Measuring the Lacunar Sulci as a New Indicator of Shrinkage of the Ocular Surface

Murube, Juan; ChenZhuo, Lucia; Murube, Eduardo; Rivas, Luís; Shalaby, O

doi:10.1177/112067210101100303

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…6,7,9-11 Other exceptional inflammatory process described are methicillin-resistant Staphylococcus aureus caruncle abscess, 21 inflammatory pseudotumor, 22 involvement of the caruncle in ocular cicatricial pemphigoid, 23 cytomegalovirus infection, 24 molluscum contagiosum, 25 spherulocystosis, 26 and Armillifer armillatus infection. 27 …”

Section: Inflammatory Processmentioning

confidence: 99%

Lesions of the caruncle: a description of 42 cases and a review of the literature

Levy

Ilsar

Deckel

et al. 2008

Eye

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Lesions of the caruncle are uncommon. On account of the histological composition of the caruncle, which includes, in addition to conjunctiva, hair follicles, sebaceous glands, sweat glands, and accessory lacrimal tissue, the caruncle may develop lesions that may be similar to those found in the skin, conjunctiva, or lacrimal gland. Clinical preoperative diagnosis is very difficult and reached only in about half of the cases. The vast majority of lesions of the caruncle are benign, mainly nevi. Reported malignant lesions are very rare but can be potentially fatal. Although malignancy is clinically overestimated, any suspected malignant lesion should be excised and examined histopathologically by an experienced pathologist. This study presents the clinical and histological data of 42 consecutive caruncular lesions processed at our laboratory and reviews previously reported cases of caruncular lesions.

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Section: Inflammatory Processmentioning

confidence: 99%

Lesions of the caruncle: a description of 42 cases and a review of the literature

Levy

Ilsar

Deckel

et al. 2008

Eye

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“…Other rare inflammatory lesions described in the literature are methicillin-resistant Staphylococcus aureus caruncular abscess, inflammatory pseudotumor, cicatricial pemphigoid, cytomegalovirus infection, molluscum contagiosum, spherulocytosis, and Armillifer armillatus infection. [ 14 15 16 17 18 19 20 ] Caruncular tuberculosis is a novel finding of our study which has not been previously reported. This particular case underwent a thorough evaluation to rule out pulmonary tuberculosis and was started on antitubercular treatment.…”

Section: Discussionmentioning

confidence: 75%

Clinical and histopathological profile of primary caruncular lesions

Alam¹,

Pal

Krishnakumar³

2022

Indian Journal of Ophthalmology

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Purpose: To provide a retrospective analysis of lesions of the caruncle which have been very rarely reported in the literature. Methods: A retrospective review of all the caruncular lesions between January 2000 and January 2020 was done at a single tertiary eye care hospital. The lesions were classified as benign and malignant lesions. Clinicopathological correlation was done for the excised lesions. Results: A total of 87 caruncular lesions were included in the study. Males (59%) were affected more than females (41%). The mean age at presentation was 44 ± 20 years. The mean duration of complaint was 36 ± 62 months. A total of 36 patients underwent surgical excision whereas the rest opted for conservative management. Recurrence was noted in five patients. Fifteen different types of lesions were identified histopathologically. Benign lesions (78%) were far more common than malignant ones (22%). Epithelial inclusion cyst was the most common benign lesion and sebaceous gland carcinoma was the most common malignant lesion. Correct clinicopathological correlation was seen in 52.7% of the cases. Caruncular tuberculosis, oncocytoma, and basosquamous cell carcinoma were some of the rare lesions. Conclusion: Caruncular lesions are uncommon and very diverse, which makes clinical diagnosis challenging. Epithelial inclusion cyst and sebaceous gland carcinoma were the most common benign and malignant lesions respectively. Correct clinicopathological correlation was seen in more than half of the cases.

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“…Impression cytology provides an objective estimate of the ocular surface involvement, allowing an improved therapeutic approach to the disease. The vanishing point of the lacunar fold facilitates the estimation of conjunctival shrinkage (19). Both diagnostic procedures provide objective measures useful for assessing ocular changes in patients with TEN (20).…”

Section: Introductionmentioning

confidence: 99%

Amniotic Membrane Transplantation in Acute Toxic Epidermal Necrolysis: Histopathologic Changes and Ocular Surface Features after 1-Year follow-up

López-García

Rivas

García-Lozano

et al. 2014

European Journal of Ophthalmology

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Measuring the Lacunar Sulci as a New Indicator of Shrinkage of the Ocular Surface

Abstract: The lacunar sulci are shallower and vanish sooner in ocular cicatricial pemphigoid and Sjogren syndrome than in normals. Investigating the vanishing point of the lacunar sulci while abducting is useful for grading the shrinkage of the conjunctiva, caruncle and medial canthus.

Cited by 8 publications

References 16 publications

Lesions of the caruncle: a description of 42 cases and a review of the literature

Lesions of the caruncle: a description of 42 cases and a review of the literature

Clinical and histopathological profile of primary caruncular lesions

Amniotic Membrane Transplantation in Acute Toxic Epidermal Necrolysis: Histopathologic Changes and Ocular Surface Features after 1-Year follow-up

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