1/14. Ptosis associated with PMMA/rigid gas permeable contact lens wear.PURPOSE: Contact lens wear has the potential to cause an acquired non-senile blepharoptosis. Ptosis can result from rigid gas permeable (RGP) contact lens wear due to contact lens migration, inflammation, and undetermined causes. The purpose of this article was to investigate the occurrence of ptosis without obvious cause in a young and middle aged RGP contact lens wearing population. methods: We fit sixty-four patients (128 eyes) with RGP contact lenses over a fifteen month period (7/1/96 to 9/10/97) and present a series of case reports of five young and middle aged RGP contact lens wearers who developed ptosis without obvious cause during the study period. RESULTS: Five patients (6 eyes [4.7%]) in our study developed non-senile acquired ptosis. Four patients had a unilateral ptosis, and one patient had a bilateral ptosis. CONCLUSIONS: As in other other studies, we found that a significant percentage of RGP contact lens wearers developed ptosis, which is suspected to be related to RGP contact lens wear. One possible explanation is the lens removal procedure of pulling laterally on the eyelids followed by a harsh blink. However, other causes may exist such as the constant rubbing of the lens edge against the palpebral conjunctiva.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
2/14. Diffuse nodular eyelid lipogranuloma following sutureless transconjunctival blepharoplasty dressed with topical ointment.PURPOSE: Transconjunctival blepharoplasty is becoming the approach of choice for many cosmetic surgeons. The authors describe a case of a diffuse, multinodular eyelid lipogranuloma following transconjunctival blepharoplasty, after which the unsutured wound was dressed with a topical ointment. methods: Report of clinical course and histopathologic findings. RESULTS: A patient developed multiple firm, nontender masses of the left lower eyelid that enlarged despite topical and systemic medical therapy. Prior to referral, the progressive lesions had recurred despite three successive attempts at surgical eradication. Histopathologic examination of excised tissue demonstrated a multifocal lipogranulomatous inflammation consistent with reaction to retained ointment. CONCLUSIONS: Sclerosing lipogranulomas are a known complication of intradermal lipid injection, as well as a late complication of sinus surgery after postoperative nasal packing with ointment-saturated gauze. The application of a topical ointment should be avoided until after transconjunctival lower blepharoplasty unless wound closure is secure or until conjunctival epithelialization is complete.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
3/14. Painful ophthalmoplegia with reversible carotid stenosis in a child.Painful ophthalmoplegia in childhood has different causes. One is tolosa-hunt syndrome, in which a first episode may be difficult to diagnose because of its clinical similarity to ophthalmoplegic migraine. A 10-year-old male with painful ophthalmoplegia and a cavernous sinus inflammation associated with an intracavernous carotid stenosis demonstrated by magnetic resonance imaging and angiography is reported. These findings resolved in follow-up imaging. This report suggests that in the presence of painful ophthalmoplegia, magnetic resonance imaging detection of cavernous sinus inflammation can facilitate the diagnosis of tolosa-hunt syndrome when other causes are excluded.- - - - - - - - - - ranking = 2keywords = inflammation (Clic here for more details about this article) |
4/14. Orbital dirofilariasis.dirofilariasis is a parasitic disease of domestic and wild animals that occasionally may present as zoonotic infection in humans. The microfilariae are accidentally transmitted to humans by culex and aedes mosquitoes. Ophthalmic infections with Dirofilaria are well documented all over the world, including America, europe and australia. The infection may be periorbital, subconjunctival or intraocular. In this report a case is described of orbital dirofilariasis that presented as ptosis and lid swelling. Australian ophthalmologists should consider dirofilariasis as part of the differential diagnosis of orbital swelling and inflammation.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
5/14. Orbital inflammatory syndromes with systemic involvement may mimic metastatic disease.physical examination of a 9-year-old girl with a 2-month history of swelling of the left orbit demonstrated an orbital mass, blepharoptosis, and proptosis. Computed tomography revealed a 2 x 3-cm mass in the superior left orbit that expanded orbital dimensions. radiography showed abnormalities in the parietal and frontal bones and distal right tibia. magnetic resonance imaging demonstrated an 8.5-cm abnormality of the marrow space of the right mid-tibia. bone marrow biopsy was unremarkable. Orbital and tibial biopsies showed a nonspecific chronic inflammation. Idiopathic inflammation that involves the orbit (orbital pseudotumor) and that has systemic manifestations may mimic more serious conditions, such as metastases from rhabdomyosarcoma or Ewing sarcoma, chronic recurrent multifocal osteomyelitis (CRMO), and SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis). Accurate diagnosis requires careful clinical and pathologic examinations.- - - - - - - - - - ranking = 2keywords = inflammation (Clic here for more details about this article) |
6/14. Sclerosing lipogranuloma of the orbit after periocular steroid injection.PURPOSE: To report the clinical and histopathologic findings of a large sclerosing lipogranuloma of the orbit arising after a sub-Tenon's corticosteroid injection. DESIGN: Interventional case report and review of the literature. methods: A complete ocular and systemic evaluation was performed on a 81-year-old patient, who developed a large orbital mass subsequent to a periocular corticosteroid injection producing proptosis, ptosis, and ocular motility impairment. The lesion was biopsied and submitted for histopathologic analysis. MAIN OUTCOME MEASURES: Orbital, computed tomography, and histopathologic findings. RESULTS: Histopathologic examination revealed lipogranulomatous inflammation. Specifically, this type of reaction was consistent with a diagnosis of sclerosing lipogranuloma. CONCLUSIONS: It is extremely rare to find a large granulomatous orbital lesion arising subsequent to a periocular corticosteroid injection. Only one case has been reported in the English-language literature to date. It is important to include this type of lesion in the differential diagnosis of an orbital mass seen after the injection of periocular corticosteroids.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
7/14. blepharoptosis and upper eyelid swelling due to lipogranulomatous inflammation caused by silicone oil.PURPOSE: Report of two patients who presented with unilateral upper eyelid swelling and ptosis 1 and 8 years, respectively, after vitreoretinal surgery with intraocular silicone oil. DESIGN: Report of two cases. methods: In the first case, the oil was still present in the eye. In the second case, the intraocular oil and an epibulbar buckle had been removed 7 years earlier. RESULTS: Histopathology of upper eyelid skin and preaponeurotic fat revealed lipogranulomatous inflammation. CONCLUSIONS: Leakage of intraocular silicone oil into the eyelid tissues may cause an inflammatory reaction resulting in eyelid swelling and ptosis. We presume that in the first patient, silicone oil had leaked from the eye during or after surgery; in the second patient, silicone oil had probably been left behind in the space previously occupied by the epibulbar buckle.- - - - - - - - - - ranking = 5keywords = inflammation (Clic here for more details about this article) |
8/14. Suture reaction masquerading as a conjunctival malignancy.CASE REPORT: We report a case of conjunctival inflammation secondary to a retained suture masquerading as a neoplastic lesion. Excisional biopsy was performed in the right eye on a superior bulbar conjunctival lesion that appeared to be a conjunctival malignancy. A past history of ptosis surgery was obtained. Careful repeated examination with anesthesia, applying traction to the forniceal conjunctiva, revealed an occult polypropylene suture. Despite clinical features typical of malignancy, histologic examination revealed only chronic inflammatory cells. COMMENTS: patients with suspicious conjunctival lesions and a history of ptosis surgery should be carefully explored for retained suture fragments. Examination with anesthesia may be needed to find an occult suture.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
9/14. postoperative complications with protruding monofilament nylon sutures.Cut ends of 10-0 monofilament nylon sutures protruded and caused various combinations of severe pain, conjunctival inflammation, tarsal conjunctival ulcerations, eyelid edema, and corneal epithelial erosions in six patients postoperatively. These changes occurred one to three weeks after keratoplasty and one to three months after cataract surgery. In all six patients the signs and symptoms cleared after we trimmed or removed the offending sutures.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
10/14. Postlenticular membrane associated with smith-lemli-opitz syndrome.A 6-day-old boy with smith-lemli-opitz syndrome developed bilateral cataracts, posterior synechiae, and a dense postlenticular membrane. No other signs of inflammation were noted that could account for the development of either the posterior synechiae or membrane. To our knowledge, this is the first published report of such an associated membrane.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
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