1/10. blepharoptosis surgery complicated by late suture migration.PURPOSE: To report late suture migration as a complication of blepharoptosis surgery. METHOD: case reports. RESULTS: After upper eyelid blepharoptosis repair, two eyes of two patients developed unusual foreign body reactions and ulceration in the conjunctiva caused by migration of nonabsorbable suture from the levator aponeurosis to the upper conjunctival fornix. The foreign body caused eyelid edema, papillary changes in the upper tarsal conjunctiva, recurrent blepharoptosis, and a foreign body sensation that started more than 3 months after the surgery and persisted until the suture was removed. The sutures, hidden in edematous conjunctiva of the superior fornix, eluded detection. CONCLUSIONS: Foreign body reaction secondary to suture migration is an uncommon complication of blepharoptosis repair.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
2/10. Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing syndrome treated with microvascular decompression of the trigeminal nerve: case report.OBJECTIVE AND IMPORTANCE: Short-lasting unilateral neuralgiform headache with conjunctival injection and tearing syndrome is a very rare disorder characterized by short-lasting neuralgiform unilateral pain affecting the orbital-periorbital area and associated with autonomic phenomena consisting mainly of conjunctival injection, tearing, and rhinorrhea. Treatment of this condition is difficult; many drugs and surgical procedures have been tried with variable results. In the literature, two cases have been described with short-term response to microvascular decompression of the trigeminal root. We present the case of a patient with short-lasting unilateral neuralgiform headache with conjunctival injection and tearing syndrome who remains asymptomatic 2 years after microvascular decompression. CLINICAL PRESENTATION: A 56-year-old woman was referred to our clinic because she had experienced pain in the distribution of the first left trigeminal branch during the previous 2 years. She experienced paroxysms lasting from a few seconds to 1 to 2 minutes superimposed over a dull sensation of pain involving the same territory. The paroxysms had no refractory period and were triggered by touching the eye or the left side of the face, chewing, yawning, washing her hair, and even by light. Although the paroxysms were triggered by light touch or chewing, she was able to talk or touch herself while having the paroxysm. During pain attacks, she experienced tearing and ipsilateral conjunctival injection, eyelid edema and rhinorrhea, as well as intense photophobia. A magnetic resonance imaging scan revealed a vascular structure distorting and compressing the trigeminal root. INTERVENTION: The patient underwent microvascular decompression of the trigeminal root. At surgery, there was clear compression of the trigeminal root by a superior cerebellar artery loop that was resolved by interposing a Teflon patch. The patient awoke from the operation without pain, and all the accompanying signs and symptoms, such as photophobia, disappeared. The postoperative course was uneventful, and 2 years after treatment, the patient remains asymptomatic. CONCLUSION: Microvascular decompression could be an alternative therapeutic approach to this rare syndrome.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
3/10. First report of ophthalmomyaisis externa in pakistan.Two individuals presented to the Aga Khan University Opthalmology service with foreign-body sensation, pain and redness in one of their eyes. Slit-lamp biomicroscopy revealed tiny larvae crawling around the conjunctival sac. They were mechanically removed under topical anaesthesia and preserved for light microscopy and photography. Comprehensive liaison was established with the Australian Centre for International agriculture research for identification of these larvae. Their morphology characterized them as members of fruit-fly, Oestridae family. At least one of them was positively identified as first instar larva of Oestrus ovis. This report describes the first instance of such infections in Southern pakistan, as concluded after a medline search.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
4/10. Conjunctival ophthalmomyiasis caused by the sheep nasal botfly (Oestrus ovis)Three patients had conjunctival ophthalmomyiasis caused by the ovine nasal botfly. All patients had a sudden onset of redness, tearing, and foreign-body sensation of the affected eye. One to nine Oestrus ovis first-instar larvae were removed from the bulbar or palpebral conjunctiva of each patient. Symptoms and clinical signs resolved after mechanical removal of the larvae. Specific taxonomic diagnosis of O. ovis larvae was determined on the basis of characteristic conformation of the terminal end of the larval caudal segment as seen by use of light microscopy.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
5/10. Management of large filtering blebs with the argon laser.Complications attributable to large conjunctival blebs after glaucoma filtering surgery range from annoying foreign-body sensation to devastating endophthalmitis. We used the argon laser to shrink large complicated blebs in four eyes of four patients who had previously undergone glaucoma filtering surgery. The eye is first anesthetized with a topical agent. The bleb surface is lightly abraded with a sterile cotton swab and then "painted" with a tissue-staining dye. Diffuse laser burns applied over the surface resulted in sufficient shrinkage to allow resolution of the respective symptoms or secondary complications in all four cases. The first two patients developed small leaks that we attribute to delivering laser burns to extremely thin areas of conjunctiva. In both cases the leaks gradually sealed over several weeks. None of the eyes developed increases in intraocular pressure or anterior segment inflammation. In each case, filtering capability was maintained.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
6/10. Ocular loa loa with cryoprobe extraction of subconjunctival worm.A healthy 27-year-old West African man presented to the emergency room at the massachusetts eye and Ear Infirmary complaining of a moving foreign body sensation in his right eye. He had experienced recurrent episodes of subconjunctival loa loa, a parasite endemic in africa. A cryoprobe was successfully used for extraction of a large adult worm. Strategies for the removal of subconjunctival worms are presented. The systemic and ocular manifestations of loa loa are reviewed and a discussion of complications of medical management follows.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
7/10. Complications of exposed monofilament sutures.Exposed monofilament suture ends caused a variety of symptoms and signs in 18 patients. These included foreign-body sensation, pain, contact lens intolerance, giant papillary conjunctivitis, tarsal ulceration, conjunctival granuloma, corneal infiltrate, and corneal vascularization. These changes followed cataract surgery, corneal transplantation, and pars plana vitrectomy. Diagnoses in these cases were made by careful slit-lamp examination and by eversion of the upper eyelid. In every case, removal of the sutures or trimming the suture ends resulted in the immediate relief of all symptoms with complete resolution of all signs within two months.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
8/10. Retained Aspergillus-contaminated contact lens inducing conjunctival mass and keratoconjunctivitis in an immunocompetent patient.PURPOSE: A 66-year-old woman presented with a 1-month history of prominent mucoid discharge and foreign body sensation in her left eye. methods: Ocular evaluation revealed a moderately severe superficial punctate keratitis involving the temporal half of the left cornea. The superior tarsal conjunctiva showed marked papillary reaction with an area of indentation temporally. A mass was present in the superior temporal aspect of the fornix, clinically resembling a pyogenic granuloma. At the posterior aspect of this mass and covered by mucoid material, was a soft contact lens. RESULTS: Upon removal of the lens, without any additional therapy, the patient became asymptomatic and totally resolved her keratitis and mass lesion. Cultural identification of the soft contact lens was positive for aspergillus fumigatus. CONCLUSIONS: We hypothesize that the mucoid discharge and mass lesion represented a mechanism similar to allergic fungal sinusitis.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
9/10. Epibulbar molluscum contagiosum.PURPOSE: To report a case of epibulbar conjunctival nodules from molluscum contagiosum in a patient with atopic dermatitis. methods: A 39-year-old man with atopic dermatitis who was treated with oral prednisone was initially examined with ocular itching, foreign body sensation, and conjunctival injection of the right eye and was found to have three discrete conjunctival nodules. Excision of the nodules led to complete resolution of the signs and symptoms. RESULT: Histopathologic examination of the conjunctival specimen disclosed molluscum contagiosum. CONCLUSION: patients with defective or suppressed cell-mediated immunity are at increased risk of unusual ocular involvement with molluscum contagiosum.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
10/10. A first record from thailand of human external ophthalmomyiasis due to Oestrus ovis.A case of external ophthalmomyiasis caused by Oestrus ovis was first reported from Lopburi Province, Central part of thailand, in January, 1997. A 18-year-old man presented with a several hours history of foreign body sensation in his left eye accompanied by irritation. Eight Oestrus ovis first-instar larvae were removed from lower palpebral conjunctiva. Symptoms and clinical signs resolved in 24 hours after mechanical removal of the larvae. There was no history of contact fly and domestic animals. The larvae were identified by light microscopic examination.- - - - - - - - - - ranking = 1keywords = sensation (Clic here for more details about this article) |
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