ABSTRACT
A case of metastatic basal cell carcinoma is reported that presented as a tearing problem caused by a paralytic ectropion from a metastasis to the parotid gland affecting the seventh cranial nerve. Features of metastatic basal cell carcinoma are discussed.
Subject(s)
Carcinoma, Basal Cell/secondary , Ectropion/etiology , Eyelid Neoplasms , Lacrimal Apparatus Diseases/etiology , Parotid Neoplasms/secondary , Aged , Aged, 80 and over , Carcinoma, Basal Cell/complications , Female , Humans , Parotid Neoplasms/complicationsSubject(s)
Drug Contamination , Lenses, Intraocular/standards , Solutions/standards , Humans , Nursing RecordsABSTRACT
We reviewed 23 consecutive cases of intraocular lens implant exchange. Lens dislocation (26%) and chronic intraocular inflammation (26%) were the most frequent indications for lens exchange. Post-exchange vision was best in those eyes treated for inappropriate implant power (100% less than or equal to 20/40), intermediate in dislocation cases (83% less than or equal to 20/40), and poorest in eyes with chronic intraocular inflammation (50% less than or equal to 20/40), even though the inflammation usually improved. Eighty-three percent of the total cases remained within one line of the pre-exchange visual acuity.
Subject(s)
Lenses, Intraocular/adverse effects , Aged , Cataract Extraction , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Complications/epidemiology , Reoperation , Retrospective Studies , Visual AcuityABSTRACT
A silicone tube is often passed through a fellow normal canaliculus in the treatment of a lacerated canaliculus in order to form a loop in the medial canthus and unite the ends of the tube in the nose. The histopathologic effects of the tube on the canaliculus and the constant frictional trauma caused by movement of the tube with blinking are not known. We intubated both normal and lacerated canaliculi of dogs to determine whether any damage occurred to the normal canaliculus and whether the inflammatory response following surgical repair of canalicular lacerations was prolonged or altered by the tube. We found no significant damage to the normal canaliculus and no increase in the surgical inflammation. Following the repair of a laceration, the canalicular epithelial layer healed along the silicone tube in spite of the constant frictional trauma. These findings support the safety of the use of the silicone tube in the treatment of canalicular disorders.
Subject(s)
Intubation , Lacrimal Apparatus/injuries , Silicone Elastomers/adverse effects , Animals , Dogs , Epithelium/drug effects , Epithelium/pathology , Lacrimal Apparatus/drug effects , Lacrimal Apparatus/pathologyABSTRACT
A 62-year-old white man developed an acute anterior chamber inflammation in his left eye. Listeria monocytogenes was cultured from the vitreous aspirate. There was no evidence for ocular trauma or distant site of infection from which hematogenous spread of the organism occurred. No underlying state of immunocompromise was demonstrated. The endophthalmitis responded well to therapy.
