ABSTRACT
Caso Clínico. Mujer de 45 años que acude a consultas de oftalmología por sensación de cuerpo extraño al parpadeo. A la exploración presenta una tumoración rojiza en la zona superior del canto interno de su ojo derecho. La paciente era tratada por síndrome de ojo seco, con lágrimas artificiales y suero autólogo. Llevaba tres meses con tapones lagrimales de tamaño mediano. Discusión. Destacamos la importancia de una correcta elección del tamaño del tapón lagrimal para disminuir la probabilidad de complicaciones. Presentamos el caso clínico de un granuloma piogénico del punto y canalículo lagrimal, en una portadora de tapones lagrimales (AU)
Case Report. A 45-year-old female was referred to our department due to foreign-body sensation in her right eye. Biomicroscopy examination showed a red ampullary lesion over the right inferior puncta, clinically diagnosed as pyogenic granuloma. This patient, with a longstanding history of dry eyes, had undergone previous treatment with autologous serum eye drops and preservative-free artificial eye drops. Also, for the last three months she was treated with medium size silicone punctal plugs. Discussion. We report a case of a pyogenic granuloma caused by a silicone lagrimal plug. It is important to emphasize the correct choice of plug size and its appropiate placement. Patients with this devices should be informed about possible complications (AU)
Subject(s)
Humans , Female , Middle Aged , Granuloma, Pyogenic/diagnosis , Lacrimal Duct Obstruction/etiology , Xerophthalmia/etiology , Risk Factors , Diagnosis, DifferentialABSTRACT
CASE REPORT: We present two case reports of patients suffering from severe corneal damage resulting in pain and visual impairment, after undergoing Scopinaro's operation. Both patients improved after treatment with topical autologous serum although their nutritional state became worse. DISCUSSION: Topical autologous serum provides growth factors and nutrients needed for corneal cell repair, and is appropriate treatment for carential ocular pathology which may accompany malnutrition.
Subject(s)
Corneal Diseases/etiology , Corneal Diseases/therapy , Serum , Vitamin A Deficiency/complications , Administration, Topical , Adult , Female , Humans , MaleABSTRACT
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 AcuitySubject(s)
Cataract/congenital , Phacoemulsification , Humans , Microsurgery , Phacoemulsification/methodsSubject(s)
Astronomy/history , Blindness/history , Eyeglasses/history , History, 16th Century , History, 17th Century , Humans , ItalyABSTRACT
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 FailureSubject(s)
Cataract/history , Famous Persons , Medicine in the Arts , Sculpture/history , Egypt, Ancient , Government/history , History, Ancient , Humans , MaleABSTRACT
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
La indentación escleral mediante un explante circunferencial de silicona sólida, es un procedimiento habitualmente realizado en la cirugía del desprendimiento de retina. Proponemos un método sencillo para calcular la longitud que debe tener la banda de silicona que deseamos colocar. Para ello medimos el diámetro horizontal del globo ocular, a la altura de la inserción de los músculos rectos horizontales. Tras obtener dicha medida, calculamos la longitud teórica de la circunferencia correspondiente a ese diámetro. A dicha longitud restamos 8 mm., y la longitud obtenida finalmente, es la que asignamos a la banda de silicona que colocamos en el globo ocular para obtener una buena identación escleral (AU)
