Correspondence
Assessment of posterior capsular integrity on optical coherence tomography
The integrity of posterior capsule is of paramount importance to cataract surgeon. Careful preoperative assessment is routinely performed to avoid undesirable intraoperative complications. Routine slit-lamp-based assessment provides a detailed understanding of the posterior capsule, provided that lens matter is optically clear to an acceptable extent. However, the presence of opacity along the posterior capsule with a hidden defect such as posterior polar cataract may pose a challenge to decipher the intactness of the capsule.Orbital metastasis from a primary salivary duct carcinoma: importance of long-term follow-up
Primary salivary duct carcinoma (SDC) of the parotid gland is a relatively uncommon tumour. Amongst the noted cases in the literature, metastasis of the primary SDC is known to involve the lungs, liver, bones, lymph nodes, gingiva, vagina, and rarely the orbit.1–4 The reported cases of orbital metastasis from a primary SDC have shown a good prognosis, whenever appropriate intervention was instituted at the earliest. In this report, we describe the clinical difficulties, investigations, and management of a metastatic SDC of the orbit that presented prior to manifestations at the primary location.Atypical presentation of primary Sjögren’s syndrome as optic neuritis
Sjögren’s syndrome (SS) is a chronic progressive autoimmune disease mainly affecting the exocrine secretory glands. The involvement of salivary and lacrimal glands by the disease process leads to dryness of the oral mucosa and the ocular surface respectively. It may be primary with an isolated involvement of the exocrine glands, or secondary to other underlying autoimmune diseases, but neurological associations in Sjögren’s syndrome are rare.1–6 On the other hand, in atypical optic neuritis with subsequent unresponsiveness to treatment, a definitive diagnosis of the actual underlying disease process is always a challenge for a neuro-ophthalmologist.Isolated conjunctival histoplasmosis in an elderly patient: a rare but important scenario
Histoplasmosis is a granulomatous infection caused by the dimorphic fungus Histoplasma capsulatum. It has two variants which are known to cause human infection: Histoplasma capsulatum var capsulatum and Histoplasma capsulatum var duboisii. Ocular manifestations are known in the form of involvement of the choroid and retina.1 Here, we describe the clinical features, diagnosis, and management of an isolated conjunctival histoplasmosis infection as a primary manifestation in an immunocompromised individual.Conjunctival angiomyxoma—rare but needs observation
Angiomyxomas are benign mesenchymal tumours that rarely involve periocular structures. The age at which patients present with them ranges from 4 to 60 years.1,2 These tumours commonly involve the pelvic area in females. Only a few cases of conjunctival and orbital angiomyxoma have been described in the literature.1–4 When they involve the periocular structure, they need special attention both during and after surgery. Here we describe the clinical features, diagnosis, and management in a case of conjunctival angiomyxoma.
