Subject(s)
Aerosols , COVID-19/transmission , Cross Infection/prevention & control , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Ophthalmologists , Optometrists , SARS-CoV-2/pathogenicity , Slit Lamp Microscopy , COVID-19/prevention & control , Humans , Infection Control/methods , Personal Protective Equipment , Practice Guidelines as TopicSubject(s)
Betacoronavirus , Delivery of Health Care/organization & administration , Health Workforce/organization & administration , Ophthalmologists , Primary Health Care/organization & administration , COVID-19 , Coronavirus Infections/diagnosis , Coronavirus Infections/therapy , Humans , Pandemics , Pneumonia, Viral/diagnosis , Pneumonia, Viral/therapy , SARS-CoV-2ABSTRACT
A 16-year-old healthy girl was referred to the authors' clinic for a palpable mass in her right lower eyelid. The patient was treated under the initial diagnosis of chronic conjunctivitis and ectopic cilia in the medial part of her right lower eyelid at a local clinic for 1 year. A soft, nontender, 2.0 x 1.5 x 1.0-cm elliptical mass was palpable in the medial aspect of the patient's right lower eyelid. The medial part of the palpebral conjunctival surface was covered by keratinized epithelium with fine hairs. Histologic findings were consistent with a dermolipoma. The authors describe a very rare case of dermolipoma in the lower eyelid presenting with keratinized epithelium on the medial palpebral conjunctiva.
Subject(s)
Eyelid Neoplasms/pathology , Lipoma/pathology , Adolescent , Eyelid Neoplasms/diagnostic imaging , Eyelid Neoplasms/surgery , Female , Humans , Lipoma/diagnostic imaging , Lipoma/surgery , Tomography, X-Ray ComputedSubject(s)
Diagnostic Errors/prevention & control , Eye Neoplasms/diagnosis , Lymphoma, Mantle-Cell/diagnosis , Neprilysin/metabolism , Aged , Biomarkers, Tumor/metabolism , Chromosomes, Human, Pair 14 , Chromosomes, Human, Pair 18 , DNA, Neoplasm/analysis , Diagnosis, Differential , Eye Neoplasms/metabolism , Eye Neoplasms/surgery , Eyelids/pathology , Eyelids/surgery , Humans , In Situ Hybridization, Fluorescence , Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis , Lymphoma, B-Cell, Marginal Zone/diagnosis , Lymphoma, Follicular/diagnosis , Lymphoma, Mantle-Cell/metabolism , Lymphoma, Mantle-Cell/surgery , Male , Translocation, Genetic , Waldenstrom Macroglobulinemia/diagnosisABSTRACT
BACKGROUND: All patients undergoing phacoemulsification under topical anaesthesia experience a variety of visual sensations that may be frightening in a small proportion of patients. This study evaluates Singapore ophthalmologists' knowledge and practices regarding patients' visual experience during phacoemulsification under topical anaesthesia. METHODS: A nationwide survey of all ophthalmologists in Singapore who had performed at least one cataract surgery within the last year was carried out. Questions regarding patients' experience were asked. Surgeons were also asked about patients' fear during surgery, usefulness of preoperative counselling and feedback from patients postoperatively. RESULTS: Of 105 ophthalmologists 89 responded, of which 44 performed phacoemulsification under topical anaesthesia. The percentage of respondents who thought that the patients experienced the various visual sensations were: no light perception (4.6%), light perception (97.7%), one or more colours (95.5%), flashes of light (77.3%), movements (90.9%), instruments (61.4%), surgeon's hands/fingers (56.8%), surgeon (47.7%) and change in brightness of light (90.9%). Although 52.3% of surgeons believed that patients may be frightened by their visual experience and 50.0% felt that preoperative counselling would be useful in reducing such fear, only 11.4% routinely offered preoperative counselling and 18.2% counselled their patients occasionally. In total, 50.0% ophthalmologists had patients who reported to them that they could see during surgery, whereas 20.5% had been told by patients that they were frightened by the visual experience. CONCLUSION: Despite the awareness of patients' visual experience and the belief that preoperative counselling may be useful, most ophthalmologists do not counsel their patients preoperatively.
