Shields, J A; Guibor, P
A 63-year-old woman was seen with a slowly enlarging mass located on the right lower eyelid, where a "chalazion" had been twice curetted but not studied histologically. An excisional biopsy was performed, and the specimen proved histologically to be a neurilemoma (schwannoma). Although a neurilemoma is extremely rare on the eyelid, this case demonstrates that it should be included in the differential diagnosis of lesions that can clinically masquerade as a chalazion.
Tarkowski, Witold; Owczyńska, Marta; Błaszczyk-Tyszka, Anna; Młocicki, Daniel
The aim of the study was to investigate the presence of Demodex in the hair follicles of eyelashes and their potential participation in the aetiology of chalazion in patients in Poland. The study of the correlation between the presence of Demodex spp. and chalazion has never been performed in patients in Europe. There is, therefore, a justified necessity to check whether Demodex mites can be a potential risk factor in the development of chalazion in the European population. The samples were examined by light microscope, using standard parasitological methods. A positive result was assumed in the presence of Demodex spp. Demodex was detected in 91.67% of patients with a chalazion. The presence of Demodex was found in subjects from all examined age groups. The results of statistical analysis unambiguously determined the existence of an interrelationship between the presence of Demodex and chalazion. Our results clearly indicate the existence of a correlation between the occurrence of Demodex spp. and chalazion. Confirmation of the positive correlation between Demodex and chalazion in a European population provides further evidence for the pathogenic role of Demodex in the development of eye diseases.
Full Text Available Background. Lacrimal infections by Actinomyces are rare and commonly misdiagnosed for long periods of time. They account for 2% of all lacrimal diseases. Case Report. We report a case of a 70-year-old female patient suffering from a para-canalicular abscess in the medial canthus of the left eye, beside the lower punctum lacrimale, resembling a chalazion. Purulence exited from the punctum lacrimale due to inflammation of the inferior canaliculus (canaliculitis. When pressure was applied to the mass, a second exit of purulence was also observed under the palpebral conjunctiva below the lacrimal caruncle. A surgical excision was performed followed by administration of local antibiotic therapy. The histopathological examination of the extracted mass revealed the existence of actinomycosis. Conclusion. Persistent or recurrent infections and lumps of the eyelids should be thoroughly investigated. Actinomyces as a causative agent should be considered. Differential diagnosis is broad and should include canaliculitis, chalazion, and multiple types of neoplasias. For this reason, in nonconclusive cases, a histopathological examination should be performed.
Almaliotis, Diamantis; Nakos, Elias; Siempis, Thomas; Koletsa, Triantafyllia; Kostopoulos, Ioannis; Chatzipantazi, Maria; Karampatakis, Vasileios
Background. Lacrimal infections by Actinomyces are rare and commonly misdiagnosed for long periods of time. They account for 2% of all lacrimal diseases. Case Report. We report a case of a 70-year-old female patient suffering from a para-canalicular abscess in the medial canthus of the left eye, beside the lower punctum lacrimale, resembling a chalazion. Purulence exited from the punctum lacrimale due to inflammation of the inferior canaliculus (canaliculitis). When pressure was applied to the mass, a second exit of purulence was also observed under the palpebral conjunctiva below the lacrimal caruncle. A surgical excision was performed followed by administration of local antibiotic therapy. The histopathological examination of the extracted mass revealed the existence of actinomycosis. Conclusion. Persistent or recurrent infections and lumps of the eyelids should be thoroughly investigated. Actinomyces as a causative agent should be considered. Differential diagnosis is broad and should include canaliculitis, chalazion, and multiple types of neoplasias. For this reason, in nonconclusive cases, a histopathological examination should be performed.
睑板腺囊肿因睑板腺排泄口阻塞导致,是常见的眼睑疾病.目前有些设备可以行活体睑板腺结构显像观察:如高分辨率相干光断层扫描仪、非接触性笔式睑板腺红外线显像仪及角膜地形图仪等.睑板腺囊肿的病因较多,包括病毒感染、睑缘炎、幽门螺旋杆菌感染、酒渣鼻、蠕形短螨、低维生素A水平、雄激素水平、抽烟及紧张等.蠕形短螨是睑板腺囊肿形成与复发的一个危险因素,低维生素A水平是儿童睑板腺囊肿形成的重要诱因.对睑板腺囊肿可行保守治疗、病灶局部注射曲安奈德以及手术治疗.初次诊断的睑板腺囊肿病灶局部注射曲安奈德与手术治疗效果相当,对于明确的睑板腺囊肿病灶局部注射可作为一线治疗.%Meibomian gland cysts (chalazion) is a common disease of the eyelid,caused by retention of tarsal gland secretions.There are many in vivo imaging techniques for observing the tissue morphology changes of the meibomian glands.There are many reasons for developing chalazion,which including viral infection,blepharitis,helicobacter pylori,rosacea,Demodex brevis,low vitamin A level,androgen level,smoking and tension.Demodex brevis is a risk factor for both development and recurrence of chalazion,while low serum vitamin A is associated with a chalazion in young children.The treatment options of chalazion include conservative treatment,intralesional steroid injections and incision and curettage.Intralesional triamcinolone (TA) injection is as effective as incision and curettage in primary chalazion.TA injection may be considerd as an alternative first-line treatment in case where diagnosis is straightforward.
Rabah M. Shawky
Full Text Available We report a 2.5 year old female child, third in order of birth of healthy non consanguineous Egyptian parents with C syndrome. The patient had moderate mental retardation, trigonocephaly, protruding forehead, low anterior hair line, wide upslanted palpebral fissures, depressed nasal bridge, broad nose, high arched palate, microretrognathia, low set ears, short neck, scoliosis, hypertrichosis over the back, talipes equinovarus as well as interatrial septal defect. The patient had in addition chalazion in left lower eyelid as well as bilateral Bitot’s spots most probably due to vitamin A deficiency. MRI brain revealed agenesis of the corpus callosum.
Table 2. Diagnoses considered by Eye Module Acute angle closure glaucoma Dislocation of the lens Acute iritis Hash burn Allergic conjunctivitis...Gonococcal conjunctivitis Bacterial conjunctivitis Herpes simplex keratitis Blepharitis Hordeolum Chalazion Hyphema Chronic iritis Inclusion conjunctivitis...the globe Corneal abrasion Subconjunctival hemorrhage Corneal foreign body Traumatic iritis Viral conjunctivitis 11 cal Practice Support System). MEPSS
Yasmine Allison Cabrera Gómez
Full Text Available La Demodex folliculorum es un parásito obligatorio que no puede crecer in vitro y su presencia no es prueba de patogenicidad por ser ubicuo.1-3 Se considera que juega un papel patogénico cuando se encuentra en gran número, mayor a cinco parásitos por folículo piloso, y cuando se sitúa intradérmicamente.3 La demodicosis está relacionada con cuadros de blefaritis y rosácea, molestias oculares : secreción, lagrimeo, edema, eritema, seborrea, chalazion, aunque en muchos casos puede ser asintomática.
Mohammadpour, Iraj; Motazedian, Mohammad Hossein; Handjani, Farhad; Hatam, Gholam Reza
Cutaneous leishmaniasis (CL) is a protozoan disease which is endemic in Iran. It is transmitted by the Phlebotomus sand fly. The eyelid is rarely involved possibly because the movement of the lids impedes the sand fly from biting the skin in this region. Here, we report 6 rare cases of eyelid CL. The patients were diagnosed by skin scraping, culture, and PCR from the lesions. Skin scraping examination showed Leishmania spp. amastigotes in the cytoplasm of macrophages. Culture examination was positive for Leishmania spp. PCR was positive for Leishmania major and Leishmania tropica. The lesions were disguised as basal cell carcinoma, chalazion, hordeolum, and impetigo. The patients were treated with intramuscular meglumine antimoniate (20 mg/kg/day) for at least 3 weeks. They showed a dramatic response, and the lesions almost completely disappeared. We emphasized the importance of clinical and diagnostic features of lesions, characterized the phylogenetic relationship of isolated parasites, and reviewed the literature on ocular leishmaniasis. PMID:28095664
Renu M Magdum
Full Text Available Schwannomas are rare benign tumors arising from Schwann cells of peripheral nerves that form the neural sheath. While there have been reports of such tumors in the orbit, solitary schwannomas arising from the eyelids are very rare. There are reports of schwannomas being erroneously diagnosed as chalazion, inclusion cysts or even eyelid malignancy. We are reporting a case of a 20-year-old female who presented with a painless, non-tender, slow-growing mass in the upper eyelid of the right eye. The external appearance of the mass was suggestive of an implantation cyst of the eyelid and it could be completely excised as it had a well-defined capsule. Histopathological examination showed characteristic hypercellular and hypocellular areas with fusiform nuclei that tended to form palisades. The purpose of reporting this case of schwannoma in a young female is to recommend the inclusion of this entity as a differential diagnosis of well-defined lid tumors.
V. N. Trubilin
Full Text Available When acute inflammation in anterior eye segment of a forward piece of an eye was stopped, ophthalmologists face a problem of absence of acute inflammation signs and at the same time complaints to the remain discomfort feelings. It causes dissatisfaction from the treatment. The complaints are typically caused by disturbance of tears productions. No accidental that the new group of diseases was allocated — the diseases of the ocular surface. Ocular surface is a difficult biologic system, including epithelium of the conjunctiva, cornea and limb, as well as the area costal margin eyelid and meibomian gland ducts. Pathological processes in conjunctiva, cornea and eyelids are linked with tears production. Ophthalmologists prescribes tears substitutions, providing short-term relief to patients. However, in respect that the lipid component of the tear film plays the key role in the preservation of its stability, eyelids hygiene is the basis for the treatment of dry eye associated with ocular surface diseases. Eyelids hygiene provides normal functioning of glands, restores the metabolic processes in skin and ensures the formation of a complete tear film. Protection of eyelids, especially the marginal edge from aggressive environmental agents, infections and parasites and is the basis for the prevention and treatment of blepharitis and dry eye syndrome. The most common clinical situations and algorithms of their treatment and prevention of dysfunction of the meibomian glands; demodectic blepharitis; seborrheic blepharitis; staphylococcal blepharitis; allergic blepharitis; barley and chalazion are discussed in the article. The prevention keratoconjunctival xerosis (before and postoperative period, caused by contact lenses, computer vision syndrome, remission after acute conjunctiva and cornea inflammation is also presented. The first part of the article presents the treatment and prevention algorithms for dysfunction of the meibomian glands, as well as
Jombo GTA; Gyoh SK
Cutaneous leishmaniasis is regarded as a re-emerging disease due to its increase in spread and rate of transmission over the past decade due to a proportionate increase in global human movements. This study was therefore carried out to review epidemiology, laboratory diagnosis and treatment with in-depth discussion on some of the rare clinical presentations of the disease capable of influencing its control. The study was based on literature review on clinical and laboratory features of cutaneous leishmaniasis from original research articles, review articles, short communications, letters to editor and case reports on the disease for the past10 years (April 2000to April 2010). The results were analysed using simple descriptive methods. The rarest presentations of leishmaniasis encountered were peritibial ulcerations, hard painful nipple in a male, swollen upper lip, dermatofibro sarcoma protuberans, sternal proliferative growth, turban tumour, post operative granuloma, chalazion-like0.00%, and cutaneous sterile pyogranuloma with asymmetrical alopecia0.00% each. Others include infected sebaceous cysts0.45%, syphilis 0.19%, yaws0.13%, thrombotic ulcerations0.40%, mycetoma 0.90%, sarcoidosis0.67%, painless nasal solitary nodule0.00%, tuberculous lymphadenopathy0.25% and unilateral erythema nodosum0.28%. Physicians practicing in cutaneous leishmaniasis endemic, but most especially in the non-endemic areas should bear in mind that the disease may not be that rare in the context of the present global village phenomenon; and that, the next case could just be that of cutaneous leishmaniasis, the clinical picture of the patient notwithstanding.
Al Barwani Badar
Full Text Available Aim: To present three patients with ocular disease who developed a range of complications following use of traditional medications. Settings and Design: Case series Methods: Three patients who were examined in the Ophthalmic department of a tertiary care teaching hospital in the Sultanate of Oman between 2003 and 2004, seeking care following use of traditional medicines and or healing practices for various ophthalmic problems described below. Results: The first patient was a computer professional with a chalazion; the patient used a plant extract from ′Calotropis procera′ as a part of the treatment. He developed corneal edema with decrease in vision in his left eye following application of the plant extract. Treatment with topical steroids and antibiotics resulted in a complete clinical and visual recovery. The second patient developed a fungal corneal ulcer (dermatophyte - Trichophyton mentagrophyte after sustaining injury with an animal tail to the right eye and used honey for pain relief prior to presentation. She responded poorly to anti-fungal treatment, underwent a penetrating keratoplasty with recurrence of infection in the graft that resulted in a vascularized corneal scar. The third patient was a five-year-old child who was treated with ′wasam′ on the occiput for intraocular inflammation following bilateral uncomplicated cataract extraction. Following this treatment the topical steroid was discontinued. The "Wasam" treatment indirectly resulted in exacerbation of the intraocular inflammation and secondary glaucoma and poor vision as well as ′Wasam ulcers′ on the occiput. Despite treatment of the intraocular inflammation, the visual outcome was poor. Conclusion: Traditional medicine in Oman is sought by many for variable reasons. Lack of evidence-based scientific data on its safety or efficacy does not deter the Omanis from flocking the traditional healers. However, when applied in the treatment of ocular diseases
杜芬; 郭燕; 张金梅; 陶利娟
corresponding treatments, according to the result of interrogation and examination of eyes were analyzed and the therapeutic effect was observed. ?RESULTS:Totally, 5 561 cases were collected into the study including 4 025 cases of male, 1536 cases of female, and the ratio was 2.6∶1;age range was 2 ~14 years old with average age was ( 6.9 ±0.6 ) years old.Etiologies were as follows: refractive ( hyperopia, myopia and astigmatism) 2054 cases ( 36.9%);allergic conjunctivitis 1670 cases (30.0%);children dry eyes 982 cases (17.7%);partial eclipse children with 605 cases ( 10.9%);lead pollution 590 care (10.6%);strabismus 156 cases (2.8%);trichiasis with 129 cases (2.3%);trace element deficiency ( calcium, iron, zinc, magnesium and copper) for a total of 102 cases (1.8%);chalazion 37 cases (0.7%);keratitis and corneal injury 24 cases (0.4%), palpebral dermatitis, allergic rhinitis, dermatitis, 37 cases (0.7%);conjunctival stone 8 cases (0.1%);tic disorders of 30 patients (0.5%), asthenopia of 6 cases (0.1%);lacrimal duct obstruction, dacryocystitis 9 cases (0.1%).The etiologies of children with abnormal blinking were not caused by single factors. After examination, its etiology in children was resulted by one kind or more of a combination of factors.All of them were carried out ear acupoint application therapy and psychological intervention therapy, and symptomatic treatment was given after finding the cause.Following all the cases 1~3mo, blinking can obviously relieve,in which 4 560 cases ( 81.9%) were cured, 5286 cares were improved, the recovery ( including cured ) was 95.1%;slightly improved ( including relapse cases ) 102 cases (1.8%);No significant changes in 173 cases (3.1%). ?CONCLUSION:A variety of causes that can lead to children's abnormal blinking, refractive error, allergic conjunctivitis and children's dry eyes as the main reason. According to different causes to carry on the comprehensive treatments can get better treatment effect.