1/39. blepharoptosis surgery complicated by late suture migration.PURPOSE: To report late suture migration as a complication of blepharoptosis surgery. METHOD: case reports. RESULTS: After upper eyelid blepharoptosis repair, two eyes of two patients developed unusual foreign body reactions and ulceration in the conjunctiva caused by migration of nonabsorbable suture from the levator aponeurosis to the upper conjunctival fornix. The foreign body caused eyelid edema, papillary changes in the upper tarsal conjunctiva, recurrent blepharoptosis, and a foreign body sensation that started more than 3 months after the surgery and persisted until the suture was removed. The sutures, hidden in edematous conjunctiva of the superior fornix, eluded detection. CONCLUSIONS: Foreign body reaction secondary to suture migration is an uncommon complication of blepharoptosis repair.- - - - - - - - - - ranking = 1keywords = foreign body, foreign, body (Clic here for more details about this article) |
2/39. Solitary keratoacanthoma of the conjunctiva: report of a case.keratoacanthoma characteristically occurs on the skin and is rarely found in the conjunctiva. We, herein, report a case of a healthy 41-year-old Thai woman presenting with a rapidly growing conjunctival mass. The tumor was excised to exclude squamous cell carcinoma. Histopathology revealed a cup shaped well-circumscribed proliferation of squamous cells, with a central keratin crater, consistent with a keratoacanthoma. On the literature review, only 12 cases have previously been reported in the English language. The mean age of presentation was 40.75 years, with a male preponderance. Presentation of a mass was mostly within 4 weeks after onset. history of foreign material getting into the eye was positive in 5 cases. All cases were successfully treated by excision, except for one case in which malignancy transformation was found, and enucleation was required eventually. Conjunctival keratoacanthoma is a rare disease. However, this lesion should be well recognized and not misinterpreted as malignancy. As far as we are aware, this is the first report of conjunctival keratoacanthoma from this region.- - - - - - - - - - ranking = 0.076918482594151keywords = foreign (Clic here for more details about this article) |
3/39. Ocular findings in cutis laxa acquisita.PURPOSE: To report ocular findings in a patient with cutis laxa acquisita. methods: Case report RESULTS: A 44-year-old man complained of excessively loose skin for 4 years and had no family history of skin disease. Dermatological examination showed lax and wrinkled skin all over his body. He had bilateral subconjunctival fat prolapse and dermatochalasis. CONCLUSIONS: This case of acquired form of cutis laxa is noteworthy because subconjunctival fat prolapse and dermatochalasis are uncommon at this relatively young age.- - - - - - - - - - ranking = 0.0019405769577408keywords = body (Clic here for more details about this article) |
4/39. Positive polymerase chain reaction and histology with borderline serology in Parinaud's oculoglandular syndrome.PURPOSE: To report a case of Parinaud's oculoglandular syndrome (POS) in which, despite a borderline serology, polymerase chain reaction (PCR) testing for a conjunctival biopsy was positive for bartonella henselae, a source of cat-scratch disease. A Steiner silver stain demonstrated the organism. methods: Case Report. RESULTS: A 65-year-old man was seen for a foreign body in his left eye (OS) associated with chemosis and a preauricular node. CONCLUSION: B. henselae is a known cause of POS. This gram-negative pleomorphic rod has been more frequently discovered in connection with this syndrome due to improved diagnostic testing such as indirect immunofluorescence antibody and PCR testing. Frequently, serology is positive if the organism is present. This report describes a patient with clinical findings of POS who, despite borderline serology, had pleomorphic rods on Steiner silver stain and positive PCR testing compatible with Bartonella henselae.- - - - - - - - - - ranking = 0.33462705130516keywords = foreign body, foreign, body (Clic here for more details about this article) |
5/39. Insect wing conjunctival granuloma.PURPOSE: To report a case of conjunctival granuloma formation in response to lodgment of an insect wing. METHOD: Case report and review of the literature. RESULTS granuloma formation in the conjunctiva can occur following lodgment of an insect wing. This can cause the patient chronic redness, discharge, and discomfort. CONCLUSIONS: Small foreign bodies with relatively little mass and large surface area can evade the normal protective mechanisms for removal of a foreign body and give rise to a chronic inflammatory response.- - - - - - - - - - ranking = 0.40960495694157keywords = foreign body, foreign, body (Clic here for more details about this article) |
6/39. Primary systemic amyloidosis: a unique case complaining of diffuse eyelid swelling and conjunctival involvement.A 52-year-old Japanese woman with the chief complaint of marked swelling of her upper eyelids and a mass over the bulbar conjunctiva is reported. She previously noticed frequent purpura after minimal trauma, which was resolved shortly after taking some ascorbic acid. Laboratory data showed Ig-G kappa type M-protein in the serum and kappa type Bence-Jones protein in the urine by immunoelectrophoresis. Systemic examination showed mild hepatosplenomegaly, 1st degree of AV block, and a mild increase in plasma cells in the bone marrow biopsy. Histologically, the whole dermis of the eyelid skin and conjunctiva was replaced by a large quantity of amorphous, eosinophilic substances, which were diffusely positive with Direct Fast Scarlet 4BS. Immunohistochemical staining was positive for anti-amyloid P component antibody. Typical amyloid fibrils were proved by electron microscopy. She was finally diagnosed as primary systemic amyloidosis with diffuse swollen eyelids and conjunctival mass, symptoms which in primary systemic amyloidosis are very rare.- - - - - - - - - - ranking = 0.0019405769577408keywords = body (Clic here for more details about this article) |
7/39. histoplasma granuloma of the conjunctiva.PURPOSE: To describe the clinical and pathologic features of a conjunctival granuloma resulting from histoplasma capsulatum. DESIGN: Clinicopathologic case report. methods: Surgical excision of conjunctival lesion, histopathologic study with special stains, and a fluorescent antibody technique. RESULTS: A conjunctiva granuloma was found to contain microorganisms, compatible with H. capsulatum, confirmed by a fluorescent antibody technique. The conjunctiva returned to normal. CONCLUSIONS: A focal granuloma of the conjunctiva contained H. capsulatum in a patient whose recent symptoms suggested primary infection. The conjunctival lesion was similar to mucocutaneous lesions seen in patients with systemic histoplasmosis.- - - - - - - - - - ranking = 0.0038811539154816keywords = body (Clic here for more details about this article) |
8/39. Cerebral cholesterol granuloma in homozygous familial hypercholesterolemia.Familial hypercholesterolemia (FH) is characterized by the accumulation of excess cholesterol in tissues including the artery wall and tendons. We describe a patient with homozygous FH who presented with asymptomatic cholesterol granuloma of the brain. The patient's plasma low-density lipoprotein cholesterol level was remarkably responsive to combination hypolipidemic therapy with statin plus ezetimibe. This case illustrates another potential complication of whole-body cholesterol excess and underscores the differences in phenotype and in response to therapy among patients with FH.- - - - - - - - - - ranking = 0.0019405769577408keywords = body (Clic here for more details about this article) |
9/39. Conjunctival mascaroma masquerading as melanoma.PURPOSE: To describe a conjunctival mass composed of keratin with mascara deposition that clinically simulated a melanoma. methods: A 50-year-old woman, who used mascara for 20 years, was referred for a conjunctival mass that was suspected to be melanoma. Excisional biopsy was performed, and the lesion was studied histopathologically. RESULTS: The lesion consisted of conjunctival epithelium with a keratin plaque that contained multiple dark particles that exhibited birefringence with polarized light. The final diagnosis was conjunctival hyperkeratosis containing foreign bodies compatible with mascara deposition. The patient continues to use mascara, and there is no recurrence after 12 months. CONCLUSIONS: Deposition of mascara can assume tumorous proportions and simulate a conjunctival melanoma.- - - - - - - - - - ranking = 0.076918482594151keywords = foreign (Clic here for more details about this article) |
10/39. Amniotic membrane transplantation in acute phase of toxic epidermal necrolysis with severe corneal involvement.OBJECTIVE: To report successful management of acute stage toxic epidermal necrolysis (TEN) by amniotic membrane transplantation. DESIGN: Interventional case report. METHOD/INTERVENTION: A 6-year-old boy who had convulsions and fever due to encephalitis was treated by oral phenobarbital. Two weeks later, he developed a high fever and skin rashes involving >40% of the body, with a positive Nikolsky sign and oral blisters. Examination under general anesthesia performed 5 days after the onset of eye symptoms showed severe inflammation and ulceration on the lid margin and the tarsal conjunctiva in both eyes, a total corneal epithelial defect in the right eye, and a geographical corneal epithelial defect in the left eye. Amniotic membrane was transplanted in both eyes as a patch to cover the entire ocular surface, including upper and lower lid margins. RESULTS: Fourteen days after amniotic membrane transplantation, complete corneal and conjunctival epithelialization was observed in the left eye. However, a second amniotic membrane transplantation was performed in the right eye, which still had a total corneal and conjunctival epithelial defect, and resulted in complete epithelialization 14 days later. Corrected visual acuity improved to 20/16 without any superficial punctate keratitis in both eyes 6 months postoperatively. Minimal symblepharon and peripheral scarring were observed only in the right eye. CONCLUSIONS: Amniotic membrane transplantation performed at the acute phase of TEN is highly effective not only in reducing inflammation and preventing scarring in the conjunctival surface, but also in restoring corneal epithelial integrity in eyes with both corneal and conjunctival ulceration. As a result, in this case it prevented sight-threatening cicatricial complications at the chronic stage.- - - - - - - - - - ranking = 0.0019405769577408keywords = body (Clic here for more details about this article) |
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