Orbital pseudotumor is a non-granulomatous inflammation of orbital soft tissue for unknown etiology. In the first case, a 35-year-old female presented with bilateral painless upper eyelid swelling since 3years.No proptosis, no extra ocular movements restriction of both eyes was noted. Best corrected visual acuity both eye: 6/6, N6. USG B-Scan and CECT revealed bilateral lacrimal gland enlargement with bulky muscles and tendons. USG guided FNAC confirmed pseudotumor which showed prompt response to steroids but recurred after 1month of stopping of steroid therapy. In the second Case, a 15year old female presented with unilateral proptosis left eye for 3 months with painful extraocular movements and restricted in all gazes. Best corrected visual acuity in L/E - 6/12, N6, R/E-6/9, N6. USG B-scan and CECT revealed soft tissue lesion encasing Optic nerve. CEMR revealed bulky lacrimal gland, muscles and lesion extending up to orbital apex. Prompt response to steroid with no recurrence till date.

No abstract

Neovascular glaucoma (NVG) also called as 90-day glaucoma, is a potentially devastating sequela of serious underlying ocular and/or systemic diseases. Anterior segment neovascularization involving the iris, the angle or both is accompanied by the formation of a fibrovascular membrane that obstructs the aqueous outflow through the trabecular meshwork and results in rise of IOP. Here we present a case of a fifty seven year old male who presented with diminution of vision in left eye since 45 days associated with pain and redness L/E since 15 days. On examination visual acquity of R/E was 6/6,N 6 and in L/E patient denied perception of light. Our case presented with almost all features suggestive of NVG except that of rubeosis iridis which makes it unique, as to the best of our knowledge this has been very rarely reported anywhere in literature before.

Basal cell carcinoma (BCC) is the most common type of skin cancer in white-skinned individuals but is rare in blacks and Indians. Skin cancers mainly affect sun-exposed areas like the neck and face (88-90%). BCC rarely metastasizes or kills, but is still considered as malignant because it can cause significant destruction and disfigurement by invading surrounding tissues. Here we present a case of BCC appearing in upper eyelid at the eyebrow region which is very rare to cite in literature. The patient was a resident of high altitude with no evidence of local invasion or distant metastasis for which she was treated with radiation therapy. Radiation therapy is a good therapeutic option in patients who are unwilling for surgery and in those requiring extensive surgery. BCC is usually not fatal, but early diagnosis and appropriate treatment promises better functionality and esthetic outcome.

No abstract