Publications by authors named "Lokdarshi G"

Objective: Repair of medial canthus injury involving canaliculus is an emergency indication for canalicular intubation to restore lacrimal drainage. Herein, the author has described an innovative but simple technique for this reconstruction.

Method And Result: A small, blunt pigtail probe was gently passed through the opposite canaliculus in a rotational manner.

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For a safe sclerotherapy session to be completed in the orbital low-flow malformation (namely lymphovenous malformation or venolymphatic malformation), accurate identification of the target lesion for the drug injection is crucial. Regarding the dependability and viability of the injection approach, the authors have discussed their experiences with image-guided percutaneous sclerotherapy on a few patients.

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Five cases of tuberculous osteomyelitis of the fronto-zygomatic (F-Z) region presented with a non-healing ulcer or discharging sinus in the eyelid skin in healthy children and an adult. Lack of awareness about peri-ocular manifestations of extra-pulmonary tuberculosis and delayed referral to specialists, along with poor compliance to long-term ATT, could be the reason for its underreporting in India.

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Ultrasonography findings have been used to diagnose and treat 10 cases of orbital cysticercosis. Although oral prednisolone has a key role in symptomatic alleviation, 3-day albendazole has been demonstrated to be curative without any recurrence.

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Article Synopsis
  • A case of tuberculous dacryocystitis was reported in an adult female with symptoms of eye watering and swelling in the lacrimal sac area, leading to an investigation using CT imaging.
  • The diagnosis involved chronic inflammation signs, low positivity for tuberculosis bacteria in GeneXpert analysis, and a strongly positive Montoux test, leading to prescribed Anti-Tuberculosis Treatment (ATT).
  • ATT effectively reduced symptoms over a few months, highlighting the importance of considering tuberculosis in chronic dacryocystitis cases and utilizing advanced imaging and testing methods for accurate diagnosis.
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A quadragenarian male presented with gradual protrusion of the left eyeball for 7-8 months' duration. On examination, the best corrected visual acuity in the right eye was 20/20, while in the left eye there was no light perception. Contrast-enhanced CT scan revealed a well-defined fat-density mass in the extraconal compartment of the left superior orbit, causing inferolateral globe dystopia with resultant stretching of the optic nerve.

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Background: A case of orbital emphysema associated with elevated intraorbital pressure, presenting as a complication of a paranasal sinus "blow-out" fracture after trauma to the orbit and globe is presented.

Case Report: A 45-year-old man developed left globe rupture with orbital emphysema after blunt trauma. A large air pocket in the superior orbit with medial wall fracture and globe tenting was identified on noncontrast computed tomography.

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A previously diagnosed child of persistent hyperplastic primary vitreous (PHPV) with painless blind eye remained clinically silent for about 3 years follow-up. The child suddenly presented as a case of orbital cellulitis and panopthalmitis with meningitis. No definite mass lesion was detected on ultrasonography, magnetic resonance imaging (MRI) and positron emission tomography (PET) scan.

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Background: Delayed presentation of orbital trauma as an acute subperiosteal hematoma.

Case Report: A 12-year-boy developed sudden painful abaxial proptosis of the left eyeball 15 days after blunt trauma over the forehead. On contrast-enhanced computed tomography, a heterogeneous, hypodense, non-enhancing mass with biconvex contour was seen adjacent to the orbital roof.

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A 65-year-old man presented with giant orbital myxofibrosarcoma with no extraorbital extension. Imaging was suggestive of mesenchymal malignancy with significant vascularity. Incisional biopsy was suggestive of low-grade fibromyxoid sarcoma.

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Orbital sclerosing inflammation is a distinct group of pathologies characterized by indolent growth with minimal or no signs of inflammation. However, contrary to earlier classifications, it should not be considered a chronic stage of acute inflammation. Although rare, orbital IgG4-related disease has been associated with systemic sclerosing pseudotumor-like lesions.

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Purpose: To study the utility of hybrid single photon emission computed tomography / computed tomography (SPECT/CT) scan and dual-dye technique in identification of the sentinel lymph node (SLN) in patients with an advanced malignant eyelid tumor.

Design: Nonrandomized prospective interventional study.

Methods: setting: A tertiary eye care center.

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