Subject(s)
Uveal Diseases/congenital , Xanthogranuloma, Juvenile/congenital , Eye Hemorrhage/etiology , Eye Hemorrhage/pathology , Eye Hemorrhage/therapy , Glaucoma/etiology , Glaucoma/pathology , Glaucoma/therapy , Glucocorticoids/therapeutic use , Humans , Hydrophthalmos/etiology , Hydrophthalmos/pathology , Hydrophthalmos/therapy , Infant, Newborn , Intraocular Pressure , Male , Uveal Diseases/pathology , Uveal Diseases/therapy , Xanthogranuloma, Juvenile/pathology , Xanthogranuloma, Juvenile/therapyABSTRACT
Visceral larva migrans (VLM) is endemic in Israel; therefore, a positive serology is not unusual in our general population. The clinical manifestations of the disease may mimic other clinical conditions. Sometimes life-threatening disorders have to be considered in the differential diagnosis. This diagnostic dilemma can be solved occasionally only by histological examination. We report two patients, one with a lymphoma-like presentation and the other with an intraocular tumoral mass suggesting retinoblastoma, and discuss the diagnostic difficulties.
Subject(s)
Eye Infections, Parasitic/diagnosis , Larva Migrans, Visceral/diagnosis , Child, Preschool , Diagnosis, Differential , Eye Enucleation , Eye Infections, Parasitic/surgery , Eye Neoplasms/diagnosis , Female , Humans , Larva Migrans/diagnosis , Lymphoma/diagnosis , Retinoblastoma/diagnosisABSTRACT
Septic cavernous sinus thrombosis is a rare complication of facial infections, particularly of the dangerous triangle (nose and upper lip) and less often of the orbit, middle ear, pharynx or teeth. Staphylococcus aureus is the most frequent causative agent. Prompt diagnosis and early aggressive antibiotic therapy, with or without anticoagulants, is required. A 49-year-old woman developed this complication following multiple nasal abscesses. Despite intensive antibiotic and anticoagulant therapy she became permanently blind. We present this case to stress the fact that this disease is still fraught with high morbidity, and even mortality.
Subject(s)
Abscess/complications , Cavernous Sinus , Nose Diseases/complications , Sinus Thrombosis, Intracranial/etiology , Abscess/drug therapy , Anti-Bacterial Agents/therapeutic use , Anticoagulants/therapeutic use , Blindness/etiology , Female , Humans , Middle Aged , Nose Diseases/drug therapy , Sinus Thrombosis, Intracranial/drug therapyABSTRACT
A 61-year-old female presented with a tumor of her left superior orbital rim, which caused blepharoptosis and slight displacement of the globe. X-ray films showed a lytic defect in the frontal bone, while a computed tomography revealed the tumor to extend along the orbital roof, as well as to involve the posterior lamina of the frontal bone. A biopsy taken from the tumor showed it to be an intraosseus cavernous hemangioma.
Subject(s)
Frontal Bone/diagnostic imaging , Hemangioma, Cavernous/diagnostic imaging , Skull Neoplasms/diagnostic imaging , Female , Frontal Bone/pathology , Hemangioma, Cavernous/pathology , Humans , Middle Aged , Skull Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
In 30 human orbits the ciliary ganglion with its motor (parasympathetic), sympathetic and sensory roots and the short ciliary nerves were dissected under the surgical microscope. The ganglion was situated near the orbital apex, between the optic nerve, abducens nerve, lateral rectus muscle and the ophthalmic artery. In 2 cases the motor, parasympathetic root was missing and the ganglion was attached directly to the inferior branch of the 3rd nerve or to the nerve of the inferior oblique muscle. In some cases the root was double. The sensory root was very constant. The sympathetic root was identified only in 22 specimens. It took origin from the sympathetic carotid plexus; in a few cases from the sympathetic plexus around the ophthalmic artery or from both sources. Most of the short ciliary nerves entered the eyeball in its temporal aspect. Only 1-2 short ciliary nerves entered the medial aspect after crossing the inferior of the optic nerve. In 2 cases, additional short ciliary nerves originated directly from the motor root, and in one case from the sensory root. Connections between short and long ciliary nerves were also observed. In order to locate the ganglion it is advised to find first the nerve to the inferior oblique muscle, along the inferior border of teh lateral rectus, and follow it backwards up to the motor root.
Subject(s)
Eye/innervation , Ganglia, Parasympathetic/anatomy & histology , Abducens Nerve/anatomy & histology , Adult , Female , Humans , Male , Oculomotor Muscles/anatomy & histology , Ophthalmic Artery/anatomy & histology , Optic Nerve/anatomy & histologyABSTRACT
Histologic examination of ten leaking filtering blebs revealed an epithelial tract running from the surface of the bleb down to the episclera in eight cases. These epithelial tracts were considered the real cause of the persistent leakage.
