ABSTRACT
A man in his late 50s presented with a gradually enlarging, painless, reddish mass on the white portion of his left eye for 2 weeks. His best-corrected visual acuity was 20/20 in both eyes. Slit-lamp examination showed a congested, nodular, elevated lesion on the temporal bulbar conjunctiva with two pustule-like elevations. Anterior segment optical coherence tomography showed a subconjunctival solid mass rather than an abscess or a cyst. Scleral deroofing was performed and a long thread-like object resembling a dead worm was identified. The worm was removed intact, and its histopathology confirmed the diagnosis of Dirofilaria Peripheral blood smear did not show any microfilariae. No recurrences or new lesions were observed during the follow-up examinations at 1 and 5 months post-surgery. This case highlights the importance of considering a parasitic aetiology in cases of nodular or infectious scleritis.
Subject(s)
Dirofilariasis , Eye Infections, Parasitic , Scleritis , Humans , Male , Scleritis/diagnosis , Dirofilariasis/diagnosis , Dirofilariasis/surgery , Middle Aged , Diagnosis, Differential , Eye Infections, Parasitic/diagnosis , Eye Infections, Parasitic/surgery , Animals , Dirofilaria/isolation & purification , Tomography, Optical Coherence , Conjunctival Diseases/diagnosis , Conjunctival Diseases/parasitology , Conjunctiva/parasitology , Conjunctiva/pathologySubject(s)
Corneal Ulcer , Granuloma, Pyogenic , Keratoconus , Tissue Adhesives , Humans , Corneal Ulcer/etiology , Keratoconus/complications , Cornea , Corneal TopographyABSTRACT
A 6-year-old female child presented with severe acute ocular chemical burn in the right eye 2 days after injury with cement. She underwent removal of all foreign bodies from the ocular surface and amniotic membrane transplantation. Three months later, she developed unilateral total limbal stem cell deficiency (LSCD) with symblepharon in two quadrants. Three months after the acute injury, the patient underwent autologous simple limbal epithelial transplant in the right eye with one-clock hour of limbus harvested from the left eye. At the same sitting, she underwent symblepharon release in two quadrants of the right eye with conjunctival autograft harvested from the left eye followed by conjunctival graft suturing to the areas of bare sclera in the right eye. One year after surgery, the patient's visual acuity improved from counting fingers close to face preoperatively to 20/50 (uncorrected) with no recurrence of LSCD or symblepharon.
