito presenta un caso de un leiomioma orbitario de larga evolución en un joven de 14años. El tumor era inusualmente grande y causaba una proptosis severa y una afectación importante de la musculatura ocular. El paciente presentaba amaurosis, una oftalmoplejía completa, dolor ocular espontáneo e incapacidad para cerrar los párpados. Debido al tamaño del tumor y a su progresión, se realizó una exenteración orbitaria derecha para eliminar todo el contenido orbitario, incluyendo el tumor y el globo ocular. El procedimiento quirúrgico tenía como objetivo prevenir la recurrencia del tumor y mejorar la calidad de vida del paciente. El análisis histopatológico confirmó el diagnóstico de leiomioma orbitario. Este caso presenta un interés particular por el grado de evolución que ha alcanzado. La extirpación completa del tumor y un seguimiento a largo plazo son necesarios para prevenir la recurrencia y garantizar resultados óptimos para el paciente. Además, este caso refleja las grandes diferencias en el acceso a la sanidad en las diferentes regiones del mundo. (AU)
This manuscript describes an exceptional case of a long-standing orbital leiomyoma in a 14-year-old male. The tumor was unusually large, causing severe proptosis and significant involvement of the ocular muscles. The patient presented with amaurosis, complete ophthalmoplegia, spontaneous eye pain, and the inability to close the eyelids, leading to psychological distress. Due to the tumor's size and progression, a right orbital exenteration was performed to remove all orbital contents, including the tumor and the eyeball. The surgical procedure aimed to prevent tumor recurrence and improve the patient's quality of life. The histopathological analysis confirmed the diagnosis of orbital leiomyoma. This case presents a particular interest due to the degree of evolution it has reached. Complete tumor excision and long-term follow-up are necessary to prevent recurrence and ensure optimal patient outcomes. This report underscores global healthcare disparities and the complexity of managing rare orbital neoplasms in diverse country settings. (AU)
Subject(s)
Humans , Male , Adolescent , Leiomyoma , Exophthalmos , Ophthalmoplegia , Orbit EviscerationABSTRACT
This manuscript describes an exceptional case of a long-standing orbital leiomyoma in a 14-year-old male. The tumor was unusually large, causing severe proptosis and significant involvement of the ocular muscles. The patient presented with amaurosis, complete ophthalmoplegia, spontaneous eye pain, and the inability to close the eyelids, leading to psychological distress. Due to the tumor's size and progression, a right orbital exenteration was performed to remove all orbital contents, including the tumor and the eyeball. The surgical procedure aimed to prevent tumor recurrence and improve the patient's quality of life. The histopathological analysis confirmed the diagnosis of orbital leiomyoma. This case presents a particular interest due to the degree of evolution it has reached. Complete tumor excision and long-term follow-up are necessary to prevent recurrence and ensure optimal patient outcomes. This report underscores global healthcare disparities and the complexity of managing rare orbital neoplasms in diverse country settings.
Subject(s)
Exophthalmos , Leiomyoma , Muscle Neoplasms , Orbital Neoplasms , Male , Humans , Child , Adolescent , Orbital Neoplasms/diagnostic imaging , Orbital Neoplasms/surgery , Quality of Life , Neoplasm Recurrence, Local , Exophthalmos/etiology , Muscle Neoplasms/complications , Leiomyoma/diagnostic imaging , Leiomyoma/surgery , Leiomyoma/complicationsABSTRACT
OBJECTIVE: To inform clinicians of a metastatic orbital neoplasm that frequently masquerades as an orbital inflammatory syndrome. CASE REPORT: The case of a 61-year-old woman, diagnosed and treated seven years ago for a scirrhous breast carcinoma is presented. She complained of blurred vision and proptosis of the left eye and these symptoms were the first manifestation of tumor relapse. DISCUSSION: When orbital inflammation is detected in an adult female patient, a full medical history must be obtained and physical examination performed, as orbital metastases have been reported to be the initial manifestation of malignancy in 30 to 50% of cases.
Subject(s)
Adenocarcinoma, Scirrhous/secondary , Breast Neoplasms/pathology , Exophthalmos/diagnosis , Neoplasm Recurrence, Local/pathology , Orbital Neoplasms/secondary , Adenocarcinoma, Scirrhous/diagnosis , Adenocarcinoma, Scirrhous/drug therapy , Antineoplastic Agents/therapeutic use , Breast Neoplasms/diagnosis , Breast Neoplasms/drug therapy , Diagnosis, Differential , Fatal Outcome , Female , Humans , Middle Aged , Orbital Neoplasms/diagnosis , Orbital Neoplasms/drug therapy , Tomography, X-Ray ComputedABSTRACT
Objetivo: Informar a los clínicos que las metástasis orbitarias son con frecuencia catalogadas de síndromes inflamatorios.Caso clínico: Se presenta el caso de una mujer de 61 años diagnosticada y tratada siete años antes de un carcinoma escirro de mama. La paciente aquejaba visión borrosa y proptosis en su ojo izquierdo como primera manifestación de la recidiva tumoral.Discusión: Cuando se diagnostica una inflamación orbitaria en una paciente mujer adulta, se debe realizar una meticulosa historia clínica, debido a que las metástasis orbitarias han sido descritas como manifestación inicial de malignidad en el 30 a 50% de los casos
Objective: To inform clinicians of a metastatic orbital neoplasm that frequently masquerades as an orbital inflammatory syndrome. Case report: The case of a 61-year-old woman, diagnosed and treated seven years ago for a scirrhous breast carcinoma is presented. She complained of blurred vision and proptosis of the left eye and these symptoms were the first manifestation of tumor relapse. Discussion: When orbital inflammation is detected in an adult female patient, a full medical history must be obtained and physical examination performed, as orbital metastases have been reported to be the initial manifestation of malignancy in 30 to 50% of cases
Subject(s)
Female , Middle Aged , Humans , Adenocarcinoma, Scirrhous/secondary , Exophthalmos/diagnosis , Breast Neoplasms/pathology , Neoplasm Recurrence, Local/pathology , Orbital Neoplasms/secondary , Adenocarcinoma, Scirrhous/diagnosis , Adenocarcinoma, Scirrhous/drug therapy , Antineoplastic Agents/therapeutic use , Diagnosis, Differential , Fatal Outcome , Tomography, X-Ray Computed , Breast Neoplasms/diagnosis , Breast Neoplasms/drug therapy , Orbital Neoplasms/diagnosis , Orbital Neoplasms/drug therapyABSTRACT
OBJECTIVE: Primary intraorbital mucoceles arising from the optic canal are extremely rare. We describe a patient with compressive optic neuropathy caused by an intraorbital mucocele. CLINICAL CASE: A 51-year-old woman presented with proptosis and reduced vision. Magnetic resonance imaging showed a mass compressing the optic nerve. There was no direct connection between any paranasal sinus and the mass cavity, as assessed in imaging studies and intraoperatively confirmed. The pathological diagnosis after the operation indicated a mucocele. DISCUSSION: Considering the absence of air pockets in the orbit, the mucocele might have originated from ectopic mucinous tissue that appeared during the development of the optic canal.
Subject(s)
Exophthalmos/etiology , Mucocele , Optic Atrophy/etiology , Orbital Diseases , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Middle Aged , Mucocele/complications , Mucocele/diagnosis , Mucocele/diagnostic imaging , Mucocele/surgery , Orbital Diseases/diagnostic imaging , Orbital Diseases/surgery , Time Factors , Tomography, X-Ray Computed , Treatment Outcome , Visual AcuityABSTRACT
Objetivo: Los mucoceles orbitarios primarios que crecen desde el canal óptico son extremadamente raros. Describimos una paciente con neuropatía óptica compresiva secundaria a un mucocele intraorbitario.Caso clínico: Una mujer de 51 años presentó proptosis y disminución de visión. La Resonancia Magnética Nuclear mostró una masa que comprimía el nervio óptico. No había comunicación entre los senos paranasales y la masa orbitaria, como se confirmó en los estudios de imagen y posteriormente en el intraoperatorio. El estudio anatomopatológico confirmó un mucocele.Discusión: Considerando la ausencia de neumatización de la órbita, el mucocele debe originarse de tejido mucinoso ectópico que aparece durante el desarrollo del canal óptico
Objective: Primary intraorbital mucoceles arising from the optic canal are extremely rare. We describe a patient with compressive optic neuropathy caused by an intraorbital mucocele. Clinical case: A 51-year-old woman presented with proptosis and reduced vision. Magnetic resonance imaging showed a mass compressing the optic nerve. There was no direct connection between any paranasal sinus and the mass cavity, as assessed in imaging studies and intraoperatively confirmed. The pathological diagnosis after the operation indicated a mucocele. Discussion: Considering the absence of air pockets in the orbit, the mucocele might have originated from ectopic mucinous tissue that appeared during the development of the optic canal
Subject(s)
Female , Humans , Exophthalmos/etiology , Mucocele/complications , Mucocele/diagnosis , Mucocele , Mucocele/surgery , Orbital Diseases , Orbital Diseases/surgery , Optic Atrophy/etiology , Diagnosis, Differential , Follow-Up Studies , Magnetic Resonance Imaging , Time Factors , Tomography, X-Ray Computed , Treatment Outcome , Visual AcuityABSTRACT
OBJECTIVE: To analyze a series of patients with lacrimal duct obstruction treated with polyurethane stents. MATERIAL AND METHODS: We studied 125 cases of lacrimal duct obstruction corresponding to 115 patients, of whom 30 were males (26.08%) and 85 females (73.91%). The obstruction involved the right side in 51 cases (40.8%) and the left side in 74 (59.2%). Mean age was 65 +/- 14.64 years. Symptoms included chronic epiphora in 65 patients (52%), acute lacrimal sac inflammation in 33 (26.4%), mucocele in 6 (4.8%) and recurrent conjunctivitis in 4 (3.2%). Seventeen patients came to us diagnosed with lacrimal duct obstruction. Time of follow up was one year. RESULTS: Stents were successfully implanted in 120 cases (96%). Surgical complications included pain in 5.83%, eyelid inflammation in 5%, nasal bleeding in 0.83% and false duct in 0.83%. Functional success was achieved in 82 patients (68.3%), and surgical failure occurred in 38 patients (31.7%). Mean time of stent failure was 178 days. In these cases, inner granulation tissue was found in 63.15% of the cases and mucoid material in 36.85%. The most common postoperative complication was mucocele formation, which ocurred in 7.5% of the patients. CONCLUSIONS: In our experience, polyurethane stent implantation is a good alternative for treating nasolacrimal obstruction, but not as effective as endonasal or external dacryocystorhinostomy.
Subject(s)
Dacryocystorhinostomy , Stents , Adolescent , Aged , Aged, 80 and over , Dacryocystitis/etiology , Equipment Failure , Female , Humans , Lacrimal Apparatus Diseases/etiology , Lacrimal Duct Obstruction/complications , Male , Middle Aged , Mucocele/etiology , Postoperative Complications , Treatment OutcomeABSTRACT
PURPOSE/METHODS: We report the case of a 73-year-old white female suffering from Merkel cell carcinoma (MCC) of the eyelid with an evolution of two and half months. MCC is a cutaneous neuroendocrine malignant tumor arising from Merkel cells. These cells are common along the eyelid margin in between the eyelashes. It is infrequent but highly aggressive and with potential metastases. Immunohistochemical and ultrastructural studies may be necessary for an histopathological diagnosis. RESULTS/CONCLUSIONS: Tumor resection with wide security margins must be undertaken as soon as possible. In addition, the patient may require postoperative radiotherapy.
Subject(s)
Carcinoma, Merkel Cell/pathology , Eyelid Neoplasms/pathology , Aged , Carcinoma, Merkel Cell/surgery , Eyelid Neoplasms/surgery , Female , HumansABSTRACT
Objetivo/Método: El carcinoma de células Merkel (CCM) es un tumor maligno cutáneo neuroendocrino primario que procede de las células Merkel; estas células se encuentran en los párpados a lo largo del margen palpebral entre las pestañas. Es un tumor infrecuente pero altamente agresivo y metastatizante. Para su diagnóstico histopatológico puede ser necesario un estudio inmunohistoquímico y ultraestructural. Presentamos el caso de una paciente de 73 años afecta de CCM palpebral de dos meses y medio de evolución. Resultados/Conclusión: Debe realizarse la resección del tumor con amplios márgenes de seguridad de forma precoz y puede ser necesaria la radioterapia postoperatoria (AU)
No disponible
Subject(s)
Aged , Female , Humans , Carcinoma, Merkel Cell , Eyelid NeoplasmsABSTRACT
Objetivo: Analizar los resultados de la implantación de stents lacrimonasales de poliuretano y las características de los pacientes y las intervenciones realizadas. Material y métodos: Estudio de 125 casos de obstrucción del conducto lacrimonasal en 115 pacientes, 30 varones y 85 mujeres. Obstrucciones del lado derecho 51 (40,8 por ciento) y del lado izquierdo 74 (59,2 por ciento). Edad media de los enfermos: 65 DE 14,61 años. La clínica de los pacientes fue epífora 65 casos (52 por ciento), dacriocistitis aguda 33 (26,4 por ciento), mucocele 6 (4,8 por ciento), conjuntivitis de repetición 4 casos (3,2 por ciento). Un total de 17 pacientes nos fueron remitidos con el diagnóstico de obstrucción de vía lagrimal. El tiempo de seguimiento fue de 1 año. Resultados: Implante realizado con éxito en 120 casos (96 por ciento). Las complicaciones intraoperatorias más importantes fueron dolor 5,83 por ciento, inflamación palpebral 5 por ciento, falsa vía y epistaxis, 0,83 por ciento cada una. La epífora desapareció en 82 casos (68,3 por ciento) y persistió en 38 (31,7 por ciento). Tiempo medio de fallo del stent en este último grupo 178 días. En los stents que fallaron se encontró tejido de granulación en un 63,15 por ciento y material mucoide en 36,85 por ciento. La principal complicación postoperatoria fue mucocele en el 7,5 por ciento de los casos. Conclusiones: Consideramos esta técnica una buena alternativa para el tratamiento de la obstrucción de la vía lagrimal, aunque sin alcanzar los resultados de la dacriocistorrinostomía externa o endonasal (AU)
Objective: To analyze a series of patients with lacrimal duct obstruction treated with polyurethane stents. Material and Methods: We studied 125 cases of lacrimal duct obstruction corresponding to 115 patients, of whom 30 were males (26.08%) and 85 females (73.91%). The obstruction involved the right side in 51 cases (40.8%) and the left side in 74 (59.2%). Mean age was 65 ± 14.64 years. Symptoms included chronic epiphora in 65 patients (52%), acute lacrimal sac inflammation in 33 (26.4%), mucocele in 6 (4.8%) and recurrent conjunctivitis in 4 (3.2%). Seventeen patients came to us diagnosed with lacrimal duct obstruction. Time of follow up was one year. Results: Stents were successfully implanted in 120 cases (96%). Surgical complications included pain in 5.83%, eyelid inflammation in 5%, nasal bleeding in 0.83% and false duct in 0.83%. Functional success was achieved in 82 patients (68.3%), and surgical failure occurred in 38 patients (31.7%). Mean time of stent failure was 178 days. In these cases, inner granulation tissue was found in 63.15% of the cases and mucoid material in 36.85%. The most common postoperative complication was mucocele formation, which ocurred in 7.5% of the patients. Conclusions: In our experience, polyurethane stent implantation is a good alternative for treating nasolacrimal obstruction, but not as effective as endonasal or external dacryocystorhinostomy (AU)
Subject(s)
Middle Aged , Adolescent , Aged, 80 and over , Aged , Male , Female , Humans , Stents , Treatment Outcome , Mucocele , Postoperative Complications , Dacryocystitis , Lacrimal Apparatus Diseases , Lacrimal Duct Obstruction , Equipment FailureABSTRACT
UNLABELLED: PURPOSE, MATERIAL AND METHOD: Orbitary exenteration is an indicated treatment for malignant and benign processes where special incidence of extension, uncontrollable pain, unrecoverable visual loss, cosmetic disfiguration, tendency to diffuse or persistent infiltration and malignancy potential have been observed. We report a case of a 22 year-old male from Senegal, presenting an isolated neurofibroma of the orbit of long evolution and great size. RESULTS/CONCLUSIONS: Treatment of this tumor is complete local resection. In this case an orbitary exenteration was performed due to size of the tumor and visual loss. We emphasize the need to treat these patients as soon as possible.
Subject(s)
Neurofibroma/surgery , Orbital Neoplasms/surgery , Adult , Exophthalmos/etiology , Eye Enucleation , Humans , Male , Neurofibroma/diagnostic imaging , Orbital Neoplasms/diagnostic imaging , Tomography, X-Ray Computed/methodsABSTRACT
Objetivo/Método: La exenteración orbitaria es un tratamiento indicado en procesos malignos y benignos en los que existan circunstancias especiales de extensión, dolor incontrolable, pérdida irreversible de visión, deformidad, tendencia a infiltración difusa o persistente y posibilidad de malignización.Presentamos el caso de un varón senegalés de 22 años de edad afecto de un neurofibroma solitario de órbita de enormes dimensiones y largo tiempo de evolución.Resultados/Conclusiones: El tratamiento de este tumor es quirúrgico conservador pero en nuestro caso fue preciso realizar una exenteración orbitaria dado su tamaño y pérdida de visión.Destacamos la necesidad de tratar precozmente a estos pacientes (AU)
No disponible
Subject(s)
Adult , Male , Humans , Tomography, X-Ray Computed , Eye Enucleation , Neurofibroma , Exophthalmos , Orbital NeoplasmsABSTRACT
The presence or absence of an interaction between topical diclofenac (nonsteroidal antiinflammatory agent) and topical timolol (beta-blocker) was studied in 37 eyes. We instilled one drop of diclofenac several times into the patient's right eye and one drop of timolol into the same eye. We measured intraocular pressure in both eyes twice and compared the results in both eyes with the baseline intraocular pressure and with the pressure after administration of diclofenac alone and timolol alone. The joint use of both drugs did not modify the decrease in the ocular pressure induced by timolol. We can therefore use timolol and diclofenac together when a combination of antiinflammatory and beta-blocker agents is required.
Subject(s)
Diclofenac/pharmacology , Intraocular Pressure/drug effects , Timolol/pharmacology , Administration, Topical , Depression, Chemical , Diclofenac/administration & dosage , Double-Blind Method , Drug Evaluation , Drug Interactions , Humans , Time Factors , Timolol/administration & dosageABSTRACT
Realizamos un estudio prospectivo, randomizado y doble ciego en 40 pacientes, para comparar la influencia que la administración tópica de un nuevo inhibidor de la síntesis de prostaglandinas -el diclofenac sódico al 0,1%- podría tener en el curso postoperatorio de ojos con glaucoma de ángulo abierto que fueron sometidos a una trabeculoplastia con láser de argón. No hallamos diferencias estadísticamente significativas entre los dos grupos en cuanto al incremento inmediato de la presión intraocular y la respuesta inflamatoria postoperatoria que siguieron a la laserterapia. Sin embargo, pensamos que el colirio de diclofenac sódico al 0,1% es útil como agente antiinflamatorio tópico después de la trabeculoplastia, por carecer de los efectos secundarios de los corticosteroides
