IMAGES notable findings such as trauma. Upon physical examination, the patient was found to have a protruded mass when she had her eyes closed (Fig. 1). Ultrasonography revealed that the isoechoic mass was 1.6 cm × 0.6 cm in size and had a well-defined margin and a fluid-containing lesion (Fig. 2). Under local anesthesia, we made a transverse incision along the double-eyelid line. The mass pres...

Aneurysmal bone cyst (ABC) is benign vascular lesion destructing the cortical bone by the expansion of the vascular channel in the diploic space that usually involve long bone and spine. Orbital ABC is rare and the clinical symptoms deteriorate rapidly after initial slow-progression period for a few months. A 12-year-old female patient visited ophthalmologist due to proptosis and upward gaze li...

PURPOSE To describe the cases of conjunctival melanoma (CM) and report the disease-free interval (DFI) and overall survival (OS). METHODS The charts of 22 patients who were admitted to two hospitals between 1985 and 2006 were reviewed for pertinent data, including demographics, site of involvement in the conjunctiva and sub-sites, surgical treatment, and adjuvant treatment. RESULTS There we...

Due to an increase in UV light exposure, conjunctival squamous cell carcinoma has become increasingly more prevalent throughout the world. However, primary intraocular invasion from conjunctival squamous cell carcinoma still remains rare and is therefore often misdiagnosed. Larger, more aggressive lesions that invade the eye are frequently not amenable to standard excision and cryotherapy. For ...

Sinus histiocytosis with massive lymphadenopathy is a distinct clinical entity, with ophthalmic involvement in 10% of patients. Orbital as well as eyelid lesions have been described as part of the extra-lymph node involvement of this disorder. We recently examined a young boy with sinus histiocytosis with a bulbar conjunctival mass and chronic dacryocystitis.

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a syndrome of intermittent, brief, unilateral, severe paroxysms of orbital-temporal pain recurring multiple times per day. The pain modulation is often very difficult. The reported SUNCT patient is the first who responded to a combination treatment of oxcarbazepine and gabapentin.

A case of a squamous cell carcinoma of the conjunctiva is presented. The lesion was removed with recurrence in another conjunctival site. The patient received cycles of 5-Fluorouracil as adjuvant treatment to the surgical removal and presented unfavorable evolution, requiring orbital exenteration. Comments are made on the use of antimitotic drugs in the management of these lesions.

BACKGROUND Mitomycin C (MMC) and limbal conjunctival autograft (LCAU) are two known useful adjuvants in the prevention of pterygial recurrence. This study was conducted to compare the outcome of these two treatments. METHODS Prospective study on consecutive cases of primary pterygium (February 2001 to March 2002) randomised into two adjuvant groups: (1) intraoperative 0.02% MMC for 5 minutes ...

Here we present an unusual case of an epithelial implantation cyst within the orbit which presented 40 years after initial injury from an airgun pellet. A retrospective review of the case will be performed. This case is to highlight the importance of taking a thorough history when assessing adnexal lesions of undetermined origin.