| Chronic localized conjunctival chemosis. | |
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MedLine Citation:
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PMID: 8713933 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Conjunctival chemosis is a commonly encountered clinical finding stemming from the presence of excess fluid in the conjunctiva. It is typically self-limiting or reversible if the underlying condition is treated. The authors present a series of seven cases of chronic localized conjunctival chemosis. Each patient had a localized area of dependent conjunctival edema for >or= 6 months. Evaluation of each patient included clinical examination, laboratory studies, and neuroimaging to attempt to elucidate the pathogenesis of the chemosis. Conjunctival biopsy was performed in six of the seven patients. In all of the patients studied, clinical examination uncovered no definitive signs of local inflammation. Laboratory evaluation was normal, and neuroimaging failed to confirm obstruction of venous or lymphatic drainage. Conjunctival biopsies showed chronic tissue inflammation or lymphangiectasia. The diagnosis of chronic localized conjunctival chemosis (CLCC) can be made if localized conjunctival edema persists for 6 months. Evaluation of biopsy specimens supports the theory that CLCC may result from scarring and structural alteration of conjunctival lymphatics, which appears to irreversibly affect the distribution of fluid in the conjunctiva. |
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Authors:
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N S Kalin; S E Orlin; A E Wulc; K F Heffler; W C Frayer; M E Sulewski; R A Mittra; H D Cavanagh |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Cornea Volume: 15 ISSN: 0277-3740 ISO Abbreviation: Cornea Publication Date: 1996 May |
Date Detail:
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Created Date: 1996-11-07 Completed Date: 1996-11-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8216186 Medline TA: Cornea Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 295-300 Citation Subset: IM |
Affiliation:
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Scheie Eye Institute, University of Pennsylvania School of Medicine, Philadelphia 19104, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Biopsy Body Fluids / metabolism Chronic Disease Conjunctiva / metabolism, pathology Conjunctival Diseases / metabolism*, pathology Edema / metabolism*, pathology Female Humans Male Middle Aged Time Factors |
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