A 69-year-old female presented to the ophthalmology department with symptoms of chronic scleritis, epiphora and left upper eyelid ptosis. Scleritis symptoms resolved on treatment with NSAIDS. Occuloplasty for epiphora and ptosis revealed left-sided ptosis and nasal lacrimal duct obstruction. The patient underwent a left levator resection and a dacryocystorhinostomy (DCR) thereafter. One month after DCR surgery, the patient presented with a focal area of: Induration Mild erythema Sensitivity to palpation below the left lower lid She was treated for focal post-operative cellulitis unsuccessfully.
A biopsy revealed: Granulomatous inflammation with necrobiosis. Extensive areas of mucin production (Alcian Blue positive) with multinucleated giant cells The image is attached for your reference. What's your diagnosis? *This image-based case is from the Docplexus Editorial Team and is meant for…
