Localized ocular crystal-storing histiocytosis and associated lymphoma - Report of two cases and review of literature.

Purpose: To add to the existing yet limited body of knowledge around crystal-storing histiocytosis (CSH) with two case reports of localized ocular CSH and associated mucosa-associated lymphoid tissue (MALT) lymphoma involving the lacrimal and orbital soft tissues without underlying systemic lymphoproliferative disorders and to provide a literature review of all cases of CSH with associated ophthalmic findings reported to date.

Observations: A 62-year-old male presented with a one-year history of right greater than left upper eyelid swelling and epiphora. Ophthalmic exam and computed tomography (CT) head scan revealed bilateral soft tissue masses superior to the globe encasing the supraorbital artery with poor margins from the superior rectus muscle.

Pathogenicity and Virulence of Soilborne Oomycetes on Phaseolus vulgaris.

Dry bean (Phaseolus vulgaris L.) is a globally important leguminous food crop. Yields can be reduced by high incidence of soilborne oomycetes that cause seedling disease.

Periocular mass lesions secondary to dermatologic fillers: report of 3 cases.

Objective: To describe findings in patients who received dermal fillers and later developed peri-ocular mass lesions.

Design: Retrospective case series.

Participants: Patients who presented with peri-ocular masses secondary to dermal filler use.

IgG4-related disease with hypergammaglobulinemic hyperviscosity and retinopathy.

Immunoglobulin G4-related disease (IgG4-RD) is a recently described entity with protean manifestations. We describe a novel case of IgG4-RD with hypergammaglobulinemic hyperviscosity responsive to fludarabine and rituximab. A 33-year-old Asian man developed bilateral lacrimal gland and submandibular salivary gland swelling with cervical lymphadenopathy.

A case of an enlarged medial rectus muscle.

We present a case of an enlarged medial rectus from mucosal associated lymphoid tissue (MALT) lymphoma that was misdiagnosed as thyroid orbitopathy for over 3 years. Extraocular muscles are most commonly associated with thyroid orbitopathy (TO), however, it is important to remember that they may also be manifestations of other conditions.

Eyelid fistula: a feature of occult sinus disease.

Purpose: To describe the clinical characteristics of patients presenting with eyelid fistula as a complication of occult sinus disease.

Methods: A retrospective review of patients presenting, to the Orbital Clinic at Moorfields Eye Hospital, with eyelid fistula due to chronic sinus disease; the review including clinical features, management and outcome.

Results: Eight patients presented with discharge from an upper lid or medial canthal fistula, of whom 6 had a history of variable lid swelling, 3 had ptosis and 2 had proptosis with restricted upgaze.

Basal cell carcinoma of the caruncle.

An 82-year-old white man presented with a 2- to 3-month history of a lesion in his left medial canthal region. Surgical excision of the lesion was performed, and histopathology showed a nodular basal cell carcinoma of the caruncle. Because of incomplete surgical margins after the initial excision, a second excision was performed, followed by a course of adjuvant radiotherapy.

Fate of the ACL-injured patient. A prospective outcome study.

We followed 292 patients who had sustained an acute traumatic hemarthrosis for a mean of 64 months. The KT-1000 arthrometer measurements within 90 days of injury revealed the injured knee was stable in 56 patients and unstable in 236. Forty-five unstable patients had an ACL reconstruction within 90 days of injury.

Bone imaging after acute knee hemarthrosis.

Follow-up evaluations were carried out in 84 patients examined 5-8 years after sustaining an acute traumatic hemarthrosis of the knee. The initial examination performed within 2 weeks of injury had revealed 18 patients with a stable knee and 66 with anterior instability. Twelve of the patients underwent anterior cruciate ligament reconstruction within 3 months of injury and 11 more did so between 1 and 3 years after injury.

Nonoperative management of splenic trauma. Conservative or radical treatment?

In a four-year experience with selective nonoperative management of splenic trauma in adults and children, 24 (35%) of 68 patients with documented splenic trauma were initially treated nonoperatively. In only one patient was an operation and laparotomy ultimately required. There was no morbidity or mortality in the nonoperative group.

Tarsal navicular stress fractures in runners.

The number of participants in running programs at all levels has increased in recent years. As a consequence, practitioners are more frequently dealing with diagnoses in symptomatic runners. Detection of tarsal navicular stress fractures in long distance runners, including the diagnostic value of radionuclide bone scanning, is discussed.

Detection and size estimation of acute myocardial infarction using 99Tc-glucoheptonate.

Twenty-seven patients with suspected acute myocardial infarction were studied by precordial scanning after intravenous administration of 99mTc-gluchoheptonate 2-48 hr after the onset of chest pain. Fifteen of the patients had clinically documented acute myocardial infarctions. Twelve of these 15 (80%) had areas of distinctly increased tracer uptake in the region of the heart.

Accumulation of 99mTc-glucoheptonate in acutely infarcted myocardium.

The distribution of 99mTc-glucoheptonate in normal mice and its accumulation in acutely infarcted myocardium were studied in animals. Rapid blood clearance and low concentration of the tracer in normal myocardium were found in tissue distribution studies performed in mice. Experimental myocardial infarction was performed in nine dogs.