Pediatric preseptal and orbital cellulitis - a 6 year experience from a London tertiary centre.

Purpose: This study reports the experience of pediatric preseptal and orbital cellulitis at a London tertiary centre during a 6-year period and highlights the role of orbital surgeons in the management of subperiosteal abscess (SPA).

Methods: A retrospective review was conducted of all pediatric patients hospitalised for preseptal and orbital cellulitis.

Results: A total of 201 children including 152 cases of preseptal cellulitis and 49 cases of orbital cellulitis were admitted at a London tertiary centre over the study period.

Peripheral Ulcerative Keratitis Associated With Lichen Planus.

Purpose: The aim of this study was to report a case of peripheral ulcerative keratitis (PUK) associated with lichen planus.

Methods: A 42-year-old woman with histological confirmation of lichen planus from an oral buccal mucosa biopsy presented with bilateral peripheral stromal thinning and an epithelial defect, in keeping with PUK.

Results: All screening for known causes of PUK were negative, and lichen planus was presumed as the etiological factor.

Bilateral Giant Fornix Syndrome Associated with Serratia Marcescens.

An 82-year-old woman with macular degeneration receiving intravitreal bevacizumab, presented with 5-months history of muco-purulent blepharo-kerato-conjunctivitis, resistant to multiple topical antibiotics. Visual acuities were 20/25 right and 20/30 left. She had patent nasolacrimal systems, bilateral blepharoptosis, deep superior fornices (21mm right, 22mm left) with muco-purulent discharge, upper tarsal papillae, and punctate keratitis.