Granulomatosis with polyangiitis confined to lacrimal gland, a case report. / Granulomatosis con poliangeítis localizado en la glándula lagrimal, a propósito de un caso.

CLINICAL CASE: A 43 year-old woman consulted due to 2 months of swelling on the superolateral side of the left orbit, with pain and erythema. An excisional biopsy was performed that revealed vasculitis with polyangiitis of the lacrimal gland. A systemic study showed that no other system was compromised. DISCUSSION: Orbital involvement occurs in up to 60% of patients with granulomatosis with polyangiitis. The involvement of the lacrimal gland is rare and often unilateral. Serological tests are generally negative, both in initial stages, as in localized forms of the disease.

Evaluación clínica y quirúrgica de pacientes con diagnóstico de mucocele en el Instituto de Oftalmología Fundación Conde de Valenciana / Clinical and surgical evaluation of patients with mucocele in the Conde de Valenciana Ophthalmology Institute

Objetivo: Los mucoceles constituyen lesiones quísticas como resultado de una obstrucción de los senos paranasales, con el subsecuente acúmulo de secreción mucoide que conlleva un aumento de volumen en el seno paranasal, manifestándose con diversos síntomas según el seno afectado. El manejo es quirúrgico. El objetivo de este trabajo fue realizar una descripción clínica de los pacientes con diagnóstico de mucocele, así como reportar resultados posquirúrgicos mediante nuestra técnica de resección de mucocele, en pacientes operados en el Instituto de Oftalmología Fundación Conde de Valenciana, en los últimos 10 años. Métodos: Se incluyeron pacientes con diagnóstico de mucocele tratados en nuestra institución en los últimos 10 años. Resultados: Los mucoceles más frecuentes se presentaron en el seno frontoetmoidal. Ambos ojos se afectaron por igual. La edad de presentación promedio fue de 52 años, sin diferencia estadísticamente significativa entre hombres y mujeres. El tiempo de evolución antes del diagnóstico fue más corto en mucoceles frontales. El síntoma más común fue proptosis. Solo se presentó una complicación transquirúrgica en un paciente. Se presentó recidiva con nuestra técnica quirúrgica en 12% de los pacientes. Discusión: Nuestros resultados correlacionan con lo descrito en la literatura. Obtuvimos buenos resultados con nuestra técnica quirúrgica sin obliterar el seno paranasal, con una recidiva de 12% comparado con 6% descrito en la literatura. Proponemos que esta técnica es accesible para los cirujanos oftalmólogos, con pocas complicaciones en manos expertas y con buenos resultados (AU)

Purpose: Mucoceles are cystic lesions, resulting from an obstruction in the paranasal sinuses and an accumulation of mucus, causing enlargement of the affected paranasal sinus. The signs and symptoms depend on the affected sinus. Treatment consists of surgical resection. The purpose of this study was to describe the clinical presentation of patients with mucocele, and also to describe the surgical results with our mucocele resection in patients treated in our institution over the last 10 years. Methods: All patients with a diagnosis of mucocele over the last 10 years and treated in our institution were included. An analysis was performed on the symptoms, surgical technique, and results. Results: Frontoethmoidal sinus mucoceles were the most common. Both eyes were affected but with no significant statistical differences. The median age at presentation was 52 years old, with no difference between both genders. The time to seek medical attention was shorter in frontal mucoceles. Proptosis was the most common symptom. Complications during surgery were reported in just one patient. Recurrence was reported in 12% of patients. Discussion: Our results correlate with those in the literature. We reported satisfying results with our technique, avoiding sinus obliterations, with a recurrence of 12% versus 6% reported in previous studies. We believe that our technique is safe and accessible for ophthalmologists in mucoceles treatment (AU)

[Clinical and surgical evaluation of patients with mucocele in the Conde de Valenciana Ophthalmology Institute]. / Evaluación clínica y quirúrgica de pacientes con diagnóstico de mucocele en el Instituto de Oftalmología Fundación Conde de Valenciana.

PURPOSE: Mucoceles are cystic lesions, resulting from an obstruction in the paranasal sinuses and an accumulation of mucus, causing enlargement of the affected paranasal sinus. The signs and symptoms depend on the affected sinus. Treatment consists of surgical resection. The purpose of this study was to describe the clinical presentation of patients with mucocele, and also to describe the surgical results with our mucocele resection in patients treated in our institution over the last 10 years. METHODS: All patients with a diagnosis of mucocele over the last 10 years and treated in our institution were included. An analysis was performed on the symptoms, surgical technique, and results. RESULTS: Frontoethmoidal sinus mucoceles were the most common. Both eyes were affected but with no significant statistical differences. The median age at presentation was 52 years old, with no difference between both genders. The time to seek medical attention was shorter in frontal mucoceles. Proptosis was the most common symptom. Complications during surgery were reported in just one patient. Recurrence was reported in 12% of patients. DISCUSSION: Our results correlate with those in the literature. We reported satisfying results with our technique, avoiding sinus obliterations, with a recurrence of 12% versus 6% reported in previous studies. We believe that our technique is safe and accessible for ophthalmologists in mucoceles treatment.