1/20. Orbitocranial injury caused by wood.A rare case of a patient with orbitocranial injury by a wooden foreign body is reported. Penetrating periorbital wound by a wooden stick with entry site at the right upper eyelid was related to the invasion into the temporal lobe. Fortunately, the anterior and posterior segments of eye were unharmed, but right ocular motility was markedly restricted mechanically in all directions. Forced duction test was strong positive, especially the dextroversion of the right eye. Computed tomography scan showed a well-delineated low density from the orbital wall into the temporal lobe. The wooden foreign body was subsequently removed from the orbit and the temporal lobe, through the neurosurgical frontotemporal approach. After the wooden foreign body was removed, the ocular movement of the right eye fully recovered without any intracranial or ocular complications.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
2/20. Foreign body orbital cyst.PURPOSE: To present the clinical and histopathological characteristics of a retained orbital foreign body. methods: A 34-year-old male was hit in his left eye by a flower stake. At first examination there was a massive haematoma of the left orbit and eyelids, reduced movement of the left eye and a small conjunctival lesion beneath the upper lid. There were no signs of deeper orbital or ocular lesions. During the subsequent months the haematoma disappeared, but increased proptosis and impaired eye movements with diplopia were noticed. One year after the injury, ultrasound and CT-scan revealed an ovoid cystic tumour behind the globe. During surgery the content of the cyst appeared purulent and from the centre of the cyst a foreign body measuring 25 x 13 x 1 mm was removed. RESULTS: microscopy of the foreign body showed the typical structure of a decidual leaf. The superficial cells were empty, whereas the centrally located cells contained remnants of cytoplasm. Confined to the border between the empty and the filled cells, a band of cells containing groups of gram positive cocci was noted. Staining for immunoglobulins revealed traces of IgG in the superficial empty cells only. CONCLUSION: The high degree of preservation of the leaf and the survival of the cocci may be due to a barrier function of the intact plant cell walls with their high content of cellulose.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
3/20. Phthisis bulbi with a large protruding foreign body--a rare complication of penetrating injuries.Spontaneous extrusion of a retained intraocular foreign body is a rare occurrence. An unusual case is described in a 30-year-old male, where a foreign body remained in the eye for four years and then, as phthisis set in, the foreign body gradually extruded, causing constant irritation of the upper lid. Such a situation has not been documented before. Its management along with the histopathologic features are discussed in the light of the available literature.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
4/20. Eyelid fish-hook injury.OBJECTIVE: To report a rare case of fish-hook eyelid injury. methods: Interventional case-report. A 25-year-old man presented with an upper eyelid fish-hook wound. RESULTS: The hook was extracted under local anaesthesia using the back-out method. Postoperatively, no complications were observed. CONCLUSIONS: In the absence of serious ocular damage, the back-out method seems to be the best option for the removal of the hook in eyelid injuries.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
5/20. An eyelid mass caused by a migrated hard contact lens.PURPOSE: To describe a mass caused by a hard contact lens in the upper eyelid. methods: We present a case of a 77-year-old man who complained of a mass in his right upper eyelid. He had previously undergone cataract surgery in the right eye at age 60 and then became a hard contact lens wearer. He underwent horizontal wedge-shaped excision of the tarsus at age 73. RESULTS: The mass in the right upper eyelid was excised. During the surgery, a hard contact lens was found embedded in the mass near the excision site of the tarsus. CONCLUSIONS: Hard contact lens migration through the wedge-shaped excision site of the tarsus into the upper eyelid, as seen in our patient, may be rare.- - - - - - - - - - ranking = 4keywords = upper (Clic here for more details about this article) |
6/20. Retained contact lens for more than 10 years in a laser in situ keratomileusis patient.A 49-year-old man with blurred vision in 1 eye and myopic regression had laser in situ keratomileusis (LASIK) in the right eye after having 20/20 uncorrected visual acuity for 2 years. At the conclusion of surgery, a poly(methyl methacrylate) contact lens that had been retained for more than 10 years was discovered in the upper fornix. Although the patient remained asymptomatic, reports of significant complications associated with retained contact lenses are numerous. In addition, retained contact lenses, lid lesions, and periocular masses can induce refractive and topographic changes after LASIK. The retained contact lens may have led to compression-induced changes in corneal curvature, resulting in the need for uniocular enhancement 2 years after the primary LASIK procedure.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
7/20. Cranio-orbital injury with internal carotid artery laceration and a missing eyelid.A 37-year-old man presented to the emergency department with a visor impacted in the left orbit after a motorbike accident. His initial injury appeared to be limited to the orbit. Because the bleeding appeared disproportionate to the orbital injury, an intracranial injury was suspected. Subsequently, on hemicraniotomy, the tip of the visor was found at the bifurcation of the internal carotid artery. The avulsed upper eyelid was found under the frontal lobe. The patient underwent the clipping of internal carotid artery and middle and anterior cerebral artery with replantation of the upper eyelid. Neurologic damage was limited to loss of vision, right foot drop, and bowel and bladder incontinence. This case of penetrating orbital trauma demonstrates that the absence of focal neurologic deficit and radiologic signs suggestive of intracranial injury may not rule out life-threatening intracranial injury.- - - - - - - - - - ranking = 2keywords = upper (Clic here for more details about this article) |
8/20. Delayed presentation of orbito-cerebral abscess caused by pencil-tip injury.This report describes the clinical and radiologic findings of a child who was stabbed with a pencil tip in his right upper eyelid, in what initially appeared to be an innocuous injury. The child presented again 3 weeks later with a combined orbital and frontal lobe brain abscess. The mechanism of injury is discussed, the orbital and neuro-surgical interventions are detailed, and the medical treatment is presented. Ophthalmologists should have a high index of suspicion for orbital foreign bodies and possible intracranial injury in cases of penetrating eyelid trauma.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
9/20. corneal ulcer caused by a wooden foreign body in the upper eyelid 6 months after minor injury.PURPOSE: To describe a case of a wooden foreign body in the upper eyelid that remained asymptomatic for 6 months. CASE REPORT: A 9-year-old boy was presented with moderate upper lid swelling. Medical history was positive for trauma with a wooden stick 6 months ago. At first, the condition resolved under local antibiotic treatment. Three weeks later, the inflammation recurred and a corneal ulcer developed. Examination under general anesthesia revealed a wooden foreign body which had remained in the upper eyelid since the first injury. CONCLUSION: Organic foreign bodies in the eyelid can remain asymptomatic for a long period of time and can play a role in periocular inflammation. In case of doubt, children and other less cooperative patients should be examined under general anesthesia.- - - - - - - - - - ranking = 7keywords = upper (Clic here for more details about this article) |
10/20. Bee sting of the cornea: a case study and review of the literature.Bee stings of the cornea are rarely reported, but have the potential for causing serious ophthalmological injuries. We present a case of corneal bee sting with retained stinger apparatus. A 35-year-old patient presented with an acute, corneal bee sting of the right eye 12 hours after he was stung. The patient suffered from pain, blurred vision, and epiphora. The right eye showed edema of the upper and lower eyelid, conjunctival hyperemia, chemosis, and striate keratitis of the paracentral cornea by biomicroscopic examination. The stinger was identified in the depth of the corneal infiltration. visual acuity was 5/10. It was removed surgically. After 2 months, the eye only showed a minimal residual corneal opacification. visual acuity was 10/10. We present a case of bee sting to the cornea with retained stinger apparatus and treatment of this unusual presentation.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
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