Correspondence
Superior limbic keratoconjunctivitis following ptosis repair
Superior limbic keratoconjunctivitis (SLK) is an inflammatory condition of the superior bulbar conjunctiva, tarsal conjunctiva, and upper cornea of unknown etiology. The pathogenesis of SLK is unclear, although it has been linked to mechanical microtrauma, deficiencies in tear film quality, and immunologic dysregulation.1Traumatic direct carotid cavernous fistula following partial maxillectomy
Carotid cavernous fistula (CCF) is a rare traumatic complication that can occur following iatrogenic interventions.1 We report a case of direct CCF (type A) developing following partial maxillectomy with the Le Fort I approach. This case report adheres to the ethical principles outlined in the Declaration of Helsinki as amended in 2013.Importance of correlating radiohistopathologic features in lacrimal gland pleomorphic adenoma
Lacrimal gland pleomorphic adenoma (LGPA) is a common benign epithelial tumour of the lacrimal gland that frequently appears on imaging as a well-circumscribed lesion with no bony erosion.1 In some cases, it can present with atypical radiologic features and then needs to be correlated with histopathologic findings to ascertain a diagnosis.Corneal limbal xanthogranuloma in Erdheim-Chester disease
Adult orbital xanthogranulomatous disease is a rare non-Langerhans cell histiocytic condition with 4 clinical subtypes: adult‐onset xanthogranuloma, adult‐onset asthma with periocular xanthogranuloma, necrobiotic xanthogranuloma (NBX), and Erdheim–Chester disease (ECD). We report, to our knowledge, the first case of ECD with limbal infiltration.Conservative management of periorbital necrotizing fasciitis caused by methicillin-resistance Staphylococcus aureus
Necrotizing fasciitis (NF) of the periorbital region is a rare occurrence, though has been shown to cause severe facial disfigurement, blindness, and death.1,2 We report a case of community-acquired methicillin-resistant Staphylococcus aureus (MRSA)–associated periorbital NF in a 25-year-old woman, who presented with left eye and nostril redness and swelling after picking a pimple on her nose a few days prior. She had no significant medical history and was not diabetic. She was initially diagnosed with facial cellulitis and commenced on antibiotics, but returned 2 days later with worsening cellulitis, bilateral leg pain and redness, and shortness of breath.Pachymeningeal enhancement on magnetic resonance imaging in granulomatosis with polyangiitis
Granulomatosis with polyangiitis (GPA) is a multisystemic, antineutrophil cytoplasmic antibody (ANCA)–associated small vessel vasculitis. The orbit and ocular tissues are implicated in approximately a third of cases.1 Common manifestations are conjunctivitis, episcleritis, orbital inflammation, and uveitis.1Vision loss secondary to sinusitis-related subperiosteal orbital hemorrhage
We report a case of subperiosteal orbital hemorrhage secondary to sinusitis resulting in visual loss. A 74-year-old male presented to a rural emergency department with a less than 12-hour history of right-sided peri-orbital swelling and subsequent loss of vision in the eye. He had been generally unwell for 2 days before presentation with neck pain and frontal headache. Medical history included Parkinson's disease and his medications included Aspirin.Light chain amyloidosis of the lacrimal glands in a patient with chronic dacryoadenitis
Amyloidosis is a heterogeneous collection of conditions that presents with variable organ dysfunction due to extracellular aggregation of abnormally folded proteins. Systemic light chain amyloidosis is an uncommon disease, and involvement of orbital structures is particularly rare. We present a case of chronic dacryoadenitis in which λ light chain amyloid deposition was detected in the lacrimal gland 6 months after a nonspecific biopsy.A rare case of invasive sino-orbital aspergillosis arising from isolated frontal sinus infection
Sino-orbital aspergillosis is an uncommon condition that occurs when infection of the paranasal sinuses extends into the orbit. Infection most frequently originates from the maxillary sinus, followed by the ethmoid and sphenoid sinuses. The frontal sinus is rarely involved, and is largely infected secondary to adjacent sinuses. Isolated aspergillosis of the frontal sinus is extremely uncommon, with approximately 30 cases reported in the literature.1–3 Here, we present a case of invasive sino-orbital aspergillosis arising from isolated frontal sinus infection in an immunocompromised patient.Sebaceous adenomas in the absence of Muir–Torre syndrome
Sebaceous adenomas (SA) are rare tumours that have commonly been regarded as pathognomonic of the rare autosomal dominant cancer predisposition syndrome, Muir–Torre syndrome.1 We present 2 cases of isolated eyelid SA and examine their clinical features and investigations for association with Muir–Torre syndrome.Pyoderma gangrenosum of the eyelid
Pyoderma gangrenosum (PG) is a rare inflammatory skin condition of unknown etiology. In rare cases, it affects the eyelid, where it can have devastating visual consequences. We describe a case of severe eyelid PG, successfully managed with aggressive chronic immunosuppression.
