ABSTRACT
Primary mucinous adenocarcinoma of the eyelid is a very rare tumor arising from the eccrine sweat gland. It is locally invasive with a high rate of recurrence following removal. Although uncommon, metastasis to regional lymph nodes does occur, and there have been several reports of more distant metastasis. This tumor is characterized by the secretion of mucin. This mucin usually forms into pools surrounding the clusters of tumor cells. Less commonly, the mucin may collect within the tumor cells and not be secreted into the extracellular spaces. Such a "mucin-poor" form of the tumor involving the eyelid was recently seen and is reported here. The clinical and pathologic characteristics of primary mucinous adenocarcinoma are presented and the modes of treatment are discussed.
Subject(s)
Adenocarcinoma, Mucinous , Eyelid Neoplasms , Adenocarcinoma, Mucinous/pathology , Adenocarcinoma, Mucinous/therapy , Aged , Eyelid Neoplasms/metabolism , Eyelid Neoplasms/pathology , Eyelid Neoplasms/therapy , Eyelids/surgery , Humans , Male , Prednisone/therapeutic use , Skin Transplantation , Triamcinolone/therapeutic useABSTRACT
While mechanical obstruction of the nasolacrimal duct is the most common cause of acquired unilateral epiphora, it is not the only one. Of the 94 patients evaluated with this symptom, 22 cases (23%) were caused by primary nasal changes in the form of nasal allergy. Many of the characteristic findings of mechanical obstruction were present. Several patients had previous nasolacrimal duct surgery, which failed to eliminate the epiphora. Nasal allergy was not initially considered either by previous examiners or the patients themselves, because of the absence of typical allergic symptoms. All of these patients, however, obtained relief from their unilateral tearing with treatment directed toward the nasal pathology only. Oral sympathomimetics and antihistamines were the most effective. Two patients improved with primary nasal surgery.
Subject(s)
Lacrimal Duct Obstruction/etiology , Rhinitis, Allergic, Perennial/complications , Adolescent , Adult , Aged , Child , Dacryocystorhinostomy , Female , Histamine H1 Antagonists/therapeutic use , Humans , Male , Middle Aged , Nasal Cavity/drug effects , Nasal Mucosa/metabolism , Nasal Polyps/surgery , Nasal Septum/surgery , Nasolacrimal Duct , Sympathomimetics/therapeutic useABSTRACT
Amblyopia, commonly known as "lazy eye," is a frequent but preventable cause of decreased vision. An anatomically normal eye, free from organic disease, has reduced vision compared with the other eye. Ptosis of the eyelids, strabismus, certain refractive disorders and other abnormalities may precede amblyopia. If discovered early enough, usually before the age of five, amblyopia can often be reversed.
Subject(s)
Amblyopia , Amblyopia/diagnosis , Amblyopia/physiopathology , Amblyopia/therapy , Child , Child, Preschool , Humans , Visual AcuityABSTRACT
A total of 1,073 patients were examined at random to determine the relationship between age and amount of senile ptosis. It was found that there is a progressive increase in the amount of ptosis as age increases for both men and women beginning in childhood. It is concluded from these findings that senile ptosis is not a disorder limited only to older age groups but is instead a cumulative process occurring throughout life and only becoming obvious in later years.
Subject(s)
Aging , Blepharoptosis/pathology , Adolescent , Adult , Aged , Blepharoptosis/epidemiology , Child , Child, Preschool , Eyelids/pathology , Female , Humans , Infant , Male , Middle AgedABSTRACT
The complication of blepharoptosis occurred in an otherwise normal pregnancy. Its onset during the sixth month of the pregnancy suggests an etiology related to the increased estrogen levels normally occurring at this time. Infiltration of water molecules into the collagen ground substance of the levator muscle and its tendon is suggested as a possible mechanism of action. Similarities with other conditions in young individuals causing blepharoptosis are discussed.
Subject(s)
Blepharoptosis/etiology , Pregnancy Complications/etiology , Adult , Female , Humans , PregnancyABSTRACT
Blunt trauma to the eye occurs frequently, and the aftereffects may be devastating. Traumatic injuries range from simple ecchymosis of the eyelid and subconjunctival hemorrhage to more serious lesions, including hyphema, choroidal or retinal rupture, optic nerve contusion and rupture of the globe. The diagnosis and management of this type of injury is not difficult if approached in an organized way. The family physician can treat most cases and should recognize those that require further consultation.
Subject(s)
Eye Injuries/physiopathology , Wounds, Nonpenetrating/physiopathology , Eye Injuries/diagnosis , Eye Injuries/therapy , Family Practice , Humans , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/therapyABSTRACT
542 cases of choroidal malignant melanoma were reviewed. Local recurrence occurred in only 6 patients (1.11%). Five of the 6 patients had distant metastases when the local recurrence was diagnosed, and the remaining patient also developed metastases after a passage of time. These figures do not support the concept of withholding a primary implant at the time of enucleation.