ABSTRACT
El propósito de este artículo es describir un caso de agenesia lagrimal congénita unilateral en una niña de 7 años con síntomas oculares, ausencia de secreción lagrimal y una tumoración conjuntival en el ángulo superoexterno del ojo derecho. La agudeza visual era de 20/20 en ambos ojos. El ojo derecho presentaba secreción mucosa, erosiones y filamentos corneales. La anamnesis, la exploración física y las pruebas analíticas descartaron enfermedades sistémicas asociadas a la alacrimia congénita, así como enfermedades reumatológicas, inmunológicas o infecciosas. La resonancia nuclear magnética con diversas técnicas de supresión grasa mostró la ausencia de glándula lagrimal derecha y la presencia de una tumoración compatible con lipoma. Este caso, para nuestro conocimiento, representa la primera comunicación de una agenesia unilateral de glándula lagrimal combinada con un lipoma
The purpose of this report is to describe a case of a unilateral congenital absence of the lacrimal gland in a 7-year-old girl with ocular symptoms, no tear production and a conjunctival tumour at the supero-external angle of the right eye. The visual acuity was 20/20 in both the eyes. The right eye showed mucous secretion, corneal erosions and filaments. Anamnesis, physical examination and clinical tests ruled out systemic diseases associated with congenital alacrima, as well as rheumatic, immunological and infectious diseases. Nuclear magnetic resonance, with various fat suppression techniques, demonstrated the absence of the right lacrimal gland and the presence of a tumour compatible with lipoma. This case, to our knowledge, is the first report of unilateral absence of the lacrimal gland combined with lipoma
Subject(s)
Humans , Female , Child , Lacrimal Apparatus Diseases/congenital , Lacrimal Apparatus Diseases/diagnosis , Lacrimal Apparatus/abnormalities , Salivary Glands/abnormalities , Lipoma/pathology , Visual Acuity , Keratoconjunctivitis Sicca/complications , Magnetic Resonance Spectroscopy , Punctal Plugs , Lubricant Eye Drops/therapeutic use , Hyaluronan Receptors/therapeutic use , Ophthalmic Solutions/therapeutic use , Cyclosporine/therapeutic useABSTRACT
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Subject(s)
Humans , Male , Adult , Central Serous Chorioretinopathy/diagnostic imaging , Tomography, Optical Coherence , Central Serous Chorioretinopathy/diagnosis , Central Serous Chorioretinopathy/pathology , Diagnosis, Differential , Exudates and Transudates , Fibrin , Macula Lutea/pathology , Retinal Detachment/diagnosisABSTRACT
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Subject(s)
Humans , History, 20th Century , History, 21st Century , Eye Injuries/etiology , Music/history , Mydriasis/etiology , Pupil Disorders/etiology , Wounds, Nonpenetrating/complications , Portraits as Topic , Deception , Depth Perception , England , Eye Color , Eye Injuries/physiopathology , Eye Injuries/surgery , Mydriasis/physiopathology , Pupil Disorders/physiopathology , Pupil Disorders/surgery , Syphilis, Congenital/physiopathology , Wounds, Nonpenetrating/physiopathologyABSTRACT
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