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  • Title: Corneal melt associated with idiopathic dacryoadenitis.
    Author: Desai MA, Vajaranant T, Sulkowski G, Tu EY, Kapustiak J, Pak J.
    Journal: Ophthalmic Plast Reconstr Surg; 2007; 23(1):60-2. PubMed ID: 17237695.
    Abstract:
    A 15-year-old boy presented with left-sided ptosis, upper eyelid swelling, proptosis, conjunctivitis, and a central corneal epithelial defect with thinning. MRI demonstrated an enhancing orbital mass associated with the lacrimal gland. Biopsy findings were consistent with orbital inflammatory syndrome. Topical cyclosporine and 1% methylprednisolone eliminated the anterior segment inflammation; subsequent treatment with systemic prednisone reduced the ptosis and edema. To our knowledge, this is the only reported case of orbital inflammatory syndrome associated with a corneal epithelial defect and thinning.
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