1.A Case of Irritated Seborrheic Keratosis Associated with a Previous Incision Site.
Korean Journal of Ophthalmology 2010;24(3):173-174
An 83-year-old woman had undergone an external dacryocystorhinostomy with silicone intubation. Before the surgery, no skin lesions were observed on the incision site. Three months after surgery, the patient complained of a brown-to-black pigmented elevation at her previous skin incision site. A punch biopsy of the pigmented mass was performed. The histopathologic findings confirmed the clinical diagnosis of irritated seborrheic keratosis (SK). SK can occur several months postoperatively and can suddenly increase in size, so surgeons need to carefully check patients' skin prior to surgery. To our knowledge, this is the first reported case of irritated SK discovered on a previous skin incision site.
Aged, 80 and over
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Dacryocystorhinostomy/*adverse effects
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Female
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Follow-Up Studies
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Humans
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Keratosis, Seborrheic/*etiology/pathology/surgery
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Laser Therapy
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Lasers, Gas
2.A Silastic Sheet found during Endoscopic Transnasal Dacryocystorhinostomy for Acute Dacryocystitis.
Jin Seok CHOI ; Jong Hyeok LEE ; Hae Jung PAIK
Korean Journal of Ophthalmology 2006;20(1):65-69
PURPOSE: To report the case of a silastic sheet that was found during an endoscopic transnasal dacryocystorhinostomy for treatment of acute dacryocystitis with necrosis of the lacrimal sac. METHODS: A thirty-two year old male presented with painful swelling on the nasal side of his left lower lid two weeks prior to visiting this clinic. Fourteen years ago, the patient was involved in a traffic accident and underwent surgery to reconstruct the ethmoidal sinus. Lacrimal sac massage showed a regurgitation of a purulent discharge from the left lower punctum. Therefore, the patient was diagnosed with acute dacryocystitis and an endoscopic transnasal dacryocystostomy was performed the next day. RESULTS: The surgical finding showed severe necrosis around the lacrimal sac and a 20 x 15-mm sized silastic sheet was found crumpled within the purulent discharge. The sheet was removed, the lacrimal sac was irrigated with an antibiotic solution, and a silicone tube was intubated into the lacrimal pathway. After surgery, the painful swelling on the nasal side of left lower lid resolved gradually, and there were no symptomatic complications three months later. CONCLUSIONS: We report the first case where a silastic sheet applied during a facial reconstruction had migrated adjacent to the lacrimal sac resulting in severe inflammation.
Silicones/*adverse effects
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Reoperation
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Prosthesis Implantation
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Prosthesis Failure
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Male
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Intraoperative Period
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Humans
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Foreign-Body Migration/*complications/surgery
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Facial Injuries/surgery
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Ethmoid Sinus/injuries/surgery
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*Endoscopy
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Dimethylpolysiloxanes/*adverse effects
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Dacryocystorhinostomy/*methods
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Dacryocystitis/*etiology/surgery
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Adult
3.Recurrent Paecilomyces Keratitis in a Patient with Jones Tube after Conjunctivodacryocystorhinostomy.
Jong Ha KIM ; Min AHN ; Nam Chun CHO ; In Cheon YOU
Korean Journal of Ophthalmology 2016;30(6):479-480
No abstract available.
Aged
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Conjunctiva/*surgery
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Dacryocystorhinostomy/*adverse effects
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Eye Infections, Fungal/diagnosis/*etiology/microbiology
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Female
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Humans
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Keratitis/diagnosis/*etiology/microbiology
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Lacrimal Duct Obstruction/*diagnosis
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Paecilomyces/*isolation & purification
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Recurrence
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Surgical Wound Infection/diagnosis/*etiology/microbiology
4.Case Reports of Lacrimal Sac Tumors Discovered in Patients with Persistent Epiphora Following Dacryocystorhinostomy.
Ka Hyun LEE ; Sun Hyup HAN ; Jin Sook YOON
Korean Journal of Ophthalmology 2015;29(1):66-67
No abstract available.
Aged
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Biopsy
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Carcinoma, Squamous Cell/diagnosis/*etiology
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Dacryocystorhinostomy/*adverse effects
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Eye Neoplasms/diagnosis/*etiology
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Female
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Humans
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Lacrimal Apparatus/pathology/*surgery
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Lacrimal Apparatus Diseases/diagnosis/*etiology
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*Postoperative Complications
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Tomography, X-Ray Computed