Infected conjunctival pyogenic granuloma at strabismus surgery site mimicking conjunctival abscess - A case report
We present a rare case of infected pyogenic conjunctival granuloma mimicking a conjunctival abscess as complication of strabismus surgery in a Saudi girl with exotropia. Despite administration of local antibiotics following strabismus surgery, a patient presented with localised redness and discharge after three weeks. The patient was afebrile with no signs of pre-septal or orbital cellulitis. After culture (Staphylococcus aureus) sensitivity testing the patient was prescribed oral Amoxicillin and Clavulanate and reviewed under general anaesthesia. A 55 mm2 conjunctival pyogenic granuloma was noted. A punch biopsy specimen ...
Source: Saudi Journal of Ophthalmology - July 25, 2018 Category: Opthalmology Source Type: research
Combined cilioretinal artery and hemi-retinal vein occlusion in Sturge Weber syndrome: Expanding the clinical spectrum
Publication date: Available online 5 August 2017Source: Saudi Journal of OphthalmologyAuthor(s): Sawsan S. Bakri, Deema Jomar, Sulaiman M. Alsulaiman, Marwan A. AbouammohAbstractA 9-year-old boy with the diagnosis of Sturge-Weber Syndrome, and port-wine stain involving the right side of the face, presented with acute visual loss of the right eye. Examination revealed a high intraocular pressure and a combined cilioretinal artery and inferior hemi-retinal vein occlusion in the right eye. Systemic work-up was negative. After controlling the intraocular pressure, gradual improvement of vision was noticed with simultaneous dis...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Corneoscleral locally aggressive fibrous histiocytoma in Xeroderma Pigmentosum patient: A case report
Publication date: Available online 7 August 2017Source: Saudi Journal of OphthalmologyAuthor(s): Hind M. Alkatan, Azza M.Y. MaktabiAbstractXeroderma pigmentosum (XP) is a rare autosomal recessive disorder that has been found in all continents and racial groups in relation to faulty repair of DNA with sun exposure. Several cutaneous and ocular tumors have been described in relation to XP including fibrous histiocytoma (FH). The diagnosis of conjunctival FH is challenging owing to the rarity of this tumor and the diversity of its classification into benign, locally aggressive and malignant. We are describing a recurrent FH e...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
A clinical case of Zellweger syndrome in a patient with a previous history of ocular medulloepithelioma
Publication date: Available online 23 September 2017Source: Saudi Journal of OphthalmologyAuthor(s): Alberto Galvez-Ruiz, Alicia Galindo-Ferreiro, Hind AlkatanAbstractPeroxisomal biogenesis disorders (PBDs) are autosomal recessive diseases caused by mutations in one of the 14 PEX genes described in the scientific literature.All of these syndromes may be associated with different mutations in the PEX genes, the most frequent being PEX1 for patients with Zellweger syndrome (ZS).In this paper, we present the case of a patient with a peculiar clinical history: evisceration of the left eye (LE) at 4 years of age because of...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
A healthy infant with bloody tears: Case report and mini-review of the literature
Publication date: Available online 31 October 2017Source: Saudi Journal of OphthalmologyAuthor(s): Salwa Bakhurji, Sanaa A. Yassin, Reemaz M. AbdulhameedAbstractA 4-month old healthy infant was brought by her parents to the emergency department with bloody tears of three days duration. There was also intermittent yellowish discharge since birth and a history of flu-like symptoms a week prior to presentation. Extensive investigations revealed no infection or other possible etiologies. The patient was treated with antibiotic eye drops and her condition resolved within a three-four days.In the literature, 15 cases with haemol...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Water related ocular diseases: A review
Publication date: Available online 4 November 2017Source: Saudi Journal of OphthalmologyAuthor(s): Syed Shoeb AhmadAbstractA number of ocular diseases can be attributed to contaminated water and we have coined a term “Water-related ocular diseases (WRODs)” to denote this wide-spectrum of conditions. WRODs are directly related to human contact with water and can occur through toxic, allergic, inflammatory or infective mechanisms. The non-infective causes can include chemicals used to clean swimming pools, oil spills and water-sport related injuries. Similarly, a number of infective organisms causing ocular diseases are ...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Ophthalmomyiasis externa: A case report from Alkharj, Saudi Arabia
This article reports a case of ophthalmomyiasis externa caused by Oestrus ovis (sheep nasal botfly) in a young healthy male, living in Al Kharj, Kingdom of Saudi Arabia. Patient presented with acute symptoms in left eye in April, mimicking as unilateral conjunctivitis/keratitis/external ocular foreign body/uveitis. Prompt diagnosis and mechanical removal of five live larvae from conjunctival fornices of the left eye under topical anaesthesia and cyclopentolate 1% eyedrops, not only relieved patient’s severe symptoms in a single day but also prevented rare yet sight threatening complications. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Acute lacrimal gland swelling with intracranial extension and without any neurological features – A rare case report
We report a case of young adult female with swelling in the superolateral aspect of left orbit for two weeks which was diagnosed as tubercular dacryoadenitis with intracranial extension without any neurological features. Tubercular dacryoadenitis is very rare but still makes an important differential diagnosis of lacrimal gland swellings especially in endemic areas like India. Few cases of tubercular dacryoadenitis have been reported in the past; but not a single case with intracranial extension in young adults with short history and without neurological symptoms. Although radiological investigations are routinely done in ...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Isolated superior oblique muscle extranodal marginal zone B cell lymphoma: case report
We describe a rare case of isolated extraocular muscle ocular adnexal lymphoma of a middle-aged female who presented with redness in the left eye associated with progressive proptosis over one year. Magnetic resonance imaging of the orbit indicated isolated enlargement of the left superior oblique (SO) muscle with an apparent diffusion coefficient (ADC) of (0.77 ± 0.11 × 10−3 mm2/s). Histopathology with immunohistochemical staining of the incisional biopsy from the SO muscle belly confirmed the diagnosis of extranodal marginal zone B cell lymphoma. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Primary mesenchymal chondrosarcoma of the orbit: Histopathological report of 3 pediatric cases
We describe 3 additional pediatric cases with primary orbital MCS and they were all males. Our cases presented with proptosis and calcific orbital masses on imaging studies. Histopathological examination of the excised masses shared the typical presence of undifferentiated mesenchymal cells and immature areas of cartilage. The diagnosis of MCS was further confirmed by immunohistochemical staining. Brief review of the literature in relation to this diagnosis in the orbit is also presented. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Orbital immature teratoma: A rare entity with diagnostic challenges
Publication date: January–March 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 1Author(s): Hind M. Alkatan, Omar S. AlObaidan, Hala Kfoury, Yasser H. Al-FakyAbstractChildhood orbital teratomas are congenital lesions that presents most often at birth with progressive, severe unilateral proptosis. Due to the rarity of such tumors, the diagnosis is often missed with delay in the patient's management. We are presenting a unique case of an immature right orbital teratoma with extensive growth in a full-term newly born baby boy. In this case report, we provide description of the clinical findings, initial misdiag...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Orbital tumor associated with a microphthalmic eye and colobomatous cleft: Pilocytic astrocytoma (glioma) or massive retinal gliosis
Publication date: January–March 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 1Author(s): Rita Van Ginderdeuren, Rafael Sciot, Ilse MombaertsAbstractA 11-year-old boy with congenital microphthalmos of the right eye presented with gradual protrusion of his ocular prosthesis. MRI showed an orbital mass adjacent to the microphthalmic eye. After removal of the eye and the orbital soft tissue mass a gliotic mass, resembling a pilocytic astrocytoma WHO grade 1 (glioma) was diagnosed. Through a colobomatous cleft in the eye the tumour spread in the orbit. There were no clinical signs of neurofibromatosis 1. This ...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Bilateral orbital isolated (solitary) neurofibroma in the absence of neurofibromatosis – A case report
We report a 23-year-old female with no systemic features or family history of neurofibromatosis who presented with right upper eyelid swelling. Radiological studies revealed bilateral identical masses in the superior orbits. The patient underwent surgical excision of the lesion on the right side and it was proved to be neurofibroma. She did not have a recurrence with a follow up period of 2 years but developed sensory deficit. This is the fifth reported case of bilateral isolated neurofibroma. (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Blastomyces species and orbital apex syndrome: Unsuspected co-infection
We report an initially immunocompetent patient with orbital apex syndrome (OAS) whose presentation suggested giant cell arteritis. Subsequently, metastatic carcinoma was entertained as a cause of OAS until bronchoscopy yielded Blastomyces species. The patient rapidly succumbed with multiorgan failure despite Amphotericin B administration. At post-mortem, Blastomyces co-infection with fungal hyphae in keeping with Aspergillus species was found in cavernous sinus and in infarcted optic nerve. To the best of our knowledge, co-infection with these two organisms in this clinical setting has not been reported. (Source: Saudi Jou...
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
Optic nerve choristoma
Publication date: January–March 2018Source: Saudi Journal of Ophthalmology, Volume 32, Issue 1Author(s): William Harrison, Patricia Pittman, Thomas Cummings (Source: Saudi Journal of Ophthalmology)
Source: Saudi Journal of Ophthalmology - July 10, 2018 Category: Opthalmology Source Type: research
