Assuntos
COVID-19 , Busca de Comunicante/métodos , Procedimentos Clínicos , Médicos Hospitalares , Profissionais Controladores de Infecções , Controle de Infecções , Oftalmologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Gestão de Mudança , Procedimentos Clínicos/organização & administração , Procedimentos Clínicos/tendências , Utilização de Instalações e Serviços/organização & administração , Hong Kong/epidemiologia , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Colaboração Intersetorial , Oftalmologia/métodos , Oftalmologia/tendências , SARS-CoV-2RESUMO
Synthetic fibre granuloma of the conjunctiva, sometimes known as 'teddy bear granuloma', results from granulomatous foreign body reaction of the conjunctiva to synthetic fibres. It is often an incidental finding, most commonly found in children, is unilateral, and occurs in the lower eyelid. We present here, what we believe is the first reported case of synthetic fibre conjunctival granuloma in Hong Kong, together with a review of the condition. An awareness of this clinical entity allows early and accurate diagnosis and early treatment.
Assuntos
Túnica Conjuntiva , Granuloma de Corpo Estranho/patologia , Criança , Feminino , Hong Kong , HumanosRESUMO
Proptosis is commonly encountered in clinical practice. We report on a patient with acute proptosis, eyelid swelling, and chemosis, which was initially treated as cellulitis. After radiological and pathological assessments, a diagnosis of large B-cell lymphoma was made. The patient died within 2 months of presentation. Not all patients with proptosis have cellulitis. Proptosis, especially unilateral proptosis, should always lead to a radiological scan in case of malignancy.
Assuntos
Linfoma Difuso de Grandes Células B/diagnóstico , Celulite Orbitária/diagnóstico , Idoso , Humanos , Linfoma Difuso de Grandes Células B/patologia , Masculino , Celulite Orbitária/patologiaRESUMO
AIMS: To assess the vision-related quality of life of corneal transplant recipients using the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25), and to identify the socio-demographic factors that associate with patients' self-assessment of perceived visual function. METHODS: Thirty patients who received corneal transplants were included in this prospective observational, cross-sectional study. Socio-demographic and clinical data, including age, sex, systemic health status, employment status, visual acuity, reason of corneal transplantation, laterality of corneal graft, and follow-up period were collected. NEI VFQ-25 was scored using Rasch analysis. Subgroup analyses were also performed. RESULTS: Age, sex, visual acuity, and health status had no significant correlation or association with the Rasch-transformed score. Patients who received bilateral corneal grafts were significantly less able socioemotionally than those with unilateral graft. Patients who became unemployed or retired after transplantation were also significantly less able in both visual functioning and socioemotional status. CONCLUSION: Corneal transplant recipients had a decreased vision-related quality of life as demonstrated by the NEI VFQ-25. Apart from anatomical success and visual acuity, ophthalmologists should also consider other aspects of visual outcome. In particular, those who received bilateral grafts require more attention. Employment programmes should be part of corneal transplantation rehabilitation planning.