[Mixed tumor of the lacrimal gland].
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Biomedical subjects
Publications and source records attributed to F Ignat.
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The paper presents the case of a 62-year-old male patient, which has been hospitalized with the symptomatology of a acute glaucoma through intumescent lens. After the lens extraction, the globe evolution was to atrophy with chronic irrigation, starting a hypertensive cyclitis at the other eye, assumed to be a sympathetic ophthalmia. After several acute evolutive episodes at both eyes, the enucleation of the primal eye was made and a ciliary body tumour (neurinoma) was discovered. After enucleation under general and local cortisone treatment, the inflammatory phenomena at the sympathetic eye were entering in remission; but the hypertony, which was considered to be an open-angle pre-existent glaucoma, was persistent. The paper also discusses the sympathetic ophthalmia producing mechanism the characteristics of the ciliary body tumour and the diagnosis problems raised by this case.
During the last ten years 218 dacryocystorhinostomies were done, 8 of them on under 10-years-old children (3.7%). Dacryocystorhinostomy remains the only curative intervention which may be done on children even when the lacrimal ways sounding is inefficient. The surgical technique was the same as the one used for the adults, with some characteristic features imposed by the age of the patient. The intervention was some especially on children with congenital imperforations of the lacrimo-nasal channel, when the repermeability of the lacrimal ways could not be obtained by repeated soundings, but also in traumatic and congenital malformed dacryocystitis. The operation was made with good results even after the extirpation of the lacrimal sac, followed by the formation of a neosac. In the observations we presented the underlimit of the intervention has been 2 years and 4 months.