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Silica Granuloma of Eyelid and Ocular Adnexa
Patrick J. Riddle, MD;
Ramon L. Font, MD;
Frank B. Johnson, MD;
LTC Ian W. McLean, MC
Arch Ophthalmol. 1981;99(4):683-687.
Abstract
Seven cases of subcutaneous epithelioid granulomas caused by silica and involving the eyelids and periorbital region are described. Histologically, all cases disclosed epithelioid tubercles and varying numbers of foreign-body-type giant cells, areas of scarring, and birefringent crystals. Light microscopy with polarized light readily facilitated visualization of the crystals. Scanning electron microscopy and energy dispersive x-ray analysis clearly established that the crystals were composed of silica in both its pure and combined forms. This study emphasizes the need for examination of all epithelioid granulomas with polarized light. If crystalline foreign bodies are identified, further special techniques should be used for chemical characterization of the crystals.
Author Affiliations
USA
From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, DC. Dr Font is now director of the Laboratory of Ophthalmic Pathology, Cullen Eye Institute, Baylor College of Medicine, Houston.
Footnotes
Accepted for publication June 27, 1980.
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.
Reprint requests to Laboratory of Ophthalmic Pathology, Cullen Eye Institute, Baylor College of Medicine, Houston, TX 77030 (Dr Font).
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ABSTRACT
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