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Bilateral benign reactive lymphoid hyperplasia of the conjunctiva: a case treated with oral doxycycline and review of the literature

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Eye and Vision 2019年第1期6卷 219-228页

作者： olga klavdianou Georgios Kondylis Vasileios Georgopoulos Sotiria Palioura National and Kapodistrian University of Athens School of Medicine AthensGreece Cornea Service Athens Vision Eye Institute328-330 Syngrou AveKallithea17673 AthensGreece

Background:To report a case of bilateral benign reactive lymphoid hyperplasia(BRLH)of the conjunctiva treated with oral doxycycline and perform review of the literature evaluating the presentation,treatment and risk of transformation to *** presentation:A case report is described and review of the literature from January 1975 to January 2019 was performed.A 30-year-old man presented with bilateral enlarging fleshy pink medial canthal conjunctival *** biopsy revealed *** doxycycline was initiated(100 mg two times a day)for a total of 2 *** lesions decreased in size significantly at the patient’s two-month follow up *** residual lesion in the right eye was excised along with an adjacent pterygium and the patient has been free of recurrence for the past 1.5 *** lesion in the left eye has remained stable in size after cessation of the oral doxycycline.A total of 235 cases of conjunctival BRLH were identified in our literature *** mean age at diagnosis was 35.2 years(range,5 to 91 years).BRLH lesions were unilateral in 75%of patients and bilateral in 25%of *** patients(2.9%)had a concurrent Epstein-Barr virus(EBV)infection at the time of lesion *** most common treatments were surgical excision(155/235 or 65.9%)and corticosteroids(30/235 or 12.7%),while 14%(33/235)of the patients were observed and 4.6%(11/235)received external beam radiotherapy *** occurred in ten patients(10/235 or 4.2%),of whom five had undergone surgical excision alone,two excision followed by external beam radiotherapy,one excision and oral corticosteroids,one radiotherapy alone and one had been treated with topical ***,only 2 of the 235 reported cases(0.8%)developed malignancy,one localized to the conjunctiva and one ***:Benign reactive lymphoid hyperplasia is one of the lymphoproliferative disorders of the conjunctiva and ocular *** literature review shows that m

关键词： Conjunctival lymphoma Conjunctival biopsy High resolution anterior segment optical coherence tomography Conjunctival tumor Conjunctival lymphoid lesion Atypical lymphoid hyperplasia

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Multifocal and extended depth of focus intraocular lenses

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Annals of Eye Science 2019年第1期4卷 13-18页

作者： Georgios Kondylis olga klavdianou Sotiria Palioura National and Kapodistrian University of Athens School of Medicine AthensGreece Athens Vision Eye Institute AthensGreece

Advances in intraocular lens(IOL)design have rendered cataract surgery a refractive *** IOL types include bifocal,trifocal and extended depth of focus(EDOF)*** basic difference nestles in the number of focal points that each lens provides,which in turn leads to different visual *** of surgeons with the various characteristics of each lens is of utmost importance for accurate IOL selection to match each patient’s *** this review,we aim to compare the clinical outcomes after implantation of multifocal and EDOF IOLs in terms of distance,intermediate and near vision,contrast sensitivity,and reading ***,we discuss the defocus curve and the optical and photic phenomena associated with each type of IOL.

关键词： Cataract surgery quality of vision intraocular lens implantation trifocal intraocular lens bifocal intraocular lens

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