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2008 Series : December 30, 2008

December 30, 2008  |  December 23, 2008  |  December 16, 2008  |  December 9, 2008  |  December 2, 2008  |  November 25, 2008  |  November 18, 2008  |  November 11, 2008  |  November 4, 2008  |  October 28, 2008  |  October 21, 2008  |  October 14, 2008  |  October 7, 2008  |  September 30, 2008  |  September 23, 2008  |  September 16, 2008  |  September 9, 2008  |  September 2, 2008  |  August 26, 2008  |  August 19, 2008  |  August 12, 2008  |  August 5, 2008  |  July 29, 2008  |  July 22, 2008  |  July 15, 2008  |  July 8, 2008  |  July 1, 2008  |  June 24, 2008  |  June 17, 2008  |  June 10, 2008  |  June 3, 2008  |  May 27, 2008  |  May 20, 2008  |  May 13, 2008  |  May 6, 2008  |  April 29, 2008  |  April 22, 2008  |  April 15, 2008  |  April 8, 2008  |  April 1, 2008  |  March 25, 2008  |  March 18, 2008  |  March 11, 2008  |  March 4, 2008  |  February 26, 2008  |  February 19, 2008  |  February 12, 2008  |  February 5, 2008  |  January 29, 2008  |  January 22, 2008  |  January 15, 2008  |  January 8, 2008  |  January 1, 2008

To see views enlarged, click on the individual pictures...

Fig1
Figure 1

Fig2a
Figure 2a
Fig2b
Figure 2b
Photos courtesy of: LV Prasad Eye Institute
Used with permission. Not to be reproduced.

A 56-year-old woman presented with complaints of an ulcerating lesion at the inner corner of right eye for the past 8 months [Fig 1]. There had been an off and on history of yellowish discharge from the lesion; occasionally it is blood tinged. She had a history of trauma with a wooden stick at the affected site, 10 months earlier. Clinically, a firm mass could be palpated. Extraocular movements were full. Slit lamp and fundus examination were within normal limits in both eyes. CT scan showing coronal [Fig 2a] and axial view [Fig 2b] is shown above.

1. The most probable diagnosis is:

a. sebaceous gland carcinoma
b. canaliculitis (Actinomyces)
c. chronic dacryocystitis with fistula
d. basal cell carcinoma

2. The treatment would be:

a. curettage of canaliculi and Amphoteracin B
b. dacryo-cystorhinostomy with stent
c. incisional biopsy
d. wide excision of the lesion with margin control

For answers to the above, click here on or after January 6, 2009.

 

 

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