Evaluation of lymphatic vessel dilatations by anterior segment swept-source optical coherence tomography: case report
| Autor: | Miklós Schneider, Zoltán Zsolt Nagy, Volek E, Jeannette Tóth |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Chemosis
medicine.medical_specialty Case Report Conjunctival lymphangiectasia 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Optical coherence tomography Lymphangioma Biopsy medicine Lymphatic vessel Swept-source OCT medicine.diagnostic_test business.industry Ultrasound Magnetic resonance imaging General Medicine medicine.disease Virchow-Robin space Ophthalmology Lymphatic system medicine.anatomical_structure lcsh:RE1-994 030221 ophthalmology & optometry Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | BMC Ophthalmology BMC Ophthalmology, Vol 17, Iss 1, Pp 1-4 (2017) |
| ISSN: | 1471-2415 |
| Popis: | Background Conjunctival lymphangiectasia is a rare condition presumably caused by the obstruction of lymphatic channels or by an abnormal connection between conjunctival lymphatic and blood vessels. Diagnosis is based on clinical appearance and histology. We report a case of conjunctival lymphangiectasia in which anterior segment optical coherence tomography (OCT) was used to assist the diagnosis and the planning of the biopsy location. Case presentation A 31-year-old woman was referred with repeated episodes of conjunctival “hemorrhages” and chemosis with extended recovery periods over the last months. Other symptoms were dryness, redness, burning sensation and itching. Photo documentation, anterior segment OCT, ultrasound, computer tomography (CT) and magnetic resonance imaging (MRI) of the brain were performed. MRI revealed dilated atypical Virchow-Robin space (VRS). Conjunctival biopsy was taken and the location of the biopsy was selected based on OCT findings. Based on the clinical appearance we suspected the case to be conjunctival lymphangiectasia or lymphangioma. Histology and immunhistochemistry confirmed the diagnosis of conjunctival lymphangiectasia. Conclusions Anterior segment OCT is a non-invasive tool, useful in the evaluation of conjunctival lesions and planning surgery. |
| Databáze: | OpenAIRE |
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