There was no evidence of significant recurrence to justify the 5-years' follow-up. Patients with histologically cleared tumours and satisfactory functional and cosmetic reconstruction outcome can safely be discharged to their GP and should be re referred for new lesions. The functional and cosmetic outcome of the reconstruction was generally satisfactory.
Thirty patients on long-term benzodiazepine medication were subjected to full ophthalmoscopic examination. Of these 19 (63.3%) complained of symptoms of irritation, blurred vision or difficulty in reading. None, however, had reduced visual acuities apart from two where the cause was longstanding amblyopia. Thirteen patients had some form of retinal finding, 9 macular and 4 non-macular. Of the 14 who presented for flash and pattern electroretinography (ERG), none showed any abnormality which could be ascribed to the medication, its total dose, or duration. We conclude, on the basis of the evidence from this small cohort, that long-term benzodiazepine medication has little effect upon retinal function as signalled by the ERG.
The authors describe an unusual case of striking unilateral yellow-brown discolouration of the conjunctiva in a 33-year-old man. A biopsy from an elevated conjunctival area showed a brown pigmentation to be haemosiderin and haemogranulomatous inflammation most probably due to recurrent subconjunctival haemorrhage.
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