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Ophthalmology and Visual Sciences

Case Category Index

Case Index: Oculoplastic Surgery, Orbit, Eyelids, Lacrimal

Acute Onset of Unilateral Trochleitis: 28-year-old woman presented with a 1-month history of progressive left upper eyelid pain

Adenoid cystic carcinoma lacrimal gland: 99-year-old patient presented to the oculoplastics clinic with double vision, left proptosis, and decreased vision on the left, which had progressed slowly over the last year.

Allergic Contact Dermatoblepharitis: 55-year-old female with a Medical History significant for multiple sclerosis presented with a one-week history of itchy eyes and blurry vision

ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Vision in the right eye was starting to "darken." Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds.

Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging Left Lower Lid lesion.

Bell's Palsy Treated with Facial Nerve Decompression: 68-year-old man presented to the eye clinic with five days of right-sided facial droop, which was associated with the inability to fully close the right eye and slurred speech.

Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cancer: 53-year-old female with bilateral tearing worsening over the preceding year. She describes tears that run down the front of her face and denies any ocular irritation.

Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes": 72-year-old man with increasingly frequent difficulty opening his eyes, hw was also bothered by frequent contractions of the muscles around the eyes on both sides of his face which caused forcible eyelid closure.

Canalicular Laceration - Dog Bite: 5-year-old white female presenting with dog bite to left side of face.

Capillary Hemangioma: 4 month-old female with occlusive vascular lesion of right upper eyelid

Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion.

Cavernous Hemangioma: Painless Proptosis in a 62-year-old female: Patient states that over the last year she has noticed that her right pupil is higher than her left

Chalazion: Acute presentation and recurrence in a 4-year-old female

Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome: 12-year-old boy with painless, progressive ptosis OU over 3 years

Churg-Strauss Syndrome with Orbital Inflammation. 56-year-old male with two-month history of progressive proptosis & drooping of the left upper eyelid and binocular diplopia for several weeks

Ciliary Body Leiomyoma: Clinicopathologic Correlation

Congenital dacryocystocele with spontaneous resolution: Full-term 10 day-old female referred to the pediatric ophthalmology clinic by dermatologist for a bluish mass inferior to the right medial canthus

Congenital Ptosis. Seven month-old male patient with drooping of the left upper lid/left upper eyelid ptosis

Dermoid Cyst: 6 month-old male was referred by his pediatrician for evaluation of a right upper eyelid mass.

Distichiasis: 64-year-old white male with bilateral eye irritation.

Enophthalmos Secondary to Metastatic Breast Cancer. 63-year-old female presenting with progressive double vision and a droopy right eyelid.

Facial Nerve Palsy: Ocular Complications and Management. 72-year-old male with left lower eyelid retraction in left facial nerve palsy secondary to metastatic lymphoma and radiation therapy. This case features 11 oculoplastic surgery videos.

Fibrous Dysplasia: 43-year-old female was referred to the University of Iowa Oculoplastics Clinic by her comprehensive ophthalmologist for the evaluation of worsening right-sided proptosis.

Floppy Eyelid Syndrome. Two cases illustrating the presenting symptoms and comorbidities associated with floppy eyelid syndrome.

Giant reservoir formation from Ahmed seton valve. A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. His wife mentioned that he exhibits a right head turn while watching television.

Idiopathic Orbital Inflammation: A 68-year-old male with a past medical history of type 2 diabetes who presented with a two-month history of left upper and lower lid swelling with intermittent redness, tearing, and “achy” pain.

Idiopathic Orbital Myositis: A Treatment Algorithm: 19-year-old female who presents with a one-week history of headache, one day of left "eye swelling," and pain that is worse with eye movement.

Invasive Fungal Orbitorhinocerebral Mucormycosis: 76-year-old female recently diagnosed with acute myelogenous leukemia (AML) and admitted for induction chemotherapy (day 13) presented with a two day history of worsening right-sided periorbital swelling and erythema. She denied pain, pain with eye movement, discharge or itching. She reported tearing but no foreign body sensation. She felt that her vision had been declining over the past 2 days and that her eye felt full.

Involutional ectropion: Options for surgical management of ectropion. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid.

Involutional entropion: options for surgical management of entropion. A 67 year-old male presents with irritation and "scratchiness" of the right eye.  His symptoms have been present for the past 8 months and have been only partially relieved with artificial tears and lubricating ointment at night. 

Lymphoma, Orbital. 60-year-old male who was evaluated 1 wk ago for "conjunctivitis" left eye by internal medicine.

Meningiomas. a case and review. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit.

Merkel Cell Carcinoma of the Eyelid. A 94-year-old female is referred for an evaluation for possible skin cancer on the nasal aspect of her left lower lid. The lesion has been present on the left lower lid for about one month. It has grown rapidly in size over the previous two weeks and is now obstructing her vision

Multiple endocrine neoplasia type 2B: A 27-year-old male presents with multiple eyelid lesions. This patient, with a history of multiple endocrine neoplasia type 2B (MEN2B) was referred by his oncologist for a large lesion on the outer corner of his right eye.

Myeloid Sarcoma: 20-year-old female with a history of intermittent binocular diplopia that worsened with right head tilt and a six week history of progressive fullness of the right upper eyelid. Medical History is notable for Acute Myelogenous Leukemia reported to be in remission.

Nasolacrimal duct obstruction secondary to sarcoidosis: 72-year-old female with sarcoidosis, corneal perforation, and nasolacrimal duct obstruction

Nodular Basal Cell Carcinoma: 49-year-old female with left lower lid lesion

Oculopharyngeal muscular dystrophy: 58-year-old female with gradual worsening of bilateral blepharoptosis.She also has mild dysphagia and proximal muscle weakness

Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. 80-year-old male presented with diplopia and proptosis of right eye. Complained of sudden vision loss in the right eye. Symptoms began that morning with diplopia when he left home to walk his dog. By the time he returned home, he had profound vision loss and right eye protruding.

Orbital Cellulitis in a Child: 9-year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes

Orbital Eosinophilic Granuloma: 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection

Orbital inflammation secondary to bisphosphonate therapy: 80-year-old female with right eyelid swelling, pain, decreased vision, diplopia

Orbital Lymphatic Malformation (Lymphangioma): 5 year-old female complained of an intermittent frontal headache. Over the next 2 days, she began having daily episodes of emesis and her parents noticed "bulging of her left eye."  She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure.

Orbital Osteoma: 20-year-old female with a 9-month history of left upper lid droopiness

Periorbital Necrotizing Fasciitis. 87-year-old female with orbital cellulitis resistant to broad-spectrum antibiotics was referred to UIHC. CT imaging which showed fat stranding in the retrobulbar space as well as proptosis of the right eye. Initial cultures from her blood and periocular drainage grew group A beta-hemolytic streptococci.

Pan-endophthalmitis and Orbital Cellulitis: 89-year-old female with a history of gradual redness and proptosis, right eye over 3 weeks.

Punctal and Canalicular stenosis (dacryostenosis) from Docetaxel: 38-year-old female with persisting tearing for 6 months.

Sarcoidosis Affecting the Lacrimal Gland: 39-year-old female with left upper eyelid swelling of 4 months duration

Sebaceous Cell Carcinoma: A Masquerade Syndrome

Secondary Tumors After Hereditary Retinoblastoma: A Case of Orbital Leiomyosarcoma 50 Years After Initial Enucleation and Radiation Therapy..

Silent Brain Syndrome: 32-year-old male with history of excess tearing in both eyes with mucous-like yellowish discharge. Excess tearing henders vision.

Silent Sinus Syndrome: 36-year-old male with sunken left orbit (Enophthalmos)

White-eyed blowout fracture: 17-year-old male with diplopia, pain with eye movement, nausea and vomiting after blunt trauma to the left eye

Case Category Index