Indocyanine green angiography in cases of inflammatory chorioretinopathy.

We studied 13 patients with various chorioretinal inflammatory diseases, comparing fluorescein angiography and indocyanine green angiography. The study included cases of presumed ocular histoplasmosis syndrome, Birdshot chorioretinopathy, serpiginous choroiditis and acute posterior multifocal placoid pigment epitheliopathy. Based on our findings and comparing them to the few previous reports, we try to better understand the pathogenesis of these inflammatory chorioretinopathies.

Uveitis-glaucoma-hyphema syndrome: a late complication of posterior chamber lenses.

The uveitis-glaucoma-hyphema (UGH) syndrome is a triad that rarely occurs in the late postoperative period after an extracapsular cataract extraction (ECCE) with implantation of a posterior chamber (PC) intraocular lens (IOL). Surgical techniques as well as IOL design can influence the incidence of the UGH syndrome. We describe two patients who developed an UGH syndrome respectively 5 and 6 years after an ECCE with implantation of a flexible closed-loop one-plane PC IOL of the Anis type. Intraoperatively, an envelope technique had been used. Although no tears had occurred, an asymmetrical bag-sulcus fixation of the IOL had been obtained, with manifest upward decentration of the IOL, probably eroding the ciliary sulcus by its closed loops, acting as a semi-rigid system.

A rare case of chronic papillary conjunctivitis diagnosed after several years of evolution. Clinical and pathological findings.

A man with a 2.5 year history of chronic papillary conjunctivitis was diagnosed as having "floppy eyelid syndrome". This syndrome, first described in 1981, is characterized by loose upper eyelids that evert readily on elevation of the lid, a chronic papillary conjunctivitis and a soft rubbery tarsus. The condition is resistant to any form of medical treatment but responds well to a horizontal lid shortening procedure. The etiology is unknown but the present report suggests that an abnormality of the structure of the orbicularis muscle may play a role.

Primary corneal epithelial dysplasia (corneal intraepithelial neoplasia).

A 49 year-old man consulted in March 1980 for pain, eyestrain and decreased vision at the right eye. He presented a slightly elevated and transparent lesion, strictly limited to the corneal epithelium and treated with eyedrops until November 1980. The patient was seen again 12 years later in October 1992 with still the same complaints and a practically unchanged corneal lesion. The diagnosis of primary corneal epithelial dysplasia (Corneal Intraepithelial Neoplasia-Corin) was made and the abnormal epithelium completely removed under local anesthesia. After the operation the cornea became normal again and the patient free of complaints. The authors discuss the clinical symptoms, pathology, pathogeny and treatment of primary corneal epithelial dysplasia (Corneal Intraepithelial Neoplasia-Corin).

Merkel cell carcinoma of the eyelid. A clinicopathological case report.

Merkel cell carcinoma, a neuroendocrine tumor, is a highly invasive cutaneous neoplasm, which rarely affects the eyelids. This tumor must be treated aggressively to minimize the changes of local recurrence and regional or distant metastasis. In this paper, we describe a 78-year-old woman who had two recurrences of this neoplasm after consecutive local excisions. We describe the histopathological findings and emphasize the differential diagnosis with other neoplasms, as the therapeutic approach is different.