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Biomedical subjects

C Tyradellis

Publications and source records attributed to C Tyradellis.

3 recordsLinked to original sources

Ocular manifestations of systemic lupus erythematosus: a clinical review.

Although the eye itself is regarded an 'immune-privileged' organ, systemic lupus erythematosus (SLE) can affect every ocular structure, leading, if left untreated, to significant visual loss or even blindness. Since ocular inflammation in SLE can antedate the diagnosis of the systemic disease and cause significant morbidity, prompt diagnosis and treatment of the underlying systemic autoimmune disease is imperative.

Eye Diseases↗

Iris cyst simulating melanoma.

Congenital cysts of the iris stroma are extremely uncommon and only a few cases have been reported. The vast majority of reported cases have been found in infants or children as a unilateral, translucent mass in the middle or peripheral third of the iris. 1-3 Although these cysts may remain dormant for years, they have a tendency to enlarge, causing corneal decompensation, secondary glaucoma, and eye pain. 2 Occasionally, they have been mistaken for iris melanomas leading to enucleation. 4,5 We describe a 14-year-old girl with a congenital cyst of the iris stroma, which over a period of 8 years enlarged, became opaque resembling melanoma, and required surgical excision.

Adolescent↗

Bilateral atypical nodular posterior scleritis.

PURPOSE: To evaluate ocular features of nodular posterior scleritis simulating choroidal melanoma. METHODS: A 60-year old woman presented with blurred vision in her right eye of two weeks duration. On examination she had a mild right-globe proptosis with an episcleral nodular mass as well as a large elevated nonpigmented choroidal mass involving the nasal quadrant. RESULTS: A and B-scan ultrasonography showed a medium to high-reflective solid choroidal mass. MRI demonstrated a bi-convex mass in the medial aspect of the right globe with signal characteristics compatible with choroidal melanoma. Biopsy of the extraocular lesion demonstrated chronic inflammatory cell infiltrate suggestive of posterior scleritis. She responded to corticosteroid therapy. On evaluation 41 months later she was noted to have a similar choroidal mass in the left eye. CONCLUSIONS: The physician should be aware of the clinical manifestations and diagnostic hall marks of nodular posterior scleritis in order to differentiate this inflammatory process from choroidal melanoma.

Choroid Neoplasms↗