RESUMEN
Oculoplastic surgeries encompass both emergency surgeries for traumatic conditions and infectious disorders as well as elective aesthetic procedures. The COVID-19 pandemic has brought about a drastic change in this practice. Given the highly infectious nature of the disease as well as the global scarcity of medical resources; it is only prudent to treat only emergent conditions during the pandemic as we incorporate evidence-based screening and protective measures into our practices. This manuscript is a compilation of evidence-based guidelines for surgical procedures that oculoplastic surgeons can employ during the COVID-19 pandemic. These guidelines also serve as the basic framework upon which further recommendations may be based on in the future, as elective surgeries start being performed on a regular basis.
Asunto(s)
Betacoronavirus , Blefaroplastia/métodos , Consenso , Infecciones por Coronavirus/epidemiología , Enfermedades del Aparato Lagrimal/cirugía , Oftalmología/organización & administración , Pandemias , Neumonía Viral/epidemiología , Pautas de la Práctica en Medicina/normas , COVID-19 , Humanos , India , Medición de Riesgo , SARS-CoV-2 , Sociedades Médicas , Cirugía Plástica/organización & administraciónAsunto(s)
Hemorragia de la Coroides/virología , Infecciones Virales del Ojo/diagnóstico por imagen , Imagen por Resonancia Magnética , Nervio Óptico/diagnóstico por imagen , Hemorragia Retiniana/diagnóstico por imagen , Dengue Grave/diagnóstico por imagen , Enfermedad Aguda , Hemorragia de la Coroides/diagnóstico por imagen , Hemorragia de la Coroides/cirugía , Infecciones Virales del Ojo/cirugía , Infecciones Virales del Ojo/virología , Humanos , Masculino , Nervio Óptico/patología , Hemorragia Retiniana/cirugía , Hemorragia Retiniana/virología , Dengue Grave/cirugía , Dengue Grave/virología , Vitrectomía , Hemorragia Vítrea/diagnóstico por imagen , Hemorragia Vítrea/cirugía , Hemorragia Vítrea/virología , Adulto JovenRESUMEN
We report the case of a 23-day-old boy with unilateral complete cryptophthalmos and congenital cystic eye, who had no associated systemic anomalies. We describe the technique of socket reconstruction with autologous prepucial skin graft used in this patient.
Asunto(s)
Quistes/cirugía , Anomalías del Ojo/cirugía , Párpados/anomalías , Prepucio/trasplante , Órbita/cirugía , Implantes Orbitales , Quistes/congénito , Humanos , Recién Nacido , Masculino , Procedimientos de Cirugía Plástica , Tomografía Computarizada por Rayos X , Trasplante AutólogoRESUMEN
A schwannoma is an uncommon benign orbital tumor that arises from Schwann cells in the peripheral nervous system. Schwannoma with cystic degeneration is an even more rarely reported entity. Clinical examination alone is inadequate for the diagnosis. Radiological examination, like computed tomography (CT) scans, can help in the diagnosis; however, the diagnosis can only be confirmed by histopathological examination (HPE) after excision biopsy. Here, the authors report four cases of orbital schwannoma with cystic degeneration that presented with proptosis and decreased vision. CT scans showed a well-defined non-enhancing intraconal mass with cystic spaces. The histopathological examination was diagnostic for orbital schwannoma with cystic degeneration. Schwannoma should be included in the differential diagnosis of cystic orbital lesions.
Asunto(s)
Blefaroptosis/etiología , Neurilemoma/patología , Neoplasias Orbitales/patología , Trastornos de la Visión/etiología , Adolescente , Adulto , Anciano , Quistes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neurilemoma/complicaciones , Neoplasias Orbitales/complicacionesAsunto(s)
Hematopoyesis Extramedular , Órbita/patología , Enfermedades Orbitales/patología , Mielofibrosis Primaria/patología , Femenino , Granulocitos/patología , Humanos , Inmunohistoquímica , Persona de Mediana Edad , Órbita/diagnóstico por imagen , Enfermedades Orbitales/diagnóstico por imagen , Mielofibrosis Primaria/diagnóstico por imagen , Esclerosis , Tomografía Computarizada por Rayos XRESUMEN
A thrombosed varix in the orbit is comparatively rare. Clinical examination alone is often inadequate for diagnosis. Radio-logical examination, such as a computed tomography (CT) scan of the orbit, is extremely important. Histopathological examination (HPE) after excision biopsy can confirm the diagnosis. The present authors describe a case of proptosis in the left eye of a 45-year-old man. CT-scan and HPE supported the diagnosis of a thrombosed orbital varix. This paper discusses the use of radiological investigations to supplement a clinical suspicion and make the diagnosis. This entity needs to be included in the differential diagnosis of proptosis and requires a coordinated approach for establishment of the diagnosis.
Asunto(s)
Exoftalmia/etiología , Órbita/irrigación sanguínea , Trombosis/diagnóstico , Várices/diagnóstico , Biopsia con Aguja , Exoftalmia/diagnóstico , Exoftalmia/cirugía , Estudios de Seguimiento , Humanos , Inmunohistoquímica , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Oftalmológicos/métodos , Medición de Riesgo , Índice de Severidad de la Enfermedad , Trombosis/complicaciones , Trombosis/cirugía , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Ultrasonografía Doppler , Várices/complicaciones , Várices/cirugía , Trastornos de la Visión/diagnóstico , Trastornos de la Visión/etiologíaRESUMEN
A case of recurrent mucinous carcinoma of the lid in a 40-year-old male is reported. Clinical differential diagnosis and histopathologic features are discussed.
Asunto(s)
Adenocarcinoma Mucinoso/patología , Neoplasias de los Párpados/patología , Recurrencia Local de Neoplasia/patología , Adulto , Humanos , MasculinoRESUMEN
Granulocytic sarcoma has been reported as an isolated lesion in non-leukemic patients. However, the majority of these subjects develop acute leukemia within a mean interval of 10.5 months from the time of diagnosis. We present a case of granulocytic sarcoma of the orbit in a non-leukemic patient who was treated with chemotherapy and is doing well after a 2-year period. Patients who do not develop leukemia have a better prognosis. Appropriate treatment is delayed in most cases because of a high rate of misdiagnosis.
Asunto(s)
Neoplasias Orbitales/patología , Sarcoma Mieloide/patología , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Citarabina/administración & dosificación , Daunorrubicina/administración & dosificación , Diagnóstico Diferencial , Humanos , Masculino , Mitoxantrona/administración & dosificación , Neoplasias Orbitales/tratamiento farmacológico , Sarcoma Mieloide/tratamiento farmacológicoRESUMEN
PURPOSE: To present a case of malignant sarcomatous changes in an orbital teratoma with clinicopathological correlation. MATERIALS AND METHODS: Retrospective interventional case report. RESULTS: A 10-month-old child presented with protrusion of the left eye of 8 months duration. Computerized tomography (CT) revealed a heterogeneous retrobulbar mass in the left orbit. Fine needle aspiration biopsy (FNAB) revealed sarcomatous cells. The child was treated with chemotherapy and radiotherapy with a provisional diagnosis of sarcoma. However, as the proptosis worsened, a repeat CT scan showed a possibility of an intracranial extension. Exenteration was done. Histopathological examination revealed a teratoma with (malignant) sarcomatous changes. The child is doing well at 3 years follow-up with no recurrences. CONCLUSION: Orbital teratomas should be considered in the differential diagnosis of all neonatal orbital masses. Although rare, malignant changes can occur in teratomas. FNAB is not helpful in the diagnosis. Surgical excision of the mass is recommended for a definitive diagnosis. Although the prognosis of orbital teratoma is good, there is always a chance of vision loss.
Asunto(s)
Neoplasias Orbitales/congénito , Neoplasias Orbitales/patología , Teratoma/congénito , Teratoma/patología , Terapia Combinada , Humanos , Lactante , Neoplasias Orbitales/terapia , Teratoma/terapia , Tomografía Computarizada por Rayos XRESUMEN
Solitary fibrous tumor of the orbit is a rare spindle cell neoplasm. There are 42 cases of solitary fibrous tumor of the orbit available in the literature. We present six more cases of orbital solitary fibrous tumors, which presented to our institute between 1999 and 2001. We highlight the need for clinical recognition of these tumors as a distinct entity and inclusion of this tumor in the etiological differential diagnosis of well-circumscribed orbital lesions presenting as unilateral proptosis in both children and in adults. The diagnosis may be suspected based on radiological features supported by histopathologic and immunohistochemical study. The strong CD34 immunoreactivity of this tumor supports its diagnosis. Complete surgical resection is the most important prognostic factor of this tumor.
Asunto(s)
Fibroma/patología , Neoplasias Orbitales/patología , Adulto , Niño , Femenino , Fibroma/diagnóstico por imagen , Fibroma/cirugía , Humanos , Masculino , Neoplasias Orbitales/diagnóstico por imagen , Neoplasias Orbitales/cirugía , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Hydatid cyst of the orbit is a rare cause of proptosis, even in endemic countries like India. We report two histopathologically proven cases with ultrasonographic and computerized tomographic correlations. Both patients had marked dimness of vision and disc edema. One of them did not regain vision following cyst removal because of optic atrophy. The two cases indicate that hydatid cyst should be retained as a differential diagnosis of unilateral proptosis with disc edema. A combined ultrasound and CT-scan should be done to establish the diagnosis. An attempt should also be made at complete surgical removal of the cyst.
RESUMEN
Primary liposarcoma of the orbit is a rare tumour. There are very few cases of orbital liposarcoma reported in the literature, mostly of the myxoid variety. In this paper, the authors report the clinical presentation, histopathological features, results of diagnostic studies and management of a case of orbital low grade myxoliposarcoma with local recurrence, together with a review of the literature.