Saturday, July 2, 2011

Man Loses CL 40 Years Ago. Guess Where It's Found!

"An 81-year-old aphakic man presented with 6 months of progressive left upper eyelid swelling, associated with mild inflammation," says the post on Nature. "A 1cm diameter firm mass was palpable within the upper eyelid and eversion of the lid showed a normal tarsal conjunctiva (Figure 1a). Exploration through an upper eyelid skin incision revealed a fibrous capsule tightly adherent to the pretarsal surface which, when opened, released a mucoid substance surrounding a RCL (Figure 1b). The lens was removed intact (Figure 1c) and the cavity had a smooth lining with no evidence of inflammation (Figure 1d). Although usage of a contact lens was initially denied, the patient eventually recalled a trial of fitting for aphakic contact lenses soon after cataract surgery 40 years before presentation." Read more.

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