RESUMO
PURPOSE: To report on 2 cases of late bony regrowth with clinically apparent proptosis after deep lateral orbital decompression for thyroid orbitopathy. METHODS: A retrospective review of 2 cases identified by the authors as having late bony regrowth. The authors review the clinical, historical, radiologic, and anatomical findings and discuss the significance thereof. RESULTS: Bony regrowth with bowing toward the middle cranial fossa is observed at postoperative month 8 in the first case. Cortical bone and marrow was observed to regrow at 2 years postoperatively in the second case. Both patients underwent successful repeat deep lateral orbital decompression with resolution of proptosis and clinical symptoms. CONCLUSIONS: Late bony regrowth should be considered as a possible cause of recurrent proptosis after orbital decompression in thyroid eye disease.
Assuntos
Descompressão Cirúrgica/efeitos adversos , Oftalmopatia de Graves/cirurgia , Órbita/patologia , Doenças Orbitárias/etiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The occurrence of an accessory palpebral fissure and eyelid is an extremely rare phenomenon. An isolated accessory palpebral fissure and eyelid have been reported only twice in the literature, and in one case as an extension of Delleman syndrome, or oculocerebrocutaneous syndrome. The authors report a case of a full-term newborn who presented with an accessory palpebral fissure and eyelid associated with microcornea, skin polyps and tags, cutis dysplasia, and hypoplasia of the corpus callosum with an otherwise normal systemic workup and negative genetic screening. Detailed surgical management and histopathological analysis of the accessory findings are also described.
Assuntos
Catarata/patologia , Doenças da Córnea/patologia , Anormalidades do Olho/patologia , Pálpebras/anormalidades , Feminino , Humanos , Recém-NascidoRESUMO
Sinusitis in immunocompromised patients can be caused by a wide variety of pathogens, primarily bacterial and fungal in nature. Tissue invasion can extend into the orbital apex and result in ophthalmoplegia and blindness. We report the first histologically proven case, to our knowledge, caused by cytomegalovirus infection.
Assuntos
Infecções por Citomegalovirus/complicações , Citomegalovirus/isolamento & purificação , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Sinusite/complicações , Idoso , Antivirais/administração & dosagem , Antivirais/uso terapêutico , Biópsia , Cegueira/etiologia , Infecções por Citomegalovirus/tratamento farmacológico , Infecções por Citomegalovirus/patologia , Infecções por Citomegalovirus/virologia , Diplopia/etiologia , Exoftalmia/etiologia , Foscarnet/administração & dosagem , Foscarnet/uso terapêutico , Humanos , Hospedeiro Imunocomprometido , Masculino , Órbita/diagnóstico por imagem , Órbita/cirurgia , Sinusite/tratamento farmacológico , Sinusite/patologia , Sinusite/virologia , Síndrome , Tomografia Computadorizada por Raios X , Transplante Homólogo/efeitos adversos , Doenças do Nervo Troclear/etiologia , Carga Viral , Ativação Viral , Baixa Visão/etiologiaRESUMO
PURPOSE OF REVIEW: The purpose of this review is to describe the results from published clinical studies evaluating the efficacy of two types of dacryocystorhinostomy, namely external and endonasal. RECENT FINDINGS: Many studies report high success rates with either procedure in alleviating the consequences of nasolacrimal duct obstruction. However, only a few studies have compared the two approaches in a prospective, randomized fashion. SUMMARY: Both types of procedure achieve excellent outcomes, and there is no definitive evidence from published, large-scale studies that one approach is superior to the other.