Assuntos
Aerossóis , COVID-19/transmissão , Infecção Hospitalar/prevenção & controle , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Oftalmologistas , Optometristas , SARS-CoV-2/patogenicidade , Microscopia com Lâmpada de Fenda , COVID-19/prevenção & controle , Humanos , Controle de Infecções/métodos , Equipamento de Proteção Individual , Guias de Prática Clínica como AssuntoAssuntos
Betacoronavirus , Atenção à Saúde/organização & administração , Mão de Obra em Saúde/organização & administração , Oftalmologistas , Atenção Primária à Saúde/organização & administração , COVID-19 , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/terapia , Humanos , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/terapia , SARS-CoV-2RESUMO
A 16-year-old healthy girl was referred to the authors' clinic for a palpable mass in her right lower eyelid. The patient was treated under the initial diagnosis of chronic conjunctivitis and ectopic cilia in the medial part of her right lower eyelid at a local clinic for 1 year. A soft, nontender, 2.0 x 1.5 x 1.0-cm elliptical mass was palpable in the medial aspect of the patient's right lower eyelid. The medial part of the palpebral conjunctival surface was covered by keratinized epithelium with fine hairs. Histologic findings were consistent with a dermolipoma. The authors describe a very rare case of dermolipoma in the lower eyelid presenting with keratinized epithelium on the medial palpebral conjunctiva.
Assuntos
Neoplasias Palpebrais/patologia , Lipoma/patologia , Adolescente , Neoplasias Palpebrais/diagnóstico por imagem , Neoplasias Palpebrais/cirurgia , Feminino , Humanos , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Tomografia Computadorizada por Raios XAssuntos
Erros de Diagnóstico/prevenção & controle , Neoplasias Oculares/diagnóstico , Linfoma de Célula do Manto/diagnóstico , Neprilisina/metabolismo , Idoso , Biomarcadores Tumorais/metabolismo , Cromossomos Humanos Par 14 , Cromossomos Humanos Par 18 , DNA de Neoplasias/análise , Diagnóstico Diferencial , Neoplasias Oculares/metabolismo , Neoplasias Oculares/cirurgia , Pálpebras/patologia , Pálpebras/cirurgia , Humanos , Hibridização in Situ Fluorescente , Leucemia Linfocítica Crônica de Células B/diagnóstico , Linfoma de Zona Marginal Tipo Células B/diagnóstico , Linfoma Folicular/diagnóstico , Linfoma de Célula do Manto/metabolismo , Linfoma de Célula do Manto/cirurgia , Masculino , Translocação Genética , Macroglobulinemia de Waldenstrom/diagnósticoRESUMO
BACKGROUND: All patients undergoing phacoemulsification under topical anaesthesia experience a variety of visual sensations that may be frightening in a small proportion of patients. This study evaluates Singapore ophthalmologists' knowledge and practices regarding patients' visual experience during phacoemulsification under topical anaesthesia. METHODS: A nationwide survey of all ophthalmologists in Singapore who had performed at least one cataract surgery within the last year was carried out. Questions regarding patients' experience were asked. Surgeons were also asked about patients' fear during surgery, usefulness of preoperative counselling and feedback from patients postoperatively. RESULTS: Of 105 ophthalmologists 89 responded, of which 44 performed phacoemulsification under topical anaesthesia. The percentage of respondents who thought that the patients experienced the various visual sensations were: no light perception (4.6%), light perception (97.7%), one or more colours (95.5%), flashes of light (77.3%), movements (90.9%), instruments (61.4%), surgeon's hands/fingers (56.8%), surgeon (47.7%) and change in brightness of light (90.9%). Although 52.3% of surgeons believed that patients may be frightened by their visual experience and 50.0% felt that preoperative counselling would be useful in reducing such fear, only 11.4% routinely offered preoperative counselling and 18.2% counselled their patients occasionally. In total, 50.0% ophthalmologists had patients who reported to them that they could see during surgery, whereas 20.5% had been told by patients that they were frightened by the visual experience. CONCLUSION: Despite the awareness of patients' visual experience and the belief that preoperative counselling may be useful, most ophthalmologists do not counsel their patients preoperatively.