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Updated: Jul 17, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Corneal melt associated with idiopathic dacryoadenitis.
Manishi A Desai1, Thasarat Vajaranant, Gregory Sulkowski
1Oculoplastics and Reconstructive Surgery, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois 60612, USA.
Ophthalmic Plastic and Reconstructive Surgery
|January 24, 2007
Summary
This case report details orbital inflammatory syndrome in a teen, presenting with eye swelling and a corneal defect. Treatment involved topical and systemic steroids, successfully resolving symptoms.
Area of Science:
- Ophthalmology
- Orbital Diseases
- Inflammatory Syndromes
Background:
- Orbital inflammatory syndrome (OIS) is a rare condition characterized by inflammation within the orbit.
- OIS can mimic other orbital pathologies, making diagnosis challenging.
- Lacrimal gland involvement is a known, though less common, feature of OIS.
Observation:
- A 15-year-old male presented with acute left-sided ptosis, eyelid edema, proptosis, and conjunctivitis.
- A central corneal epithelial defect with thinning was noted on examination.
- Magnetic Resonance Imaging (MRI) revealed an enhancing orbital mass adjacent to the lacrimal gland.
Findings:
- Histopathological examination of the orbital mass confirmed the diagnosis of orbital inflammatory syndrome.
- The patient's anterior segment inflammation resolved with topical cyclosporine and methylprednisolone.
- Systemic prednisone treatment led to a significant reduction in ptosis and eyelid edema.
Implications:
- This case highlights a unique presentation of orbital inflammatory syndrome with associated corneal pathology.
- Early diagnosis and tailored treatment, including corticosteroids, are crucial for managing OIS and preventing vision-threatening complications.
- This report expands the understanding of OIS manifestations, particularly its association with corneal epithelial defects.
