Table of Contents - WOC 2012

WOC2012 Abstract Book
PO-OCP-63
Acute Unilateral Blepharoptosis Secondary to Metastasis to the
Levator Palpebrae Superioris Muscle from a Pulmonary Carcinoma
A Rahman Fadzlina (1) , Suliman Nurull Bahya (1) , Yern han Yew (1) , Chiang Lin
Koay (1) , Subrayan Visvaraja (1)
1. University Malaya Medical Centre
Objective: To report a rare case of acute unilateral blepharoptosis secondary to
metastasis to the levator palpebrae superioris muscle from a pulmonary
carcinoma Method: An interventional case report
Result: A 65 year old Malay gentleman, a chronic smoker was presented with
acute left partial blepharoptosis. There was absence of any ocular symptom
and sign as well as neurological deficit. Presence of cervical lymphadenopathy
and general cachexia strongly suggested an underlying malignancy. CT scan
revealed a solitary infiltrative mass over the left levator palpebrae superioris as
well as multiple lung and hilar lesions. Lung adenocarcinoma was confirmed
with a CT guided biopsy. Unfortunately patient succumbed within a month of
the diagnosis.
Conclusion: Lung metastasis to the orbit with the sole presentation of unilateral
blepharoptosis due to levator palpebrae superioris metastasis is extremely
rare. This case highlights the unique presentation of unilateral ptosis secondary
to a rare form of orbital metastasis
PO-OCP-64
Long-term results of adjunctive use of Mitomycin-C in external
dacryocystorhinostomy
Jakubaszek Aleksandra (1) , Rozycki Radoslaw (1) , Rekas Marek (1) , Nowak -
Gospodarowicz Izabela (1)
1. Department of Ophthalmology, Military Institute of Medicine
Puropse: to assess the long-therm results of intraoperative Mitomycin-C in
external dacryocystorhinostomy. Material and method: in this study, analysis
comprised 145 external dacryocystorhinostomies performed on 145 patients.
The mean age of patients was 63,77 years, among them was 74,48% of
women, 25,52% of men. 0,5 mg/ml Mitomycin-C was applied to the osteotomy
site for 10 minutes. Efficiency of external dacryocystorhinostomy was set by
epiphora symptoms, patency of irrigation, dacryocystography, fluorescein dye
disappearance test.
Results: the complete therapeutic success was achieved in 89,65% of
surgeries. Partial therapeutic success (functional stenosis of lacrimal
passages, intermittent epiphora in the patency of the lacrimal drainage system)
in 7,59% of procedures. No therapeutic effect (obstruction of canaliculi) was in
2,76% of procedures.
Conclusions: Intraoperative Mitomycin-C application is a safe and effective
method.
PO-OCP-65
Malignant palpebral tumours
El Belhadji Mohamed (1) , Benjelloune Mohamed Fayaal (1) , Amraoui Abdelouahed
(1)
1. Moroccan Society of Ophthalmology
We aim to establish the epidemic and clinic profile of malignant palperbral
tumours, emphasise on the diagnostic, therapeutic and prognostic approach,
and try to sort out a codified strategy of support in the treatment, on both
carcinomatous and reconstructive sides. More than 75% of cases consult after
almost 1 year. The lower eyelid or the internal canthal area are concerned
in 65% of cases. The size of the lesion exceeds 2 cm diameter in more than
70% of cases. The ocular and orbital scan is performed in 53,8% of cases.
The positive diagnosis is exclusively anatomopathological and was based on a
simple biopsy in 75% of cases. The carcinomatous treatment was conservative
in 59% of cases, with histological control of the margins in 80%. Orbital
exenteration was necessary in 13 cases, 3 refused surgery. Complementary
radiotherapy was preconized for 6 patients and chemotherapy for 3 patients.
The evolution of all cases was : a complete healing in 8 cases, decease in 2
cases, and recidivism in 1 case. Malignant palpebral tumours are frequent due
to risk factors such as solar exposition. We insist on prevention by sensitization
and regular photo-protection, precocious diagnosis and support, to improve
the prognostic.
566
PO-OCP-66
Orbital Hemangiopericytoma in an Asian Population
Hsu Chi-Hsin (1,2) , Liao Shu-Lang (2) , Wei Yi-Hsuan (2)
1. Department of Ophthalmology, Shuang Ho Hospital , Taipei Medical University,
2. Department of Ophthalmology, National Taiwan University Hospital
Objective: To report the clinical and histopathologic features of six cases of
orbital hemangiopericytoma in an Asian population. Method: Clinical and
histopathologic features were reviewed in six patients.
Results: Six patients were histopathologically confirmed as primary orbital
hemangiopericytoma in a University Hospital between May 2001 and
December 2010. All patients, including one male and five females, presented
with progressive proptosis and some associated symptoms such as
extraocular motility limitation with diplopia, displacement of the globe, afferent
pupillary defect, congested vessels, or decreased visual acuity. All six patients
received surgical treatments, and four of them had additional radiotherapy.
Three patients had recurrence after surgeries, and one of them had multiple
metastases to lung and liver. All patients were still alive for a follow-up period
ranging from 5 to 10years.
Conclusions: Orbital hemangiopericytoma has malignant potential, which may
lead to local recurrence and/or metastasis. Histopathologic findings alone
are insufficient to predict the behavior of this tumor. Therefore, clinical as
well as histopathologic findings both are important to evaluate the treatment
outcomes. Total excision accompanied with radiotherapy is suggested and
long term follow-up is required.
PO-OCP-67
A RARE SINGLE CASE REPORT OF ORBITAL HAEMANGIOMA
CAUSING ENOPHTHALMOS WITH VARIED CLINICAL
PRESENTATION.
Nisar Sonam (1) , Rao Shyamasundara (1) , Podile Mohan krishna (1) , Mani Naga
sudha (1) Madhavi (1)
1. NTR University
PURPOSE: To present a rare case of a haemangioma causing enophthalmos
with varied clinical presentation. METHODS & MATERIALS: single case report
of a 24yr old man presenting in the ophthalmology opd, Slit lamp biomicroscopy,
B-scan, conjunctival biopsy, FNAC of the mass, C.T.
Results:Clinically the lesion imitated lymphangioma with multiple conjunctival
cystic lesions. but The B-Scan was suggestive of a solitary conjunctival cyst
whereas conjunctival biopsy of the cystic lesions & FNAC of the mass was
showed eosinophilia(to rule out any parasitic infestation), whereas C.T was
suggestive of an extraconal lymphangioma/haemangioma. THUS, the mass
was excised & sent for histopathological examination. post-op enophthalmos
decreased.
Conclusion: Thus, pathologist reported the mass to be cavernous
haemangioma. Haemangioma-extraconal,mimicing a lymphangioma &
causing enophthalmos is a very rare entity.