Orbital immunoglobulin IgG4-related inflammatory fibrosclerosing lesion treated with pentoxifylline and α-tocopherol: case report.

Immunoglobulin G4 (IgG4)-related disease is a distinct group of disorders that are characterised by intense infiltration of an organ with IgG4(+) cells, subsequent inflammation, fibrosis, and masses. We report a new treatment of orbital IgG4-related disease with pentoxyphylline and α-tocopherol, both of which are anti-inflammatory and antifibrotic agents.

Steroid therapy for problematic proliferating haemangioma.

Aim: To evaluate the effectiveness and the safety of systemic and intralesional steroid therapy for problematic proliferating haemangioma.

Method: 233 patients with haemangioma were identified from our vascular anomalies database 1996-2007. 46 (36%) out of 129 patients with proliferating haemangioma required intervention.

W(h)ither orbital pseudotumor?

Orbital pseudotumor is a nonspecific, idiopathic benign inflammatory process characterized by a polymorphous lymphoid infiltrate with varying degrees of fibrosis. We retrospectively reviewed the clinical presentation, management, and progress of six consecutive patients referred to our service with an initial diagnosis of orbital pseudotumor to underscore the challenge and pitfalls in managing this group of patients. Three male and three female patients, aged 27 to 74 years, presented with a variety of ophthalmologic problems, including orbital swelling, chemosis, proptosis, blepharoptosis, restricted eye motion, diplopia, and visual loss.

Recurrent anterior chamber hemorrhage from an intraocular lens simulating amaurosis fugax.

Uveitis-glaucoma-hyphema syndrome is a rare late complication of anterior segment surgery. We present 2 unusual cases of this syndrome that were mistakenly diagnosed as amaurosis fugax, leading to contraindicated treatment. These cases illustrate the need for ophthalmologic examination during an episode of symptoms.

Recovery of vision after bilateral arteritic central retinal artery occlusion.

A case is reported of a patient with bilateral central retinal artery occlusion secondary to giant cell arteritis. After treatment the vision recovered in one eye but remained poor in the other eye. Treatments employed are discussed with particular attention drawn to differences in the treatment of each eye and suggestions are made for treatment of similar cases.

Cast-forming Actinomyces israelii canaliculitis.

Background: Primary chronic canaliculitis is an uncommon disease usually caused by Actinomyces israelii (streptothrix). Actinomyces israelii is a cast-forming Gram-positive anaerobe that is difficult to isolate and identify. We present a case that demonstrates the typical clinicopathological presentation of this unusual condition and discuss management options.

Infectious mononucleosis presenting with dacryoadenitis.

Background: A case of severe, bilateral, acute dacryoadenitis in a rarely reported association with infectious mononucleosis is described.

Methods: A 16-year-old girl had acute, bilateral, lacrimal gland enlargement demonstrated with computed tomographic scanning of the orbits. Clinical findings and laboratory investigations confirmed the diagnosis of infectious mononucleosis.

Penetrating eye injury from a rigid infant pacifier.

Background: The use of infant pacifiers (dummies) is common in Australasian communities and has been reported to be associated with various injuries, but to date ocular trauma has not been reported.

Case Report: A 14-month-old child sustained a penetrating eye injury from the infant pacifier that was in his mouth during a minor fall. Only a lid laceration was detected at the time.

Bronchopulmonary atypical carcinoid tumour metastatic to the orbit.

Background: Bronchopulmonary carcinoid tumours metastatic to the orbit are rare. A case is presented demonstrating presentation, histopathology and treatment.

Methods: A 64-year-old man with a history of bronchopulmonary atypical carcinoid presented with an orbital mass.

Color Doppler imaging: methodology and preliminary results in glaucoma.

Color Doppler imaging (CDI) has recently been applied to investigation of the normal vascular anatomy of the eye and orbit as well as a variety of conditions in which vascular abnormalities are important. Combining B-scan ultrasonography and Doppler waveform analysis, CDI enables noninvasive serial examination of blood velocity and vascular resistance from the ophthalmic, short posterior, ciliary and central retinal arteries. This technology is being used to study the ophthalmic circulation of patients with primary open-angle or normotension glaucoma.

Color Doppler imaging of the ocular and orbital blood vessels.

Color Doppler imaging (CDI) is a technique that provides color-encoded blood flow information on a gray-scale two-dimensional background. Although first reported in the investigation of orbital disease in 1979, it is only in the past 1 to 2 years that CDI has become established as a tool in the assessment of vascular disease of the eye and orbit. Discussed are clinical syndromes in which CDI has been shown to demonstrate abnormalities and also assist in diagnosis and determination of etiology.

Orbital colour Doppler imaging.

Colour Doppler imaging (CDI) is an ultrasonic method for qualitatively and quantitatively assessing blood flow. Recently this technique has been adapted for investigation of the orbital, optic nerve and ocular vasculature. We discuss the history, principles and methodology of this examination technique for ophthalmology.

Eye injuries in indoor cricket at Wellington Hospital: a survey January 1987 to June 1989.

About 30% of all sports injuries to the eye seen at Wellington Hospital are due to indoor cricket. An analysis of 29 eye injuries, January 1987 to June 1989 was carried out. Traumatic iritis, mydriasis and commotio retinae were the common injuries.