Publications by authors named "Nisar S Poonam"
Leiomyosarcomas (LMS) are common soft tissue tumors in the body. Primary orbital and conjunctival LMS are, however, rare. Herein, we describe the diverse clinical presentations, histopathological features, and management outcomes of three cases of primary LMS of the conjunctiva and one case of primary orbital LMS.
View Article and Find Full Text PDFAim: To report a case series on canaliculocoele and to review the existing literature.
Methods And Materials: A retrospective analysis of the case records of all patients diagnosed with canaliculocoele between January 1, 2018, and December 31, 2019, was conducted. Only histopathologically proven cases of canaliculocoele with a minimum follow-up of 6 weeks were included.
Article Synopsis
- Infections of the orbit and surrounding area (periorbita) are common, particularly in younger individuals, often stemming from nearby sinus infections due to anatomical vulnerabilities.
- Additional causes include trauma, dental issues, and various surgical procedures, with the need for prompt medical attention emphasized due to potential serious complications.
- Diagnosis relies on imaging techniques like CT and MRI, and treatment typically involves intravenous antibiotics and possibly surgery if drainage is necessary, as untreated infections can lead to severe outcomes like vision loss or even death.
Inverse globe retraction syndrome is a rare ocular motility disorder characterized by limited abduction, with globe retraction and up- or downshoots on attempted abduction, differentiating it from globe retraction due to Duane retraction syndrome, seen on attempted adduction. It can be congenital or acquired. We report the case of a 3-year-old girl who presented with classical features of inverse globe retraction syndrome secondary to an underlying orbital tumor involving the medial rectus muscle.
View Article and Find Full Text PDFPurpose: To analyze the clinical presentations, risk factors, and management outcomes in patients presenting with dysthyroid optic neuropathy (DON).
Methods: This is a retrospective, single-center study carried out on consecutive patients presenting with DON over a period of 4 years (2013-2016). The VISA classification was used at the first visit and subsequent follow-ups.
Purpose: To analyze the microbiological profile and in vitro antibiotic susceptibility patterns of bacterial isolates in canaliculitis, an infection of the lacrimal drainage system of the eye.
Methods: The laboratory records of patients presenting with canaliculitis from whom specimens were obtained for microbiological investigations at our tertiary eye care centre in South India from January 2010 to December 2020, were reviewed.
Results: A total of 130 canalicular pus samples were collected from 112 patients and submitted for microbiological studies during the study period.
Background: Marin-Amat syndrome is a rare acquired oculofacial synkinesis first reported in 1918. It manifests as involuntary eyelid closure on jaw opening or on lateral movement of the jaw following a peripheral facial nerve palsy. The increased orbicularis tone due to aberrant connections between the cranial nerve (CN) V and CN VII results in an undesirable wink with major psychosocial impact.
View Article and Find Full Text PDFPurpose: To study the risk factors for development of COVID-19 associated rhino-orbital-cerebral mucormycosis (ROCM) during the COVID-19 pandemic in India.
Methods: Multi-centric retrospective case-control study conducted from October 2020 to May 2021. Cases comprised of consecutive patients of COVID-19-associated ROCM (CA-ROCM) presenting at the participating ophthalmic institutes.
Purpose: Isolated cases of nasolacrimal duct obstruction (NLDO) secondary to rhino-orbito-facial reconstructive surgeries have been reported previously. We report the clinical profiles and management outcomes of a series of patients with iatrogenic INDO.
Materials And Methods: Case records of all patients who presented with secondary NLDO over 5 years were retrospectively analyzed.
Purpose: To describe the clinic-radiological, pathological profile, and management outcomes of primary alveolar soft-part sarcoma (ASPS) of the orbit.
Methods: A retrospective analysis of all histopathologically proven cases of orbital ASPS that presented between May 2016 and September 2019 was done. Data collected included demographics, clinical features, imaging characteristics, metastatic workup, management, and follow-up.
Purpose: To report the epidemiology, histopathological spectrum, and surgical outcomes of peripunctal mass lesions.
Methods: Multicentric retrospective case series involving 6 centers in India. All cases of peripunctal masses with histopathological diagnoses and minimum follow up of 3 months were included.
Article Synopsis
- The study focused on COVID-19-associated rhino-orbital-cerebral mucormycosis (ROCM) in India, examining patient demographics, risk factors, symptoms, and management outcomes during the pandemic's second wave.
- Key findings revealed that 78% of patients had diabetes and a majority required oxygen support; most cases showed ROCM symptoms within 10-15 days post-COVID diagnosis.
- Final outcomes indicated a 14% mortality rate, significantly reduced through surgical interventions, highlighting the role of corticosteroids and diabetes as major contributors to ROCM development.
Purpose: The aim of this work was to study the clinical presentation, management and outcomes of orbital and adnexal amyloidosis.
Methods: This retrospective analysis included all the patients diagnosed with orbital and adnexal amyloidosis between January 1990 and December 2019. Positive staining with Congo Red and apple-green birefringence on polarized light microscopy established the diagnosis.
Purpose: To report 5 cases of superior ophthalmic vein thrombosis (SOVT) following intermittent manual carotid compression (IMCC) for indirect carotid-cavernous fistula (CCF) and to outline the management.
Methods: Retrospective observational case series of all patients who developed SOVT secondary to IMCC for indirect low flow CCF's at a tertiary care center. The demographic profile, clinical, imaging findings, treatment, and outcomes were studied.
Aim: The aim of the study is to describe intracanalicular antibiotic ointment loading as a treatment option for canaliculitis.
Material And Methods: It was an interventional prospective study. The study was conducted over a 3 year period from June 2015 to June 2018.
Purpose: To evaluate outcomes of canaliculotomy in cases of recalcitrant canaliculitis.
Methods: All cases diagnosed with canaliculitis who subsequently underwent canaliculotomy over a 15 year period were included in the study. We reviewed and analyzed demographic data, clinical presentation, microbiological profile and management outcomes.
Purpose: To report a rare case of solitary eyelid neurofiboma presenting as tarsal cyst.
Observation: A 64 year old male, presented with a painless, non progressive swelling in the right upper eye lid. Examination revealed a non tender, firm, mass adherent to the underlying tarsus.