scholarly journals Tenon’s Cyst Presenting as a Long-Term Complication following Incision Cataract Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Prabhakar Srinivasapuram Krishnacharya
Keyword(s):  
Cataract Surgery ◽  
Male Patient ◽  
Late Complication ◽  
Cyst Formation ◽  
Complete Excision ◽  
Scleral Tunnel ◽  
Extracapsular Cataract Surgery ◽  
Bleb Formation ◽  
One Year ◽  
The Right

Context.Tenon’s cyst or conjunctival cyst formation is not uncommon late complication of traditional extracapsular cataract surgery; however, few reports are available in the literature.Aims.Large cystic swellings were clinically diagnosed as filtering blebs at the cataract incision site in two patients. The purpose of the case presentation is to discuss the factors leading to cyst formation, visual loss and cyst recurrence after its excision.Patients and Methods. Case 1.Sixty-one-year-old male patient presented with a bleb at superior limbal region in the right eye, two years after cataract surgery.Case 2.A giant bleb was found at the same region in the right eye of a 65-year-old male patient, eight years after cataract surgery.Results.Complete excision of the cyst was performed with conjunctival autograft in the first patient and followed up for two years. No recurrence of the cyst was observed. Internal wound gaping was seen on gonioscopy in the second patient.Conclusions.Unstable scleral tunnel could explain bleb formation in both the patients. Complete bleb excision with conjunctival auto-graft resulted in closure of the defect with no bleb recurrence during two-year follow-up. Over-filtration causing hypotonic maculopathy was the reason for decreased vision in the second case.

scholarly journals The Effect of Ptosis on Cataract Surgical Planning

2015 ◽  
Vol 6 (1) ◽  
pp. 132-138 ◽  
Author(s):  
Irene C. Kuo
Keyword(s):  
Cataract Surgery ◽  
Surgical Planning ◽  
Cataract Extraction ◽  
Corneal Astigmatism ◽  
Upper Eyelid ◽  
Quality Of Vision ◽  
Wavefront Aberrometry ◽  
One Year ◽  
The Right

Purpose: To describe a patient complaining of ‘ghosting' and ‘shadowing' after bilateral, sequential cataract extraction with toric intraocular lens (IOL) implantation who was found to have significant eyelid ptosis. Methods: The following is a case report. Results: The patient's complaints arose a few weeks after surgery. By the second postoperative month, the patient's keratometry had changed compared to preoperative measurements. Because of significant ptosis, the patient underwent upper eyelid surgery. Four months later, he was found to have less corneal astigmatism than had been measured prior to cataract surgery. Following 2 stable examinations, a Prevue lens based on Hartmann-Shack wavefront aberrometry was made for each eye, which the patient said significantly improved his quality of vision. Wavefront-guided photorefractive keratectomy (PRK) was performed 6 months after cataract surgery. One year after PRK, the patient's symptoms had disappeared, his uncorrected visual acuity was 20/20 in the right eye and 20/15 in the left, and he was satisfied with his quality of vision. Conclusions: Bilateral toric IOLs were implanted in this patient based on measurements of corneal astigmatism that changed after cataract surgery and changed further after ptosis repair. This case demonstrates the importance of evaluating eyelid position in cataract surgical planning as ptosis can contribute significantly to corneal astigmatism. Patient education is important in the setting of higher expectations from purchase of premium lens implants.

scholarly journals Malignant Phyllodes Tumour with Rhabdomyosarcomatous Differentiation: A Rare Phenomenon

2021 ◽  
Author(s):  
Kusum Yadav ◽  
Jitendra Singh Nigam ◽  
Anshul Singh ◽  
Vatsala Misra
Keyword(s):  
Rare Tumour ◽  
Complete Excision ◽  
Eosinophilic Cytoplasm ◽  
Phyllodes Tumour ◽  
Abundant Eosinophilic Cytoplasm ◽  
One Year ◽  
Phyllodes Tumours ◽  
The Right ◽  
Pleomorphic Cells ◽  
Malignant Phyllodes Tumour

Phyllodes tumour is a rare tumour of the breast constituting less than 1% of all breast tumours. Malignant Phyllodes Tumour (MPT) accounts for only 10-30% of all phyllodes tumours. Heterologous sarcomatous differentiation in a MPT is an infrequent phenomenon, with the cases reported showing differentiation mostly towards liposarcoma, fibrosarcoma, angiosarcoma, osteosarcoma, or chondrosarcoma. MPTs with rhabdomyosarcomatous differentiation are scarcely seen with only three confirmed cases documented till date to the best of the knowledge after a thorough search of literature. Here, authors present a case of 45-year-old female who presented with a well-defined rapidly growing lump in the right breast for last one year. A core needle biopsy performed showed a sarcomatous picture on histology. Complete excision was subsequently done. On microscopy, most of the areas showed fibrosarcomatous changes with frequent mitoses. Some of the foci showed large pleomorphic cells in diffuse sheets that were polygonal with densely abundant eosinophilic cytoplasm and vesicular nucleus with prominent nucleoli (rhabdomyoblasts). Myogenin was diffusely positive on Immunohistochemistry (IHC). A diagnosis of MPT with rhabdomyosarcomatous differentiation was made. This case is reported here for its unusual presentation and to make pathologists aware of this rare heterologous differentiation of MPT.

scholarly journals Unusual complications of hypospadias repair: diagnosis and management

2019 ◽  
Vol 7 (9) ◽  
pp. 3440
Author(s):  
Rama Kishan Saran ◽  
Kiran Mirdha ◽  
Sanya Saran ◽  
Rajendra Prasad Takhar
Keyword(s):  
Late Complication ◽  
Late Complications ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Hypospadias Repair ◽  
Inclusion Cyst ◽  
Complete Excision ◽  
Epidermal Inclusion Cyst ◽  
One Year ◽  
Slow Growing

Background: Epidermal inclusion cyst, smegma stones and urethral calculi of the penis are rare and may result as a late complication of hypospadias repair. This study reported the presentation and management of these late complications.Methods: A prospective observational study included male patients aged more than 6 years of age, who had undergone hypospadias repair 3-15 years back and presented with slow growing, non-tender, mobile, firm to hard swelling. Histopathological and radiographic examination were done and surgery was used for management of epidermal inclusion cyst, urethral calculi and smegma stone. Patients were followed up for one year, postoperatively.Results: Out of 15 patients, two (13.3%), four (26.7%) and nine (60%) patients were diagnosed with smegma stones, epidermal inclusion cyst and urethral calculi, respectively. The median (range) age of patients was 17 (8-30) years. Patients were presented with slow growing, non-tender, mobile swelling measuring from 1 cm x 3 cm to 2 cm x 1.5 cm. The average size of epidermal inclusion cyst, and urethral calculi was 2 cm x 2.5 cm x 1.5 cm, and 2 cm x 3 cm, respectively. Treatment were complete excision of cyst and removal of smegma stones by surgery and urethral calculi by dorsal urethrotomy. All patients had an uneventful postoperative period and were asymptomatic up to one year of follow-up.Conclusion: Results suggest that these complications can be managed with complete excision and surgical removal and care must be taken while performing the hypospadias repair to avoid these unusual late complications in patients.

scholarly journals Fresnel Prism on Hess Screen Test

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Kyung Min Koh ◽  
Ungsoo Samuel Kim
Keyword(s):  
Cataract Surgery ◽  
Eye Movement ◽  
Male Patient ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Screen Test ◽  
Abducens Nerve Palsy ◽  
The Right

A 65-year-old male patient complained of diplopia after a cataract surgery. He had esotropia of 18 prism diopters (PDs) at distant and near deviation, and therefore, we performed the Hess screen test to identify any abnormal eye movement. However, the indicator was found to be out of bounds, and therefore, the test could not be completed. Therefore, the test was subsequently performed with a 20 PD base-out Fresnel prism, and an abduction deficit was observed in the right eye, but not in the left eye. Therefore, we speculated that the patient had abducens nerve palsy in the right eye. The results obtained in the present study imply that performing the Hess screen test with the Fresnel prism may be very useful in diagnosing ambiguous abnormalities in patients with extraocular movement. The Hess screen test can be performed for patients with a strabismus of greater than 15 PD by using a Fresnel prism. Thus, a Fresnel prism may be useful for performing both the Hess screen test and Lancaster screen test.

scholarly journals A case of choledochal cyst complicated by biliary peritonitis

2007 ◽  
Vol 60 (9-10) ◽  
pp. 497-500 ◽  
Author(s):  
Radovan Cvijanovic ◽  
Radojica Jokic
Keyword(s):  
Choledochal Cyst ◽  
Ultrasound Examination ◽  
Abdominal Cavity ◽  
Normal Liver ◽  
Cyst Formation ◽  
North East ◽  
Rare Malformation ◽  
Extrahepatic Bile Ducts ◽  
One Year ◽  
The Right

Introduction. Choledochal cyst is a rare congenital malformation of the extrahepatic bile ducts. Its incidence varies among different populations, but it is highest in North East Asia. It is most frequent in childhood, and very rare in adults. Case report. A 7 year-old boy was admitted to the hospital with severe abdominal pain under the right rib margin. He presented with constant nausea, occasional jaundice and high colored urine. The following day the boy underwent ultrasound examination and computer tomography (CT). A choledochal cyst was found, and a CT-controlled puncture of the cyst was performed. An X-ray was taken by injecting contrast medium through the drain. A small leakage into the abdominal cavity was observed with subsequent peritonitis. The general condition of the child deteriorated and a decision was made to operate immediately. An upper medial laparotomy was performed. A cystic formation was noted in the hepatoduodenal ligament of 90x70 mm in dimension. The cyst was completely removed and a hepatico-jejunal anastomosis was performed. The child tolerated the surgery well and recovered quickly. Discussion. Cystic dilation of the common bile duct, known as choledochal cyst, is related to a rare malformation of this region. The exact mechanisam of cyst formation remains unknown. Choledochal cysts usually present in the early childhood, with higher frequency in females. The diagnosis is easily made, especially with the use of ultrasound and computed tomography. The treatment is usually surgical, and complete resection of the cyst with hepatico-jejunal anastomosis is the therapy of choice. Conclusion. One year later, ultrasound examination and specific dynamic tests (HIDA) showed normal liver function, and good anastomosis. .

scholarly journals Late Complication of Infective Endocarditis: False Aneurism of Ascending Aorta

2021 ◽  
Vol 07 (11) ◽  
Author(s):  
Noureddine ATMANI ◽  
Keyword(s):  
Infective Endocarditis ◽  
False Aneurysm ◽  
Late Complication ◽  
Lateral Wall ◽  
Urgent Surgery ◽  
Life Threatening ◽  
Successful Removal ◽  
One Year ◽  
The Right ◽  
Culture Negative

False aneurysm is one of the life-threatening infective endocarditis (IE) complications. It can occur even long after a well-treated IE. We report the case a 43-year-old. Treated for a blood culture negative aortic valve endocarditis with 4 weeks antibiotic therapy. One year later, he presented a false aneurysm of the right lateral wall of the aorta responsible of right coronary artery compression. He underwent urgent surgery with a successful removal of the false aneurysm and a Bentall’s procedure.

scholarly journals Intraparenchymal Supratentorial Neurenteric Cyst

2004 ◽  
Vol 31 (3) ◽  
pp. 412-416 ◽  
Author(s):  
Edward Kachur ◽  
Lee-Cyn Ang ◽  
Joseph F. Megyesi
Keyword(s):  
Cystic Lesion ◽  
Brain Parenchyma ◽  
Neurenteric Cyst ◽  
Complete Excision ◽  
First Case ◽  
History Of ◽  
The Central Nervous System ◽  
One Year ◽  
The Right ◽  
The Brain

Background:Neurenteric cysts are congenital cysts of the central nervous system that are believed to be of endodermal origin. In this report we present the unique case of a supratentorial neurenteric cyst that is contained entirely within the brain parenchyma.Methods:Apatient presented with an intraparenchymal cystic lesion that was subsequently identified as a neurenteric cyst. This lesion is reviewed in light of the available literature.Case report:A 35-year-old female presented with a one year history of progressive headaches and seizure-like episodes. Her examination revealed no deficits. Magnetic resonance imaging showed a 4 cm x 4 cm x 4 cm cystic lesion within the parenchyma of the right frontal lobe. A right frontal craniotomy and complete excision of the cystic lesion was performed. Pathologic examination confirmed that it was a neurenteric cyst. Postoperatively the patient's symptoms improved.Conclusion:Review of the literature revealed this to be the first case of a surgically excised, pathologically confirmed supratentorial neurenteric cyst, contained entirely within the brain parenchyma.

Multidisciplinary Approach of a Very Rare Infected Verrucous Carcinoma of the Scrotum

2019 ◽  
Vol 70 (4) ◽  
pp. 1476-1478
Author(s):  
Laura Raducu ◽  
Adelaida Avino ◽  
Cristina-Nicoleta Cozma ◽  
Sorin Nedelea ◽  
Andra-Elena Balcangiu-Stroescu ◽  
...  
Keyword(s):  
Adjuvant Therapy ◽  
Rare Disease ◽  
Chronic Inflammation ◽  
Male Patient ◽  
Multidisciplinary Approach ◽  
Verrucous Carcinoma ◽  
Surgical Excision ◽  
Diagnosis And Treatment ◽  
Wide Surgical Excision ◽  
The Right

Verrucous carcinoma of the scrotum is an extremely rare disease and most cases are thought to result from poor hygiene and chronic inflammation. Currently, it has not been well characterized, the etiology, diagnosis and treatment remaining poorly understood. We present the case of a 50-year-old male patient diagnosed with verrucous carcinoma of the right hemiscrotum. Wide surgical excision was performed. Favorable outcomes can be achieved by surgery, even without any adjuvant therapy, but patients should be carefully followed up.

Sign in / Sign up

Export Citation Format

Share Document