Eyelid abscess arising from an epidermal inclusion cyst.
ABSTRACT A 72-year-old woman presented with a 3-day history of focal pain and swelling of the left upper eyelid. A cystic lesion had been present in this area for longer than 7 years, and a lesion consistent with an epidermal inclusion cyst was present on the contralateral upper eyelid. An erythematous, tender, fluctuant mass was noted on the left upper eyelid consistent with abscess. It was drained and cultured, and the infection resolved with oral amoxicillin/clavulanate potassium followed by surgical excision. Histopathologic examination demonstrated an epidermal inclusion cyst and cultures grew anaerobic gram-positive cocci. Epidermal inclusion cysts are common eyelid lesions, yet infection is rare and may result from the spread of normal flora through the pore often found on the anterior surface of these lesions.
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ABSTRACT: Purpose: To compare visual and anatomic outcomes in eyes with type 2 idiopathic macular telangiectasia (Mactel) treated with either intravitreal bevacizumab (IVB), observation, or pars plana vitrectomy (PPV) with internal limiting membrane removal. Methods: Retrospective, consecutive, interventional case series of phakic patients with Mactel. Best-corrected Snellen visual acuity (BCVA) and complete ophthalmic exam was obtained prior to treatment and at subsequent 3-month intervals for a minimum of 6 months. Fluorescein angiographic and spectral-domain optical coherence tomography features were examined, and compared to BCVA at treatment initiation and follow-up. Results: Fifty-six eyes of 28 patients were evaluated. Mean age was 65 ± 12 years, and mean follow-up was 24 ± 13 months. Patients were treated with either observation (n = 33), IVB (n = 15), or PPV (n = 8). Mean number of treatments for the IVB group was 2.5 ± 3.5 intravitreal injections. No significant differences in BCVA change were observed between treatment groups via one-way ANOVA (p = 0.49). Presence of inner retinal cysts was not correlated to BCVA (p > 0.05). Discontinuous outer nuclear layer was significantly related to worse initial and final vision, but not to BCVA change. Conclusion: IVB and PPV with ILM removal appear ineffective in improving visual outcome in eyes with non-proliferative Mactel. SD-OCT evidence of disrupted foveal outer nuclear layer is related to decreased BCVA, but not related to BCVA change following treatment.Albrecht von Graæes Archiv für Ophthalmologie 09/2012; 251(4). DOI:10.1007/s00417-012-2150-1 · 1.91 Impact Factor