Full Text Available An arteriovenous fistula secondary to a chalazion is a rare occurrence. It may follow spontaneous necrosis or surgical trauma. Digital subtraction angiography and identification of the arterial feeders combined with direct puncture of the nidus and embolization is recommended, as surgical excision becomes much easier and results in a complete excision of the lesion. Conchal cartilage graft is a useful lining material for reconstruction of the tarsal plate due to its natural curvature. It restores lid integrity and ensures a stable and functional eyelid.
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. PMID:26408604
Amar Kanti; Gautam; Debasis; Chandini
ABSTRACT: OBJECTIVE: To evaluate the safety and ef ficacy of intralesional triamcinolone acetonide (TA) injection in primary chalazion. DESIGN: Prospective, consecutive case series. MATERIALS AND METHOD: A prospective study of sixty six(66) patients with primary chalazion presenting to outpatient clinic of Department of Ophthalmology at Tripura medical college & Dr. B.R. Ambedkar Teaching Hospital, Agartala from 1 st December 2012 to 3o th Septembe...
Full Text Available ABSTRACT: OBJECTIVE: To evaluate the safety and ef ficacy of intralesional triamcinolone acetonide (TA injection in primary chalazion. DESIGN: Prospective, consecutive case series. MATERIALS AND METHOD: A prospective study of sixty six(66 patients with primary chalazion presenting to outpatient clinic of Department of Ophthalmology at Tripura medical college & Dr. B.R. Ambedkar Teaching Hospital, Agartala from 1 st December 2012 to 3o th September 2013. All patients received intralesional injection of 0.2ml TA (40mg/ml. Data regarding size including digit al colour photography, lesion regression or recurrence, and complete ophthalmic examination, were recorded at the time of injection and at different intervals until resolution or surgical excision. Success was defined as at least 80% decrease in size with no recurrence. If the lesion recurred or regression was minimal (<50%, further injections were given as needed. Patients who did not respond to 3rd injections were referred for surgical incision and curettage. RESULT: Around 80% decrease in size of the le sion was noted in forty - eight (48 patients after 1 st injection (72.7%. Twelve (12 patients showed complete resolution of the lesion with 2 nd injection (18.17%. 3 rd injection was needed only in two (2 patients for satisfactory outcome. Four (4 patient s were referred for incision and curettage that didn’t show positive response after 3 rd injection also. Intraocular pressure and visual acuity remained stable after treatment. One patient developed depigmentation of the skin at the site of injection. No o ther major complications such as visual loss, subcutaneous fat atrophy were noted with steroid injections. CONCLUSION: Intralesional triamcinolone acetonide (TA injection is a safe, effective and a simple method of treating primary chalazion where diagnos is is straightforward
目的：探讨改良手术方式治疗儿童睑板腺囊肿的疗效。方法：选取笔者所在科室2013年3月-2014年3月收治入院的79例睑板腺囊肿患儿作为研究对象，采用随机数字表法将其分为传统手术组36例和改良手术组43例。传统手术组采用分离剪除囊壁，改良手术组适量剪除囊壁后，用0.5%的活力碘小棉片涂抹各个壁层，治疗过程中均加强围手术期护理。观察比较两组患儿的平均手术时间、平均住院时间、术后血肿情况、感染情况、家属满意度及术后复发情况。结果：经治疗后，改良手术组的平均手术时间、平均住院时间均明显短于传统手术组，血肿发生率4.65%(2/43)明显低于传统手术组的25.00%(9/36)，感染率0明显低于传统手术组的13.89%(5/36)，差异均有统计学意义(P0.05)。结论：对于治疗儿童睑板腺囊肿，睑板腺囊肿改良手术方式比传统手术方式更安全省时，值得临床推广。%Objective:To investigate the therapeutic effect of chalazion improved surgery in the treatment of children with chalazion.Method:79 children with chalazion admitted to our department from March 2013 to March 2014 were selected as research objects,they were divided into the traditional surgical group for 36 cases and the improved surgical group for 43 cases according to the random number table method.Cyst wall were cut off in traditional surgical group,the right amount of cyst wall were cut off in the improved surgical group,and then smeared the wall layer of the individual with 0.5%of the povidone-iodine.The perioperative nursing was strengthened in the course of treatment.The average surgical time,average hospitalization time,hematoma,infection after surgery, family satisfaction and postoperative recurrence between the two groups were observed and compared.Result:After treatment,the average surgical time and average hospitalization time of improved surgical group were
Gnana Jyothi C
Full Text Available Chalazion is a common ophthalmic condition characterized by chronic lipogranulomatous inflammations of the eyelid caused by plugged meibomian glands. It causes local eye symptoms such as irritation, inflammation and cosmetic disfigurement, mechanical ptosis and corneal astigmatism.30 patients of the age group between 15 to 40 years having solitary and multiple chalazia present in upper or and lower lids were included in the study. Triamcinolone acetonide 0.1 ml - 0.2ml (4-8mg was injected from conjunctival approach using a tuberculin syringe. Our results suggest that intra lesional injection of corticosteroid is one the ideal treatment for chalazion especially multiple, bilateral and those near the punctum. In majority of cases one injection is sufficient for complete resolution of the chalazion within a period of a week’s time. Injection can be repeated after a week in cases having residual swelling.
Gnana Jyothi C; Satish; Amaresh
Chalazion is a common ophthalmic condition characterized by chronic lipogranulomatous inflammations of the eyelid caused by plugged meibomian glands. It causes local eye symptoms such as irritation, inflammation and cosmetic disfigurement, mechanical ptosis and corneal astigmatism.30 patients of the age group between 15 to 40 years having solitary and multiple chalazia present in upper or and lower lids were included in the study. Triamcinolone acetonide 0.1 ml - 0.2ml (4-...
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.
Full Text Available Tomohiro Nizawa1, Toshiyuki Oshitari1, Ryuta Kimoto1, Fusae Kajita1, Jiro Yotsukura1, Kaoru Asanagi1, Takayuki Baba1, Yoko Takahashi2, Takashi Oide2, Takako Kiyokawa2, Takashi Kishimoto2, Shuichi Yamamoto11Department of Ophthalmology and Visual Science, 2Department of Molecular Pathology, Chiba University Graduate School of Medicine, Chuo-ku, Chiba, JapanAbstract: We present the findings of an early-stage primary mucinous sweat gland adenocarcinoma in the lower eyelid of a Japanese patient. The patient was a 73-year-old man who had had a nodule on the left lower eyelid for two years. He was referred to our hospital with a diagnosis of a swollen chalazion. The clinical and histopathological records were reviewed and the mass was excised. Histopathological examination revealed a mucinous sweat gland adenocarcinoma. Postoperative magnetic resonance imaging and positron emission tomography excluded systemic metastases. After the histopathological findings, a complete surgical excision of the margins of the adenocarcinoma was performed, with histopathological confirmation of negative margins. After the final histopathological examination, the patient was diagnosed with a primary mucinous sweat gland adenocarcinoma of the left eyelid. Six months after the surgery, no recurrence has been observed. Because the appearance of mucinous sweat gland adenocarcinoma of the eyelid is quite variable, the final diagnosis can only be made by histopathological examination. A complete surgical excision is recommended.Keywords: complete surgical excision, eyelid, initial stage, mucinous sweat gland adenocarcinoma
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.
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