22 results on '"Bothra, Nandini"'
Search Results
2. Caruncle and plica hypertrophy causing mechanical secondary acquired lacrimal duct obstruction: – SALDO update study (SUP) – paper I.
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Bothra, Nandini, Mishra, Dilip, and Ali, Mohammad Javed
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HYPERTROPHY , *SURGICAL site , *SLIT lamp microscopy - Abstract
To exclusively report the clinical category of mechanical secondary acquired lacrimal duct obstruction (SALDO) secondary to the caruncle and plica hypertrophy. Prospective interventional case series involving 10 consecutive eyes with megalocaruncle and plica hypertrophy were enrolled in the study. All patients presented with epiphora secondary to a demonstratable mechanical obstruction of the puncta. All patients underwent high magnification slit-lamp photography and Fourier-domain ocular coherence tomography scans (FD-OCT) of the tear meniscus height (TMH) pre- and post-operatively at 1-month and 3-months. Caruncle and plica size, position, and their relationship to the puncta were noted. All patients underwent partial carunculectomy. Primary outcome measures were demonstrable resolution of the mechanical obstruction of the puncta and the reduction in the tear meniscus height. The secondary outcome measure was the subjective improvement of the epiphora. The mean age of the patients was 67 years (range: 63–72 years). The average TMH was 843.1 (range: 345–2049) microns pre-operatively and 195.1(91–379) microns at 1-month follow-up. All patients reported significant subjective improvement in epiphora at 6-months follow-up. One patient had bilateral granuloma at the surgical site at two weeks and was managed by simple excision and topical tapering steroids. Histopathology revealed hyperplastic epithelium with goblet cells with chronic inflammatory cells in the sub-epithelial region and the stroma. The role of the caruncle in the causation of mechanical SALDO needs to be carefully assessed in patients beyond the sixth decade. Excellent objective and subjective outcomes can be achieved by a partial carunculectomy and plica semilunaris excision. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
3. Post-traumatic canalicular fistula: description and review of literature – SALDO update study (SUP) – paper II.
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Agarwal, Ayushi, Ali, Mohammad Javed, and Bothra, Nandini
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LITERATURE reviews ,LACRIMAL apparatus ,BOTULINUM toxin ,BOTULINUM A toxins ,FISTULA ,DACRYOCYSTORHINOSTOMY - Abstract
To discuss the clinical spectrum and management strategies in patients with post-traumatic canalicular fistula (PTCF). Retrospective, interventional case series of consecutive patients diagnosed with PTCF over a 6-year study period between June 2016 and June 2022. The demographics, mode of injury, location, and communication of the canalicular fistula were noted. The outcomes of several management modalities including dacryocystorhinostomy, lacrimal gland therapies, and conservative approaches were assessed. Eleven cases with PTCF over the study period were included. The mean age at presentation was 23.5 years (range: 6–71 years), with male: female ratio of 8:3. The median time interval between trauma to presentation at the Dacryology clinic was 3 years (range: 1 week to 12 years). Seven had iatrogenic trauma and four had the canalicular fistula following primary trauma. Management modalities pursued include conservative approach for minimal symptoms, and dacryocystorhinostomy, dacryocystectomy, and lacrimal gland botulinum toxin injection. The mean follow-up period was 30 months (range: 3-months−6 years). PTCF is a complex lacrimal condition and the management of the PTCF needs a tailored approach guided by its nature and location and patient symptomatology. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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4. Lacrimal drainage anomalies in Pierre Robin sequence.
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Sinha, Prerna, Bothra, Nandini, and Ali, Mohammad Javed
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LACRIMAL apparatus , *CONGENITAL glaucoma , *MYOPIA , *DRAINAGE , *RETINAL detachment , *SUPERNUMERARY teeth , *OCULAR manifestations of general diseases - Abstract
Pierre-Robin sequence consists of a classical triad of micrognathia, glossoptosis, and upper airway obstruction. The common ocular manifestations include congenital glaucoma, high myopia, maculopathy, and retinal detachment. Except for a mention of a nasolacrimal duct obstruction without many details, lacrimal drainage anomalies have not been reported earlier to the best of the authors' knowledge. The present case describes several lacrimal drainage anomalies including supernumerary puncta, canalicular wall hypoplasia, grossly dilated nasolacrimal duct, and complex congenital nasolacrimal duct obstruction in a patient of Pierre Robin sequence. The patient was successfully managed with endoscopic guided probing and marsupialization of the large intranasal cyst resulting in a complete resolution of epiphora. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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5. Lacrimal drainage anomalies in 3p deletion syndrome.
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Ali, Mohammad Javed, Sinha, Prerna, and Bothra, Nandini
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DRAINAGE ,INTELLECTUAL disabilities ,SYNDROMES ,OCULAR manifestations of general diseases ,GENETIC disorders ,BLEPHAROPTOSIS ,BRUGADA syndrome - Abstract
3p deletion syndrome or deletion 3p25-pter syndrome is an exceptionally rare genetic disorder characterized by deletion of the distal segment of the short arm of chromosome 3. There are less than a hundred reported cases worldwide. Clinical characteristics include severe physical and mental retardation, trigonocephaly, micrognathia, and diffuse hypotonia. The common ocular manifestations include congenital ptosis and canthal anomalies. To the best of the authors' knowledge, no lacrimal drainage anomalies have been reported earlier. The present case describes proximal lacrimal drainage anomalies in a patient with 3p deletion syndrome. The patient was successfully managed with membranotomy and punctal and canalicular dilatation, resulting in a complete resolution of epiphora. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Lacrimal Drainage Infections with Sphingomonas paucimobilis: Clinical Presentations, Complications and Outcomes.
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Sinha, Prerna, Mitra, Sanchita, Bothra, Nandini, and Ali, Mohammad Javed
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SYMPTOMS ,CELLULITIS ,SPHINGOMONAS ,DRAINAGE ,MICROBIOLOGICAL techniques ,POLYMERASE chain reaction - Abstract
To report the clinical presentations, complications, and outcomes of Sphingomonas paucimobilis-specific lacrimal drainage infections. A retrospective chart review of all patients diagnosed with Sphingomonas paucimobilis lacrimal infections and managed at a tertiary care Dacryology Service from November 2015 to May 2022 over a 6.5-year period were recruited and analyzed. Data collected include demographic details, clinical presentation, microbiological diagnosis, antibiotic susceptibility profiles, management, complications, and outcomes. The microbiological techniques employed were aerobic and anaerobic cultures, phenotypic identification with VITEK 2
R system, polymerase chain reaction, antibiotic sensitivity profile and minimal inhibitory concentration. Twelve Sphingomonas-specific lacrimal drainage infections of 11 patients were identified. Of these five were canaliculitis and seven were acute dacryocystitis. All the seven acute dacryocystitis presented in an advanced stage; five were with lacrimal abscess and two with orbital cellulitis. The antibiotic susceptibility profile of canaliculitis and acute dacryocystitis were comparable and the organism was sensitive to several classes of antibiotics. The outcomes of punctal dilatation and nonincisional curettage were effective for canaliculitis. Patients with acute dacryocystitis had advanced clinical stage at presentation but responded well to intensive systemic management and had excellent anatomical and functional outcomes with dacryocystorhinostomy. Sphingomonas-specific lacrimal sac infections can have aggressive clinical presentations and need early and intensive therapy. The outcomes are excellent with multimodal management. [ABSTRACT FROM AUTHOR]- Published
- 2023
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7. Epstein–Barr Virus-Associated Acute Dacryocystic Retention.
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Bothra, Nandini and Ali, Mohammad Javed
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MONONUCLEOSIS , *EPSTEIN-Barr virus , *LACRIMAL apparatus , *NAUSEA , *HEPATITIS - Abstract
Epstein–Barr virus (EBV) associated dacryocystic retention presents with an acute swelling in the lacrimal sac area with epiphora and lymphadenopathy. The patient would usually have a preceding history of infectious mononucleosis with clinical features of fever, pharyngitis, preauricular and cervical lymphadenopathy, hepatosplenomegaly, subclinical hepatitis, nausea, and palatine petechiae. The present case is of a 3-year-old child who presented with a sudden painless swelling in the lacrimal sac region with epiphora. Investigations and a biopsy helped in establishing the diagnosis of EBV-associated dacryocystic retention which resolved completely with conservative management. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Atypical presentation of punctal keratin cyst: an underdiagnosed entity.
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Bothra, Nandini, Mishra, Dilip, and Ali, Mohammad Javed
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KERATIN , *CYSTS (Pathology) , *OPTICAL coherence tomography - Abstract
Punctal keratin cyst (PKC) is a rare disorder believed to be due to ectasia of the vertical canaliculus. The etiopathogenesis of this disorder is very poorly understood due to the paucity of literature. To the best of authors' knowledge, only two cases of punctal keratin cyst have been described earlier, which presented as cystic lesions. The authors report four cases of punctal keratin cyst which differ in clinical presentation and also describe the anterior segment ocular tomography features, which aids in recognition and diagnosis of this rare disorder. The key message of the article is that lack of a defined cyst on clinical examination and optical coherence tomography (OCT) cannot rule out the presence of a PKC. A combination of clinical, radiology, and histopathology are confirmative of the diagnosis. Once diagnosed, the subsequent outcomes with membranotomy and keratin curettage are excellent. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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9. Masquerades of Acquired Dacryocystocele
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Bothra, Nandini, Wagh, Richa Dharap, and Ali, Mohammad Javed
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solitary fibrous tumor of the lac rimal sac ,lacrimal ,medial orbital dermoid ,Case Series ,Clinical Ophthalmology ,dacryology ,dacryocystocele - Abstract
Nandini Bothra, Richa Dharap Wagh, Mohammad Javed Ali Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad 500034, Telangana, IndiaCorrespondence: Nandini BothraGovindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Road No. 2, Banjara Hills, Hyderabad 500034, Telangana, IndiaEmail nan_bothra@yahoo.comIntroduction: Dacryocystocele can be congenital or acquired and acute or chronic, based on underlying pathology. An inferomedial anterior orbital mass lesion can masquerade an acquired dacryocystocele with similar symptomatology; however, the treatment varies. Hence, a careful examination of the swelling to differentiate these masquerades is needed to ensure rightful treatment.Patients and Methods: A retrospective, interventional study was performed on consecutive patients from January 2017 to October 2019 who presented with swelling in the lacrimal sac area of varying durations. They underwent computed tomography scans followed by surgical intervention. Their relation to the lacrimal drainage apparatus was explored.Results: During the study period, 5 such patients were found in the records. The radiology was consistent with anterior orbital mass lesions, not involving the lacrimal sac. Histopathology after surgical excision was consistent with three of the lesions being dermoid cysts, one was cavernous hemangioma and one was a solitary fibrous tumor.Conclusion: Inferomedial anterior orbital mass lesions can present as masquerades of acquired dacrycystoceles. Careful examination and high degree of suspicion is needed to distinguish these lesions and ensure correct treatment.Keywords: dacryology, dacryocystocele, lacrimal, medial orbital dermoid, solitary fibrous tumor of the lacrimal sac
- Published
- 2020
10. The Cry of the Third Eye: Exceptionally Rare Location of a Post-Traumatic Acquired Lacrimal Fistula.
- Author
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Dharap, Richa, Bothra, Nandini, and Ali, Mohammad Javed
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FISTULA , *FRONTAL bone , *SKULL base , *ASYMPTOMATIC patients , *LACRIMAL apparatus , *DACRYOCYSTORHINOSTOMY - Abstract
To report an unusual case of an ectopic lacrimal fistula in a setting of a naso-orbito-ethmoid fracture. The present case demonstrates a right-sided ectopic lacrimal fistula just below the glabella on the contralateral side on the outer edge of the midline. CT-Dacryocystography demonstrated a large dilated right lacrimal sac with a partly sequestered fundus traversing through the frontal process of the maxilla and frontal bone, close to the skull base and communicating with the fistula. The connection of the fistula with the sac was severed at the superior-most point, and the long fistulous tract was removed using external and endoscopic approaches, followed by endocautery and subsequent dacryocystorhinostomy. Post-operatively, the fistulous opening healed, ostium score was FICI grade 5, and the patient was asymptomatic. The case demonstrates multiple surgical challenges while managing an ectopic fistula with a long fistulous tract traversing several bony structures. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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11. Geometric morphometric anatomy of the lacrimal punctum in normal population: Punctum update (PUP) study – Paper 5.
- Author
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Boniao, Emmanuel Lee, Torres, Mark Anthony, Bothra, Nandini, Saini, Pragya, Gungab, Alexander, Lim, Blanche Xiao Hong, Sundar, Gangadhara, and Ali, Mohammad Javed
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PRINCIPAL components analysis ,ANATOMY ,LACRIMAL apparatus ,FOURIER analysis ,AGE groups ,GEOMETRIC approach - Abstract
To investigate the geometric morphological differences of the lacrimal punctum by analyzing its shape in relation to age and sex in a normal population. 960 high-magnification slit-lamp images were obtained from 320 puncta of normal asymptomatic Indian individuals across eight decades of life. Using advanced geometric morphometric techniques, including Elliptic Fourier Analysis and Principal Component Analysis, the intricate details of the lacrimal punctum's shape in a diverse population sample were categorized by age and sex. High-resolution images of the lacrimal punctum underwent standardization for scale and orientation, followed by precise landmark identification and coordinate data extraction. The geometric morphometry of the lacrimal punctum shows significant changes as one ages. However, the gender differences, in isolation, without consideration of age, remain subtle and are not pronounced. Interestingly, detailed Principal Component scores analysis revealed potential sex- and age-related variations specifically for the left and right lower puncta, which warrant further investigation. These changes could reflect unique aging changes in the proximal lacrimal drainage system. The study is a starting point for geometric morphometric analysis of the lacrimal punctum and provides valuable insights into the punctal changes in size, orientation, and overall morphology across different age groups and between sexes. These findings highlight the significance of considering individual age-wise anatomical variations to better understand the lacrimal punctum. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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12. Lacrimal drainage system involvement in Peters anomaly: clinical features and outcomes.
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Bothra, Nandini, Sharma, Abhimanyu, and Ali, Mohammad Javed
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LACRIMAL apparatus , *TREATMENT effectiveness , *FUNCTIONAL assessment , *DIAGNOSIS , *DRAINAGE - Abstract
To present first of its kind series on the clinical features and outcomes of lacrimal drainage disorders in Peters anomaly and Peters plus syndrome. A retrospective chart review was performed of all consecutive patients who were known cases of Peters anomaly or Peters plus anomaly and were diagnosed with associated congenital lacrimal drainage disorders. The study period was from June 2016 to Dec 2020. All these patients underwent examination under anaesthesia for a detailed assessment of lacrimal drainage anomalies. Where indicated, they were treated with probing, intubation, or in refractory patients with a dacryocystorhinostomy. The anatomical and functional outcomes were assessed. Of the 282 patients with Peters anomaly, 4 (1.4%) patients had associated lacrimal drainage system anomalies while of the 16 Peters plus anomaly children, 3 (18.75%) had associated lacrimal drainage system anomalies. A total of 12 lacrimal drainage systems of 12 eyes of 7 patients of Peters anomaly were found to be involved. Upper or lower punctal agenesis were noted in 3 eyes. Three eyes had complex congenital nasolacrimal duct obstruction (CNLDO), two of which had a bony NLD block and one had a misdirected nasolacrimal duct through the inferior turbinate. One eye had a diffuse NLD stenosis without a CNLDO. Following appropriate management, at a mean follow-up of 25.7 months (range: 3–48 months), all the eyes except one (91%, 10/11) demonstrated anatomical and functional success. Lacrimal drainage involvement was more common in Peters plus syndrome. Multiple proximal and distal lacrimal drainage segment anomalies were noted in all the variants of Peters anomaly; however, Peters plus syndrome was noted to usually involve both the segments. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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13. Lacrimal Fossa Bony Changes in Chronic Primary Acquired Nasolacrimal Duct Obstruction and Acute Dacryocystitis.
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Ali, Mohammad Javed, Mishra, Dilip Kumar, and Bothra, Nandini
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LACRIMAL apparatus ,HISTOPATHOLOGY ,NASAL surgery ,DISEASE duration ,TRAUMA surgery ,DACRYOCYSTORHINOSTOMY - Abstract
This study aims to assess the bony lacrimal fossa changes in chronic cases of primary acquired nasolacrimal duct obstruction versus acute dacryocystitis. A prospective study was performed on 25 bony lacrimal fossae of 25 eyes of 15 patients who underwent endoscopic dacryocystorhinostomy at a tertiary care Dacryology service over a period of 6 months. Ten patients with chronic PANDO (> 1 year) with bilateral involvement and five patients of unilateral acute dacryocystitis were recruited in the study. None of the patients had a history of trauma or previous surgeries or nasal disease in the past. The bone samples from the frontal process of the maxilla and the lacrimal bone were obtained during the osteotomy and subjected to routine histopathological examination. Special stains used were von Kossa, Masson trichrome, periodic acid Schiff, and Alcian blue. Immunohistochemistry was performed using CD68 antibodies. Patient demographics, clinical presentation, duration of the disease, and bony changes were analyzed in different patient subsets. The mean disease duration in the chronic PANDO subset was 3.1 years, whereas acute dacryocystitis was 6.8 days. There was no correlation between the bony changes and the laterality in the chronic subset. Periosteal thickness and fibrosis were universal in the chronic group but not in the acute dacryocystitis. There were also differences in the number of osteocytes per sq mm, osteoblast, osteoclast, bony remodeling, bony canals structure, and intrastromal fibrosis between the subsets. These changes within the chronic group increased with the duration of the disease. Interestingly, there was no evidence of any bony inflammation across the subsets in all the samples studied. Characteristic bony changes can be demonstrated in patients with chronic PANDO but not in acute dacryocystitis. The lack of bony inflammatory infiltrates may provide clues in understanding the peri-sac disease pathogenesis in acute dacryocystitis. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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14. Long-term outcomes of revision endoscopic dacryocystorhinostomy aided by 4-mm coronary balloon catheter dacryoplasty.
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Ali, Mohammad, Bothra, Nandini, and Ali, Mohammad Javed
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DACRYOCYSTORHINOSTOMY , *LACRIMAL apparatus , *CATHETERS , *OPERATIVE surgery , *GRANULOMA - Abstract
Our purpose was assess the long-term efficacy of 4-mm coronary balloon catheter dacryoplasty in revision endoscopic dacryocystorhinostomy (RevEnDCR). This retrospective interventional case-series was performed for patients who underwent RevEnDCR aided by a 4-mm coronary balloon catheter (CBC) dacryoplasty. The indications for the surgery were previously failed DCRs by external or endoscopic approach where the ostium showed near total cicatrization with or without the presence of organized granuloma threatening the internal common opening (ICO). The coronary balloon (4 × 10 mm, SPALNO, Cardiomac, Haryana, India) with the guidewire was used and a minimum of >12 months of follow-up was considered for analysis. Ten lacrimal systems of eight patients with mean age of 48.8 years underwent CBC-assisted revision endoscopic DCR. Of the 10 failed DCRs, 6 had a previous external approach DCR and 4 were endoscopic DCRs. Grossly stenosed ostium with near total cicatricial closure were noted in half of the patients (50%, 5/10) while the remaining half, in addition, showed organized granulomas threatening the ICO. The surgical technique using CBC was found to be minimally invasive, easy to perform with multiple advantages like uniform clearance of the area in front of ICO and more predictable lacrimal sac flaps. At a mean follow-up of 20 months, anatomical and functional success were achieved in 90% (9/10) of the eyes. We conclude that coronary balloon catheter-assisted revision endoscopic DCR is a minimally invasive and viable alternative in select group of patients of failed DCR with near total cicatrisation or organized granulomas threatening ICO. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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15. Congenital canaliculops with punctal agenesis: is there a possibility to establish patency?
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Bothra, Nandini, Krishnamurthy, Gayatri, and Ali, Mohammad Javed
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POSSIBILITY , *AGENESIS of corpus callosum - Abstract
Canaliculops is a non-inflammatory dilatation of the canaliculus which can be secondary to trauma, punctal agenesis, herpetic infections or chronic drug use. This condition can affect either canaliculi and has shown female preponderance. Treatment described so far has consisted of cyst marsupialization with no literature on the post-operative epiphora in these cases. We describe two cases of canaliculops with punctal agenesis where we have tried to establish lacrimal patency. [ABSTRACT FROM AUTHOR]
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- 2020
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16. Poorly differentiated primary adenocarcinoma of the lacrimal sac and the nasolacrimal duct.
- Author
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Morawala, Ashi, Bothra, Nandini, Mishra, Dilip Kumar, and Ali, Mohammad Javed
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LACRIMAL apparatus , *ADENOCARCINOMA , *CANCER invasiveness - Abstract
Primary adenocarcinoma of the lacrimal drainage system is a rare malignancy. Poorly differentiated subtypes of this tumor demonstrate aggressive behaviors, and metastasis is not uncommon. We present a patient with poorly differentiated adenocarcinoma of the lacrimal sac and nasolacrimal duct with an orbital extension. The case was managed by a combined external and endoscopic approach excision followed by adjuvant radiotherapy. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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17. Cerebral palsy and associated complex congenital nasolacrimal duct obstruction and pediatric acute dacryocystitis.
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Bothra, Nandini and Ali, Mohammad Javed
- Subjects
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LACRIMAL apparatus , *CEREBRAL palsy , *CONGENITAL heart disease - Abstract
Cerebral palsy (CP) is a congenital syndrome with systemic manifestations secondary to a non-progressive lesion of the immature brain. It is associated with numerous cerebral and non-cerebral malformations. The present report describes a 2-year-old baby with spastic CP, diplegic type, associated with congenital cardiac malformations and right eye complex congenital nasolacrimal duct obstruction (CNLDO) (bony nasolacrimal duct stenosis and buried probe) requiring endoscopic dacryocystorhinostomy and left eye simple CNLDO which resolved on probing the system. This report also lays emphasis on the need for examination of the lacrimal drainage system in all patients with CP, so as to treat them appropriately and reduce the morbidity. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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18. Multiple lacrimal drainage anomalies in proboscis lateralis.
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Bothra, Nandini, Naik, Milind, and Ali, Mohammad Javed
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DRAINAGE , *RENAL tubular transport disorders , *HUMAN abnormalities , *CONGENITAL disorders - Abstract
Proboscis lateralis is an exceptionally rare congenital anomaly characterized mostly by a nose-like tubular appendage, ipsilateral deformed nose and ocular anomalies, believed to be secondary to fusion defects involving the embryonic maxillary process. To the best of authors' knowledge, only one report with some description of the lacrimal drainage anomalies in proboscis lateralis exists in literature and the present case describes these anomaliesin detail. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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19. Radiofrequency-assisted endofistulectomy for a recurrent congenital lacrimal fistula.
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Ali, Mohammad Javed and Bothra, Nandini
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FISTULA , *DACRYOCYSTORHINOSTOMY - Abstract
Keywords: Congenital; endoscope; fistula; fistulectomy; lacrimal; radiofrequency EN Congenital endoscope fistula fistulectomy lacrimal radiofrequency 818 819 2 11/14/22 20221201 NES 221201 Institutional Review Board approval of L.V. Prasad Eye Institute was obtained. The radiofrequency (RF) monopolar probe (Ellman, Surgitron, MA, USA) was now brought in contact with the Bowman probe in the fistula. Endoscopy images showing the anterior fistulous probe and posterior ICO probe (Panel B), and following fistula coagulation (arrow, Panel C). [Extracted from the article]
- Published
- 2022
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20. Lacrimal punctal and peripunctal involvement in calcinosis cutis.
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Bothra, Nandini, Ali, Mohammad Javed, Naik, Milind N., and Trakos, Nikolaos
- Subjects
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CALCINOSIS , *SKIN , *LACRIMAL apparatus , *CALCIUM salts , *ADNEXAL diseases - Abstract
Calcinosis cutis is a rare metabolic disorder characterized by cutaneous and subcutaneous deposition of insoluble calcium salts. Ocular adnexal involvement is uncommon but mostly seen in males and in the upper eyelid. Solitary lesions are more common than multiple. The treatment of choice is excision biopsy. Histopathological examination provides a definitive diagnosis. Directed systemic investigations help to rule out underlying pathologies and aids further management. The present case reports the punctal and peripunctal involvement in a case of ocular adnexal calcinosis cutis. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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21. Punctal pseudoepitheliomatous hyperplasia mimicking a mass lesion.
- Author
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Bothra, Nandini and Ali, Mohammad Javed
- Subjects
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HYPERPLASIA , *HISTOPATHOLOGY , *GRANULOMA , *EYELIDS , *PATENTS , *PAPILLOMA - Abstract
A 46-year-old lady presented with progressively growing mass from the inner side of the right upper eyelid. The mass was elevated, pinkish with surface vessels, engulfing the puncta. Careful evaluation revealed a patent punctal opening. Excision biopsy of the mass was carried out. Histopathology showed pseudoepitheliomatous hyperplasia with few inflammatory cells. We describe a case of punctal pseudoepitheliomatous hyperplasia masquerading as a punctal granuloma or papilloma. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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22. Juxtacanalicular epidermoid cyst.
- Author
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Ali, Mohammad Javed and Bothra, Nandini
- Published
- 2021
- Full Text
- View/download PDF
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