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2008 Series -  December 30, 2008 Lecture 1 of 53  NEXT»

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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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