Faculty Bibliography

A patient noting a slowly enlarging bump at the orbital rim underwent surgical excision of the lesion. Pathologic examination showed a benign fibroma, a lesion that to the authors' knowledge has never been previously reported in this location

An increase in world travel has resulted in the appearance of tropical and third-world diseases in nonendemic locations. We report a case from New York City of an adult African eye worm, Loa loa, and the technique of its paralysis and removal from the epibulbar conjunctiva

A nodular, epibulbar mass appearing in an adult woman without antecedent inflammation or injury prompted concern for possible malignancy. Excision was performed, and pathologic examination demonstrated a conjunctival fibroma. The rarity of the fibroma and its clinical similarity to other benign or malignant tumors render its clinical diagnosis elusive

A case of intraosseous orbital hemangioma is reported to alert surgeons to possible intraoperative hemorrhage during excision of such a lesion. A slowly enlarging mass was excised from the orbital rim of a 49-year-old woman. The clinical diagnosis was not suspected. In retrospect, roentgenographic findings included a focal honeycombed pattern of the zygomatic bone. Surgery was complicated by persistent low-volume bleeding. Histology showed endothelial-lined blood-filled channels within the bone. Intraosseous orbital hemangioma is a rare, benign neoplasm that can often be diagnosed clinically by characteristic roentgenographic findings. Observation should be considered as a therapeutic alternative when the radiographic diagnosis is established and when ocular function is not compromised

PURPOSE: To report a case of endophthalmitis with associated scleral defect after intravitreal positioning of a ganciclovir implant. METHOD: Interventional case report. A 39-year-old woman developed acute endophthalmitis 1 month after insertion of a ganciclovir implant. The eye was enucleated. RESULTS: Pathologic examination of the enucleated globe revealed an intrascleral location of the implant suture tab and a vitreous abscess. CONCLUSION: Intraocular infection resulted from a scleral gap containing a foreign body (surgical implant). Appropriate surgical techniques should minimize the risk of ganciclovir implant extrusion