scholarly journals The Masquerades of a Childhood Ciliary Body Medulloepithelioma: A Case of Chronic Uveitis, Cataract, and Secondary Glaucoma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Jocelyn Chua ◽  
Wisam J. Muen ◽  
Ashwin Reddy ◽  
John Brookes

Ciliary body medulloepitheliomas in childhood often masquerade other intraocular conditions due to its insidious nature as well as its secondary effects on proximal intraocular tissues in the anterior chamber. We report a case where a ciliary body medulloepithelioma in a two-year-old boy presents with chronic uveitis, cataract, and an uncontrolled secondary glaucoma after an innocuous blunt ocular trauma. The diagnosis was only made after the occurrence of a ciliary body mass. We discuss the clinical features of ciliary body medulloepitheliomas, the implications of a delayed diagnosis and treatment as well as the concern of periorbital tumor seeding with the use of an aqueous shunt implant in this case.

2020 ◽  
pp. 112067212090170
Author(s):  
Hong-Yang Li ◽  
Mei-Jun Li ◽  
Zhi-Yi Xu ◽  
Jia-Hui Li ◽  
Wen-Lin Zheng ◽  
...  

Purpose: To present a relatively uncommon case with a secondary iris cyst in the anterior chamber and its successful management with an anterior chamber mass excision surgery. Case report: A 46-year-old Chinese woman presented with a dark shadow in her left eye for 6 months without any other discomfort. She had a history of blunt ocular trauma by a badminton strike 3 years ago. Slit-lamp examination showed a small, nearly circular, sharply demarcated, and movable mass in the anterior chamber OS, which could change its position with head tilt. The anterior segment optical coherence tomography revealed a well-circumscribed cystic lesion in the anterior chamber with higher reflective outer layer and lower internal reflectivity. An anterior chamber mass removal surgery was performed without recurrence up to 1 year. Conclusion: Secondary free-floating iris cyst following a blunt trauma is rarely reported. It is relatively stable and nonprogressive so it may remain asymptomatic for a long time. Appropriate imaging techniques are necessary for facilitating diagnosis and therapy. Therapeutic management should be considered if visual symptoms arise, especially when complications occur.


2020 ◽  
Vol 148 (5-6) ◽  
pp. 376-378
Author(s):  
Mladen Bila ◽  
Igor Kovacevic ◽  
Goran Damjanovic ◽  
Jelena Potic ◽  
Jelena Karadzic

Introduction. Dislocation of intraocular lens (IOL) after ocular trauma is an emergency situation requiring prompt surgery. Dislocation of IOL into the subconjunctival space or pseudophacocoele is a rare event after blunt ocular trauma. Case outline. We report a case of a pseudophakic patient with a dislocation of the anterior chamber IOL (ACIOL) into subconjunctival space following blunt trauma to the right eye. A 76-year-old man presented with ACIOL dislocation into subconjunctival space, adapted old scleral wound and preserved corneal integrity. Fifteen years previously he suffered right eye globe rupture after blunt trauma, which was surgically closed and ACIOL was inserted. Conclusion. This case highlights a rare mechanism of ACIOL dislocation into subconjunctival space following blunt ocular trauma with preserved corneal integrity and adapted old scleral wound. In cases of post-traumatic aphakia, IOL dislocation into the subconjunctival space should be suspected.


2021 ◽  
Vol 22 ◽  
pp. 100987
Author(s):  
M.J. Vicente Altabás ◽  
B. Arias-Peso ◽  
M.A. Vicente Altabás

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Krishan Kumar ◽  
Rick Figurasin ◽  
Swati Kumar ◽  
Muhammad Waseem

Open globe injury (OGI) is a severe form of eye trauma. It is an important cause of monocular blindness worldwide. Ruptures from blunt trauma are most common at the sites where the sclera is thinnest, at the insertions of the extraocular muscles, and at the limbus. Most often, rupture is equatorial. We present a unique case of open globe injury due to blunt ocular trauma from a thrown rock that resulted in a meridional rupture of the eye. The pertinent literature is reviewed.


1984 ◽  
Vol 97 (5) ◽  
pp. 664
Author(s):  
James P. Ganley ◽  
J. Michael Geiger ◽  
John R. Clement ◽  
Perry G. Rigby ◽  
Gary J. Levy

2021 ◽  
pp. 112067212110556
Author(s):  
Xu Hou ◽  
Xinxing Guo ◽  
Zhili Cui ◽  
Yusheng Wang ◽  
Jian Zhou ◽  
...  

Aim To analyze the visual acuity (VA) and the incidence of secondary glaucoma among patients with closed globe injury (CGI). To determine the correlations between the ocular trauma score (OTS) with surgery rate, and evaluate the applicability of OTS in secondary glaucoma prediction and treatment. Methods We conducted a retrospective review of 265 patients (265 eyes) with CGI admitted to Xijing Hospital between January 2014 and December 2016. The clinical characteristics; VA, IOP, injury zone, surgery, and IOP-lowering medications were collected at the initial visit and at six months. The patients with secondary glaucoma were scored and assessed by the OTS system. The correlation of the anti-glaucoma surgery with the OTS was evaluated. The difference in the number of IOP-lowering medications between the initial visit and six months was analyzed. Results The average age of the patients was 33.5 ± 20.7 years with 80.8% being males. The final VA outcome improved in its totality after treatment. 35 patients developed glaucoma, with an incident rate of 13.2% over six months. All glaucoma patients had an injury in zone I and II, and 12 of them had an injury in zone III. The severity of the OTS category showed a strong correlation with the anti-glaucoma surgery rate. After the surgical intervention, the number of IOP-lowering medications in OTS category 2, 3, and 4 significantly reduced. Conclusions The OTS has predictive value in the incidence of secondary glaucoma after CGI. A patient with a low score is more likely to develop secondary glaucoma and might require surgical intervention.


Ophthalmology ◽  
2013 ◽  
Vol 120 (8) ◽  
pp. 1588-1591 ◽  
Author(s):  
Richard J. Blanch ◽  
Peter A. Good ◽  
Peter Shah ◽  
Jon R.B. Bishop ◽  
Ann Logan ◽  
...  

1985 ◽  
Vol 191 (2) ◽  
pp. 127-129 ◽  
Author(s):  
J.G. Orsoni ◽  
B. Daicker ◽  
Cardillo Piccolino

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