ABSTRACT
A 71-year-old woman and a 66-year-old man, both asymptomatic and with normal visual acuity, were found to have bilateral choroidal osteomas. To our knowledge, these represent the oldest reported cases of choroidal osteoma. The lack of symptoms, stability of the lesions, and minimal funduscopic findings may lead to an underdiagnosis in the elderly population.
Subject(s)
Choroid Neoplasms/pathology , Osteoma/pathology , Aged , Choroid Neoplasms/diagnosis , Choroid Neoplasms/physiopathology , Female , Fundus Oculi , Humans , Male , Osteoma/diagnosis , Osteoma/physiopathology , Ultrasonography , Visual AcuityABSTRACT
This article details the pathologic findings in eyes removed postmortem from a diabetic man with proliferative retinopathy, vitreous hemorrhage, and tractional retinal detachment. Several years before death, to control hemorrhage from extraretinal vasoproliferative lesions, one eye only was treated with argon laser panretinal photocoagulation. Eight months before death the treated eye also was operated for tractional retinal detachment with current vitrectomy methods: membranotomy, partial peeling, and segmentation of preretinal membranes. Despite their atropic clinical appearance, the extraretinal lesions on pathologic study were "active." In the operated and nonoperated eyes the vascular and nonvascular proliferative lesions were of equal severity. The sclerotomy wounds were complicated by intraocular granulation tissue, focal granulomatous inflammation related to suture fragments, and intraocular hemorrhage.
Subject(s)
Diabetic Retinopathy/pathology , Vitrectomy , Aged , Diabetic Retinopathy/surgery , Eye/pathology , Humans , Laser Therapy , Male , Retinal Degeneration/pathology , Retinal Detachment/pathology , Retinal Detachment/surgeryABSTRACT
We treated a 76-year-old man who had an epithelial carcinoma that involved the canaliculus and extended into the lacrimal sac. Despite what appeared to be adequate resection (the surgical margins were completely free of tumor on both frozen and paraffin section), the tumor recurred less than one month later. The patient underwent wide local incision, including en bloc removal of the medial third of both eyelids and inner canthi, canaliculi, lacrimal sac, and nasolacrimal duct, and resection of the anterior lacrimal crest, lacrimal bone, anterior portion of the ethmoid bone, anterior medial wall of the maxilla, and subjacent periosteum and mucous membranes. Sixteen months later, the tumor has not recurred. This infiltrating papillary squamous cell carcinoma histologically demonstrated the most rapid and destructive recurrence of any such tumor originating in the lacrimal system.
