Corneomalacia perforans in a patient with rheumatoid arthritis

Bilateral corneomalacia perforans occurred in a young woman who had had rheumatoid arthritis for 7 years. The perforations appeared to be precipitated by systemic corticosteroid therapy. The only symptom was a sudden loss of vision. Conservative treatment - withdrawal of the steroid therapy and application of soft contact lenses for 3 weeks - resulted in complete healing of the perforations and a marked increase in visual acuity.

Haemangiopericytoma

Three cases of orbital haemangiopericytoma are presented. In one the tumour recurred after 22 years and in another after 4 months. Metastasis to the breast, which occurred in the third case, is probably the first to be reported. The management of the cases is discussed. The clinical importance of the haemangiopericytoma lies in its potentially malignant behaviour.