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https://www.readbyqxmd.com/read/28891728/bioengineered-dermal-substitutes-for-the-management-of-traumatic-periocular-tissue-loss
#1
Tiffany A Chen, Juan A Ayala-Haedo, Nathan W Blessing, Katie Topping, Chrisfouad R Alabiad, Benjamin P Erickson
PURPOSE: Traumatic periocular injuries occasionally result in significant soft tissue loss, for which there are limited management options that provide satisfactory cosmetic and functional outcomes. The authors describe the use of a bioengineered dermal substitute (Integra® Dermal Regeneration Template [DRT], Integra LifeSciences, Plainsboro, NJ) as an alternative to immediate flap reconstruction or skin grafting. METHODS: Retrospective interventional case series of patients who underwent DRT placement for periocular tissue loss at the time of trauma...
September 11, 2017: Orbit
https://www.readbyqxmd.com/read/28876138/aetiology-of-acquired-blepharoptosis-in-young-adults
#2
Sulakshan Rasiah, Thomas G Hardy, James E Elder, Cheng Y Ng, Mpopi Lenake, Alan A McNab
PURPOSE: To identify the causes of blepharoptosis in young adults, and explore cases that do not fit into current diagnostic categories. METHODS: A retrospective cohort study of all patients aged 18-40 years ("young adults") with acquired blepharoptosis that presented to two specialist ocular plastics practices and a paediatric ophthalmologist over a period of up to 25 years. Each patient was classified according to diagnosis. Where the diagnosis was uncertain, the files were examined in detail to try and further establish a cause...
September 6, 2017: Orbit
https://www.readbyqxmd.com/read/28872387/correction-to-nesaratnam-emeriewen-smith-david-wawrzynski-sharma-and-saleh-scaling-the-punctum-and-canaliculus-in-patients-undergoing-punctoplasty-surgery-a-prospective-cohort-study
#3
https://www.readbyqxmd.com/read/28872378/intralesional-corticosteroid-injections-as-treatment-for-non-infectious-orbital-inflammation
#4
Sara Reggie, Michael Neimkin, John Holds
A retrospective single-center chart review identified 19 patients treated with intralesional corticosteroid injection between 2007 and 2015 for orbital inflammatory disease. Patients were treated in the office, or intraoperatively at the time of orbital exploration and biopsy, with 5-40 mg of triamcinolone acetonide. Average follow up time was 2.44 years. Information recorded included visual acuity and eyelid position measurements, pre-injection treatment, post-injection treatment, complications, and exam findings...
September 5, 2017: Orbit
https://www.readbyqxmd.com/read/28862478/pyoderma-gangrenosum-affecting-the-eye-orbit-and-adnexa-a-review
#5
Elizabeth McElnea, Kirk Stephenson, Tim Fulcher
While pyoderma gangrenosum (PG) most commonly affects the skin it can also involve other organs. It rarely affects the eye, orbit, or adnexa. Its early recognition and proper management with prompt initiation of immunosuppressive therapy are essential for the preservation of the eye and, in turn, vision, in these cases. Here, we review the limited literature already published regarding ocular involvement in PG.
September 1, 2017: Orbit
https://www.readbyqxmd.com/read/28853982/outcomes-of-two-surgical-techniques-for-major-trichiasis-treatment
#6
Lucieni Cb Ferraz, Roberta Lrs Meneghim, Alicia Galindo-Ferreiro, Ana Cv Wanzeler, Michelli M Saruwatari, Larissa H Satto, Carlos R Padovani, Silvana A Schellini
The purpose of this article is to analyze the outcomes of two surgical techniques to treat major trichiasis. A retrospective chart review of 67 patients (89 eyelids) with major trichiasis was performed who underwent surgical treatment using one of two techniques: intermarginal split lamella with graft (ISLG group) or lid lamella resection (LLR group). There were 30 lids in the ISLG group with mean patient age of 71.8 years and 63.3% were females. There were 59 lids in the LLR group with mean patient age of 72...
August 30, 2017: Orbit
https://www.readbyqxmd.com/read/28853965/correction-to-andron-hostovsky-nair-sagiv-schiby-and-ben-simon-the-impact-of-igg-4-rod-on-the-diagnosis-of-orbital-tumors-a-retrospective-analysis
#7
(no author information available yet)
No abstract text is available yet for this article.
August 30, 2017: Orbit
https://www.readbyqxmd.com/read/28853964/-the-influence-of-orbital-vector-on-involutional-entropion-and-ectropion
#8
Mohammad Taher Rajabi, Farshad Gholipour, Koosha Ramezani, Seyedeh Simindokht Hosseini, Mohammad Bagher Rajabi, Seyed Ziaeddin Tabatabaie
PURPOSE: This study aimed to evaluate the effect of orbital vector and other biometric parameters (i.e. axial globe length, axial globe projection) on the development of involutional entropion or ectropion. METHODS: In this cross-sectional study, 167 eyes from 132 patients were included. Of these eyes, 128 had involutional entropion and 39 had involutional ectropion, all of lower lids. The axial globe projection was measured using Hertel exophthalmometry; axial globe length was assessed by A-mode ultrasound; and orbital vector was determined clinically...
August 30, 2017: Orbit
https://www.readbyqxmd.com/read/28853961/punctal-ectropion-repair-using-the-raus-garito-clamp
#9
Peter P M Raus, Nathalie Bral, Richard Collin
PURPOSE: To evaluate the results from the correction of ectropion of the punctum lacrimale in lower eyelids with a new surgical clamp. DESIGN: Prospective study. METHODS: Eighty eight eyelids in 55 patients with mild and moderate ectropion were included in the study. An excision of a diamond of tarso-conjunctiva with retractor reattachment and concomitant correction of horizontal lid laxity, if present, was performed. RESULTS: Resolution of tearing was obtained in 77 eyes...
August 30, 2017: Orbit
https://www.readbyqxmd.com/read/28841340/surgical-technique-lateral-canthal-tendon-relieving-incisions-in-lower-lid-reconstruction
#10
Rehan Rajput, Imran Haq, Aidan Murray
No abstract text is available yet for this article.
August 25, 2017: Orbit
https://www.readbyqxmd.com/read/28841334/eyelid-merkel-cell-carcinoma-in-a-patient-treated-with-golimumab
#11
H Hanafi, R M Verdijk, D Paridaens
PURPOSE: To describe a clinical case of biopsy-proven Merkel cell carcinoma of the eyelid following golimumab therapy for rheumatoid arthritis (RA). METHODS: Interventional case report. RESULTS: A 73-year-old woman with a history of chronic RA presented with a right upper eyelid mass. She had been treated with golimumab (tumor necrosis factor (TNF) inhibitors) injection therapy for the past 6 months. A biopsy showed findings suggestive of a Merkel cell carcinoma of the eyelid...
August 25, 2017: Orbit
https://www.readbyqxmd.com/read/28837414/lateral-tarsal-strip-plus-skin-muscle-flap-excision-in-the-treatment-of-lower-eyelid-involutional-entropion
#12
Kristen E Dunbar, Catherine Cox, Katrinka L Heher, Mitesh K Kapadia
This article examines the effectiveness of skin-muscle flap excision in conjunction with a lateral tarsal strip for the treatment of involutional entropion. Ninety-six eyelids in 83 consecutive patients with involutional entropion were treated using a standardized surgical procedure. All patients underwent lower eyelid tightening with a lateral tarsal strip, dissection of a skin-muscle flap inferiorly through a subciliary incision and excision of redundant skin as well as orbicularis muscle. Follow-up data was obtained by retrospective chart review and telephone interviews...
August 24, 2017: Orbit
https://www.readbyqxmd.com/read/28837389/basaloid-adenocarcinoma-of-the-lacrimal-sac-a-rare-entity-and-approach-to-management
#13
Alison B Huggins, Mary A Stefanyszyn, Gurston Nyquist, Michael P Rabinowitz
Presented is a rare case of basaloid adenocarcinoma of the lacrimal sac. Low grade features of this malignancy permitted a conservative surgical approach to maximize functional and cosmetic outcomes. This is retrospective case description of a single 77-year-old-female patient who underwent a dacryocystorhinostomy with silicone tubes at an outside hospital for epiphora, but was referred to the Wills Eye Hospital Oculoplastics Department for a lacrimal sac biopsy showing low-grade carcinoma with basaloid features...
August 24, 2017: Orbit
https://www.readbyqxmd.com/read/28837381/dermal-filler-associated-malar-edema-treatment-of-a-persistent-adverse-effect
#14
Shawn M Iverson, Rakesh M Patel
A 72-year-old Caucasian female presented for evaluation of bilateral lower eyelid "fluid filled" bags that had been present and slowly worsening for 7 years. She reported a history of lower eyelid blepharoplasty in her 40s, as well as hyaluronic acid tear trough fillers 8 years prior to presentation. Her malar edema completely resolved following injection of hyaluronidase. To our knowledge, this is the longest reported interval for presentation and treatment of hyaluronic acid associated malar edema.
August 24, 2017: Orbit
https://www.readbyqxmd.com/read/28829660/the-impact-of-igg-4-rod-on-the-diagnosis-of-orbital-tumors-a-retrospective-analysis
#15
Aleza Andron, Avner Hostovsky, Akshay Gopinathan Nair, Oded Sagiv, Ginette Schiby, Guy Ben- Simon
This study was to determine the prevalence of immunoglobulin G4 (IgG4)-related orbital disease (IgG4-ROD) among patients who have previously undergone biopsy and were diagnosed to have idiopathic orbital inflammatory disease (IOID) or orbital lymphoproliferative disease (OLD), namely, lymphoma and benign reactive lymphoid hyperplasia (BRLH). This is a retrospective cross-sectional study. The charts and slides of all patients who underwent biopsies and were histopathologically diagnosed to have either IOID or OLD were reviewed...
August 22, 2017: Orbit
https://www.readbyqxmd.com/read/28820310/orbital-mantle-cell-lymphoma-presenting-as-myasthenia-gravis
#16
Justin Karlin, Travis Peck, Karyn Prenshaw, Craig A Portell, Maria Kirzhner
A 69-year-old man, previously treated with pyridostigmine for myasthenia gravis (manifesting as ptosis and diplopia) was evaluated for several concomitant bilateral anterior orbital masses. Imaging revealed 3 discrete, solid masses within and around the orbits. An incisional biopsy demonstrated atypical lymphocytes positive for CD20 and Cyclin-D1, consistent with mantle cell lymphoma. The patient received induction chemotherapy with a rituximab-based regimen. He experienced resolution of his diplopia and ptosis after one cycle of chemotherapy and achieved complete remission of the orbital masses and myasthenia symptoms after 6 cycles...
August 18, 2017: Orbit
https://www.readbyqxmd.com/read/28820293/lacrimal-gland-abscess-in-children-two-case-reports-and-literature-review
#17
Tracy Hiu Ting Lai, Frank Hiu Ping Lai, Tommy Chung Yan Chan, Alvin Lerrmann Young, Kelvin Kam Lung Chong
Acute suppurative bacterial dacryoadenitis (ASBD) with abscess formation is rarely seen in clinical practice. A retrospective review of medical records in the past 8 years identified two unilateral cases in children, one developed presumably after methicillin-sensitive Staphylococcus aureus (MSSA) conjunctivitis and the other due to community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection. Computerized tomography scans showed globe indentation by the enlarged lacrimal glands with rim-enhancing lesions...
August 18, 2017: Orbit
https://www.readbyqxmd.com/read/28820288/cohesive-silicone-gel-implants-with-smooth-textured-or-polyurethane-coated-surface-to-restore-volume-in-eviscerated-sockets
#18
Cristiano Abreu, Seizo Yamashita, Alicia Galindo-Ferreiro, Marilia Modolo, Claudia H Pellizzon, Carlos R Padovani, Mariangela E A Marques, Silvana A Schellini
The purpose of this article is to evaluate the three different surface coating on cohesive silicone gel implants in eviscerated rabbit eye sockets. Forty-five albino rabbits underwent right eye evisceration and received hemisphere-shaped cohesive silicone gel implants with smooth (Group 1), textured (Group 2), or polyurethane-coated surface (Group 3) in the socket. The animals were euthanized at 7, 30, and 90 days postoperatively. Computed tomography of the orbits was performed prior to euthanasia. Subsequently, the orbital contents were removed and underwent histologic and morphometric examination...
August 18, 2017: Orbit
https://www.readbyqxmd.com/read/28820281/isolated-cranio-orbitofacial-neurofibroma-mimicking-vascular-malformation
#19
Harinder S Chahal, Brandon Kuiper, Puneet S Braich, A Tyrone Glover
Isolated neurofibromas in the absence of systemic neurofibromatosis are known as solitary or localized neurofibromas. When present in the orbit, these lesions may appear clinically and radiographically similar to other tumors, complicating diagnosis and management. Key radiographic signs may guide clinicians to the correct diagnosis when the presentation and patient demographic data obfuscate the disease entity. We present a case of a large multi-lobulated neurofibroma misdiagnosed as a lymphangioma. A brief review of these tumors emphasizing key radiographic features is also included...
August 18, 2017: Orbit
https://www.readbyqxmd.com/read/28820280/review-of-periorbital-nerve-enlargement-and-biopsy-techniques
#20
Valerie H Chen, Brent R Hayek, Hans E Grossniklaus, Ted H Wojno, H Joon Kim
Periorbital nerve enlargement commonly indicates perineural invasion of malignancy or inflammatory conditions. This study reviews the role of supraorbital and infraorbital nerve biopsies in patients presenting with radiographic enlargement and to elucidate the surgical technique involved. A retrospective chart review (1997-2014) was performed at a single tertiary center. Patients with radiographic confirmation of enlarged supraorbital/infraorbital nerves that underwent biopsy were included. Charts were reviewed for: patient demographics and history, clinical symptoms and findings, radiographic findings, surgical method, and treatment...
August 18, 2017: Orbit
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