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Primary localized bilateral conjunctival amyloidosis and epiphora
Farhad Pirouzmand1, Jeffrey Hurwitz, David Howarth
1Oculoplastic service, Department of Ophthalmology, University of Toronto, Toronto, Canada.
Orbit (Amsterdam, Netherlands)
|May 25, 2002
Summary
Conjunctival amyloidosis, a rare cause of epiphora, is a chronic condition. Surgical debulking and correction of associated issues effectively resolved symptoms in a case study.
Area of Science:
- Ophthalmology
- Ocular Surface Disease
- Lacrimal System Disorders
Background:
- Conjunctival amyloidosis is a rare condition presenting with epiphora (tearing).
- Management strategies, including surgical interventions, are explored.
- This study illustrates treatment options with a specific case.
Observation:
- A middle-aged patient experienced epiphora due to localized conjunctival amyloidosis.
- Over 10 years, symptoms shifted sides despite bilateral lacrimal drainage stenosis.
- Progressive conjunctival deposits necessitated surgical intervention.
Findings:
- Surgical debulking via a conjunctival approach resolved symptoms.
- Simultaneous correction of medial ectropion and punctal stenosis was performed.
- The patient achieved symptom relief one week post-operation.
Implications:
- Conjunctival amyloidosis is chronic, slowly progressive, and often bilateral.
- Ocular involvement is not typically associated with this condition.
- Treating epiphora requires addressing underlying causes through staged interventions.