1/171. tetracycline and niacinamide: treatment alternatives in ocular cicatricial pemphigoid.Cicatricial pemphigoid (CP) is one of the subepidermal autoimmune bullous dermatoses in which pathologic separation occurs between the epidermis and dermis. Ocular findings characteristic of CP include conjunctival cicatrization, subepithelial fibrosis, and symblepharon formation, which may progress to blindness. Ocular CP (OCP) is usually treated with steroids or immunosuppressive agents, which are problematic in and of themselves within the elderly population, which is most often afflicted with OCP. We describe the utility and effectiveness of therapy with tetracycline and niacinamide in elderly patients with OCP.- - - - - - - - - - ranking = 1keywords = ocular (Clic here for more details about this article) |
2/171. Adverse periocular reaction after blood transfusion.PURPOSE: To describe a patient with an acute conjunctival and periocular reaction after blood transfusion. methods: Case report and literature review. RESULTS: A 67-year-old woman sustained a self-limited periocular reaction characterized by bilateral turgescence and redness of the conjunctiva and eyelids after blood transfusion. More than 100 similar reactions of this type have been reported by the Centers for disease Control and Prevention. CONCLUSIONS: The cause of this periocular transfusion reaction is unclear, but this type of reaction is being investigated by the Centers for disease Control and Prevention. This case suggests that mild transfusion complications, even if unusual, may be under-reported.- - - - - - - - - - ranking = 1.75keywords = ocular (Clic here for more details about this article) |
3/171. Conjunctival prolapse: a simple and effective treatment.OBJECTIVE: To describe a simple and noninvasive technique to manage conjunctival prolapse and to report its efficacy. DESIGN: Noncomparative, retrospective case series. PARTICIPANTS: Ten consecutive patients encountered over a span of 13 years developed postoperative conjunctival prolapse as a complication from various ocular and orbital procedures. INTERVENTION: The prolapsed tissue is tucked back to its proper position with the aid of jeweler's forceps and a strip of gauze saturated with petroleum jelly and antibiotic ointment; thereafter, a double patch is applied to the closed eyelids. MAIN OUTCOME MEASURES: Successful resolution is usually attained within 48 hours. RESULTS: The technique is easy, efficient, and effective. All ten patients experienced no further complications after resolution. CONCLUSION: Clinicians should consider adopting this noninvasive technique.- - - - - - - - - - ranking = 0.25keywords = ocular (Clic here for more details about this article) |
4/171. Benign lymphoid hyperplasia of the conjunctiva in children.Benign lymphoid hyperplasia of the conjunctiva occurs infrequently in children, and its presentation, clinical course, and appropriate management are not well established. We describe 2 children with nasal conjunctival masses that on pathological examination demonstrated benign lymphoid hyperplasia. Local irradiation of residual tissue was deferred, and the lesions remained stable for 1 year in one case and for 3 1/2 years in the other case. No systemic involvement had occurred. Although the natural history of extranodal lymphoid hyperplasia in children is poorly documented, most cases of nodal lymphoid hyperplasia in children are at very low risk of malignant transformation. Careful observation for local and systemic disease is indicated for ocular adnexal lymphoid hyperplasia in children until a more complete understanding of its natural history is available.- - - - - - - - - - ranking = 0.25keywords = ocular (Clic here for more details about this article) |
5/171. Bilateral orbital emphysema from compressed air injury.PURPOSE: To describe a patient who developed bilateral subconjunctival and orbital emphysema after an automobile tire explosion. METHOD: Case report. RESULTS: A 60-year-old man sustained bilateral ocular injury after a tire explosion. Ophthalmic examination disclosed bilateral subconjunctival air, with no visible conjunctival laceration. Computed tomography showed orbital emphysema, with no evidence of orbital fracture. Follow-up examination 2 weeks after the injury disclosed resolution of the subconjunctival air. Best-corrected visual acuity in the right eye was decreased after the explosion but improved to the baseline level of 20/40 2 weeks after the injury. CONCLUSION: Subconjunctival and orbital emphysema can occur from high-pressure air injury in the absence of an obvious entry site.- - - - - - - - - - ranking = 0.25keywords = ocular (Clic here for more details about this article) |
6/171. Presumed periorbital lupus vulgaris with ocular extension.OBJECTIVE: To report an unusual case of lupus vulgaris that spread to the left anterior ocular surface. DESIGN: Case report. PARTICIPANT: An 18-year-old woman presented with an 8-month history of an infiltrative skin lesion affecting the left lower eyelid and cheek area, left globe, right lacrimal sac area, together with a cystic lesion in the foot area. TESTING/INTERVENTION: The authors describe the clinical findings, radiologic study, and histopathologic study of the conjunctiva, skin, liver, and ankle lesion. The patient was treated with antituberculous medications for 3 months. MAIN OUTCOME MEASURES: Healing of the skin, conjunctival, and bone lesions. RESULTS: The lesion of the face healed, leaving scar tissue. The left eye showed symblepharon with loss of its anterior surface features. The right eye showed no symblepharon, the bones of the foot healed with no deformity, and the liver function test results normalized after 3 months of antituberculous medications. CONCLUSION: lupus vulgaris can be associated with multiple system involvement. Its clinical presentation and behavior depend on the patient's immunity and duration of the disease. early diagnosis and appropriate management may cure the disease with no life-threatening sequelae.- - - - - - - - - - ranking = 1.25keywords = ocular (Clic here for more details about this article) |
7/171. Primary localized conjunctival amyloidosis presenting with recurrence of subconjunctival hemorrhage.PURPOSE: To report the ocular presentation and histopathology of a patient with primary localized conjunctival amyloidosis. methods: A 38-year-old woman presented with a recurrence of episodes of severe bilateral subconjunctival hemorrhage. Ocular examination revealed yellowish, marked folding and redundancy of the conjunctiva in the inferior cul-de-sac of each eye. RESULTS: After two initial conjunctival biopsies that showed only chronic inflammation, a third biopsy revealed the presence of amyloid in the substantia propria of the conjunctiva. CONCLUSION: Primary localized conjunctival amyloidosis is rare and usually diagnosed histologically instead of clinically. recurrence of subconjunctival hemorrhage may be the initial presentation. Evaluation for systemic diseases is advised, though the results of the examination are almost always negative.- - - - - - - - - - ranking = 0.25keywords = ocular (Clic here for more details about this article) |
8/171. Bilateral necrotizing scleritis and blindness in the myelodysplastic syndrome presumably due to relapsing polychondritis.PURPOSE: The purpose of this study was to report a case of bilateral blindness, bilateral necrotizing scleritis, and bilateral deafness in a patient with myelodysplastic syndrome (MDS). In such a patient, the possibility of relapsing polychondritis (RPC) associated with MDS must be considered. CASE REPORT/methods: A 66-year-old patient suffered from myelodysplastic syndrome (MDS). Shortly before his death, he became bilaterally blind and deaf. A biopsy was taken from the conjunctiva and the bone marrow, and both eyes were obtained after death for further investigation. Findings of the clinical and laboratory work-up for the patient's hematologic disorder as well as an examination of the eyes by light microscopy and immunohistochemistry are presented. RESULTS: Ocular sections showed a diffuse necrotizing scleritis with moderate uveitis and no identifiable infectious agent. Neither was there any evidence of a leukemic infiltration. The deafness had been due to inner ear failure, and the patient died of a cardiac failure. CONCLUSIONS: Non-infectious scleritis associated with inner ear deafness is a strong indication of relapsing polychondritis (RPC). Furthermore, RPC can be associated with MDS. Thus, in addition to leukemic infiltration and infection involving ocular structures, ophthalmologists and otolargyngologists should be aware of the association between MDS and RPC and the potential complications.- - - - - - - - - - ranking = 0.25keywords = ocular (Clic here for more details about this article) |
9/171. Ophthalmia nodosa caused by casual handling of a tarantula.PURPOSE: To present the diagnostic and therapeutic challenges of ophthalmia nodosa secondary to tarantula hairs. methods: We present a case of a 28-year-old male with a one-week history of skin rash followed by ocular irritation, and blurring of vision after handling a Chilean rose tarantula. A medline-guided literature search was performed to review the current and historical knowledge of ophthalmia nodosa. The clinical presentation and therapeutic options in ophthalmia nodosa were reviewed. RESULTS: Ophthalmia nodosa is a granulomatous, nodular reaction to vegetable or insect hairs including tarantula hairs. Tarantula hairs can cause inflammation in all levels of the eye, from conjunctiva to retina. Therapy includes surgical removal of offending hairs and medical management of inflammation. CONCLUSIONS: Although tarantulas are considered harmless pets, ophthalmia nodosa is a potential danger when handling a tarantula. Furthermore the management of exposure to tarantula hairs can be difficult.- - - - - - - - - - ranking = 0.25keywords = ocular (Clic here for more details about this article) |
10/171. Subconjunctival cysts following silicone oil injection: a clinicopathological study of five cases.PURPOSE: To study the occurrence, risk factors and management of subconjunctival cysts formed following the use of intraocular silicone oil as a tamponade. methods: We analyzed 5 cases of single and multioculated subconjunctival oil cysts between 1986 and 1996. RESULTS: cysts were observed 15 days to 4 months following silicone oil injection. Clinically they showed minimal inflammatory signs but histopathology of removed cysts showed emulsified silicone oil globules with chronic inflammatory cellular infiltration. CONCLUSION: Though silicone oil is considered to be nontoxic, it can cause chronic inflammation when spilled into the subconjunctival space.- - - - - - - - - - ranking = 0.25keywords = ocular (Clic here for more details about this article) |
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