A Case of Paranasal Diffuse Large B-Cell Lymphoma with the Orbital Invasion Masquerading as Chronic Sinusitis

Young Ji Lee; Samin Hong; Chan Yun Kim; Gong Je Seong

doi:10.3341/jkos.2012.53.1.94

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Lee, Hong, Kim, and Seong: A Case of Paranasal Diffuse Large B-Cell Lymphoma with the Orbital Invasion Masquerading as Chronic Sinusitis

Original Article

Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(1): 94-102.

Published online: 16 January 2012

DOI: https://doi.org/10.3341/jkos.2012.53.1.94

A Case of Paranasal Diffuse Large B-Cell Lymphoma with the Orbital Invasion Masquerading as Chronic Sinusitis

Young Ji Lee, MD, Samin Hong, MD, Chan Yun Kim, MD, PhD, Gong Je Seong, MD, PhD

Department of Ophthalmology and The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.

Address reprint requests to Chan Yun Kim, MD, PhD. Department of Opthalmology, Severance Hospital, #50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-3570, Fax: 82-2-2228-3570, kcyeye@yuhs.ac

Received 14 March 2011 Accepted 18 November 2011

Abstract

Purpose

To compare surgically induced corneal astigmatism following trabeculectomy versus deep sclerectomy and collagen implant (DSCI).

Methods

37 consecutive eyes of 28 patients having glaucoma surgeries for uncontrolled open-angle glaucoma were retrospectively analyzed. 16 eyes had trabeculectomy and 21 eyes had DSCI. Visual acuity, intraocular pressure (IOP) and autorefractokeratometry of both groups were evaluated preoperatively and 1, 7 days, 1, 3, 6, 12 months postoperatively. Postoperative changes in corneal astigmatism were evaluated using vector analysis.

Results

Mean age was 51.63 ± 12.73 years in the trabeculectomy group and 39.95 ± 15.09 years in the DSCI group and differed between groups (p = 0.015). Visual acuity was significantly decreased after surgery compared with preoperative values and was improved slowly in both groups. Intraocular pressure was lower in the trabeculectomy group than in the DSCI group at postoperatively 1 and 6 months (p = 0.046 and 0.029, respectively). There was no significant difference in surgically induced corneal astigmatisms (SIA) between both surgeries, which decreased over time in the group with stable postoperative IOP. They showed with-the-rule astigmatism immediate postoperatively. The DSCI group with MMC showed less SIA than the group without MMC.

Conclusions

Surgically induced astigmatisms following trabeculectomy and deep sclerectomy with collagen implant were not differ significantly between two surgeries.

Keywords: Deep sclerectomy, Mitomycin C, Surgically induced corneal astigmatism, Trabeculectomy

Figures and Tables

Table 1

Characteristics of patients in both groups

DSCI = deep sclerectomy with collagen implant; POAG = primary open-angle glaucoma.

^*Values are mean ± SD: p = 0.015.

Table 2

Visual acuity (log MAR) over time in both groups

Values are mean ± SD.

Trabe = trabeculectomy; DSCI = deep sclerectomy with collagen implant.

^*p < 0.05, Mann whitney test.

Table 3

Intraocular pressure (mm Hg) over time in both groups

Values are mean ± SD.

Trabe=trabeculectomy; DSCI=deep sclerectomy with collagen implant.

^*p<0.05, Wilcoxon signed rank test; ^†p<0.05, Mann whitney test.

Table 4

Surgically induced astigmatism (SIA) over time in both groups

Values are mean ± SD.

Trabe = trabeculectomy; DSCI = deep sclerectomy with collagen implant.

^*p<0.05, Wilcoxon signed rank test; ^†p<0.05, Mann whitney test.

Table 5

Surgically induced astigmatism (SIA) along vertical meridian in both groups (+:WTR, -: ATR)

Values are mean ± SD.

WTR = with the rule (diopter); ATR = against the rule (diopter); Trabe = trabeculectomy; DSCI =deep sclerectomy with collagen implant.

Table 6

Surgically induced astigmatism (SIA) over time with/without MMC in DSCI group

Values are mean ± SD.

DSCI = deep sclerectomy with collagen implant.

^*p<0.05, Mann whitney test.

Table 7

Visual acuity (log MAR), intraocular pressure, SIA over time in POAG patients

Values are mean ± SD.

POAG = primary open angle glaucoma; Trabe = trabeculectomy; DSCI = deep sclerectomy with collagen implant.

^*p<0.05, Mann whitney test.

Table 8

Visual acuity (logMAR), intraocular pressure, SIA over time in secondary open glaucoma patients

Values are mean ± SD.

Trabe = trabeculectomy; DSCI = deep sclerectomy with collagen implant.

^*p<0.05, Mann whitney test.

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