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https://www.readbyqxmd.com/read/27874294/dacryoadenitis-and-extraocular-muscle-inflammation-associated-with-contact-lens-related-acanthamoeba-keratitis-a-case-report-and-review-of-the-literature
#1
Tomris Sengor, Erdal Yuzbasioglu, Sevda Aydın Kurna, Murat Irkec, Ahmet Altun, Kubra Kökcen, Nazli Gul Yalcin
The present report discusses a new case of dacryoadenitis with extraocular muscle inflammation associated with Acanthamoeba keratitis (AK) in a contact lens wearer. A 41-year-old male, who has worn silicone hydrogel contact lenses on an extended basis for about 10 years, attended with the complaints of vision disturbance, hyperemia, and pain in his right eye. His history revealed that 1.5 month ago, he had been diagnosed with allergic conjunctivitis and had used steroid eye drops. Biomicroscopic examination revealed eyelid edema, chemosis, and ring infiltration, radial keratoneuritis and an epithelial defect in the cornea...
November 22, 2016: Orbit
https://www.readbyqxmd.com/read/27824520/a-case-report-of-an-unusual-presentation-of-ocular-rhinosporidiosis-as-a-conjunctival-cystic-mass
#2
Sangeeta Shah, Poonam Lavaju, Priyanka Bharati, Icchya Joshi
Ocular involvement of rhinosporidiosis is seen in about 15% of cases and clinically appears as a freely mobile, granular, pink, fleshy sessile or pedunculated mass. The conjunctiva is the most common site of origin. A 25-year-old male presented with a painless mass in the lower part of the left eye for 6 months which was gradually progressive. Examination revealed a pedunculated mass of 15 mm x 15 mm arising from the lower palpebrae of the left eye retracting the lower lid. It appeared to be vascular with few white spots at the apex...
November 8, 2016: Orbit
https://www.readbyqxmd.com/read/27824517/a-rare-case-of-orbital-hodgkin-lymphoma-demonstrating-therapeutic-response-to-a-novel-systemic-medication
#3
Brynn N Wajda, Michael P Rabinowitz
Orbital Hodgkin lymphoma is infrequent, representing less than 1% of adult orbital malignancies. It is typically seen in the setting of terminally advanced systemic disease. This case highlights orbital, head, and neck disease in a systemically stable individual treated with the novel anti-CD30 monoclonal antibody brentuximab vedotin.
November 8, 2016: Orbit
https://www.readbyqxmd.com/read/27824507/effects-of-muller-s-muscle-conjunctival-resection-for-ptosis-on-ocular-surface-scores-and-dry-eye-symptoms
#4
Bruna L Rymer, Diane R Marinho, Cristina Cagliari, Samara B Marafon, Fernando Procianoy
This article evaluates the effects of Muller's muscle-conjunctival resection (MMCR) on ocular surface scores and dry eye symptoms. Forty-six patients were enrolled in the study. Eighteen underwent bilateral upper eyelid skin excision with MMCR and 28 underwent bilateral upper eyelid skin-only excision (control group). The Salisbury Eye Evaluation Questionnaire and an ocular surface evaluation protocol consisting of Schirmer's test, tear break-up time (TBUT), fluorescein and rose bengal corneal staining were performed during the pre-operative consultation and on postoperative days 7, 30, and 90...
November 8, 2016: Orbit
https://www.readbyqxmd.com/read/27841951/addenda
#5
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Orbit
https://www.readbyqxmd.com/read/27715404/severe-pediatric-graves-orbitopathy-in-adolescents-of-african-origin
#6
Andrea Papp, Clemence Vasserot-Merle, Guido Dorner, Dion Paridaens
This article reports on two cases of severe pediatric Graves orbitopathy (GO) in two adolescents of African origin. Two black male adolescents presented with highly active GO and signs of beginning compressive optic neuropathy. Neither of them were smokers nor had a family history of GO. Besides urgent referral to pediatric endocrinologists, intravenous methylprednisolon pulse therapy was initiated. In spite of the fluctuating thyroid hormone levels in the initial phase of antithyroid therapy, intravenous steroid administration stopped the progression of malignant GO rapidly in both of our patients without any considerable side effects...
December 2016: Orbit
https://www.readbyqxmd.com/read/27715372/aggressive-esthesioneuroblastoma-with-divergent-differentiation-a-taxonomic-dilemma
#7
Norman C Charles, Carisa K Petris, Eleanore T Kim
The authors describe an esthesioneuroblastoma (olfactory neuroblastoma) that occurred within the nasal cavity and brain in a 31-year-old man. Following excision, the tumor recurred in the left orbit and in mediastinal lymph nodes. Treatment included orbital excision and systemic chemotherapy. Histopathology showed a high-grade neuroepithelial tumor with positive immunohistochemical markers for neuroendocrine and epithelial components, an unusual combination raising issues concerning taxonomy.
December 2016: Orbit
https://www.readbyqxmd.com/read/27715363/orbital-medulloepithelioma-in-an-adult-patient-radiation-induced-second-neoplasia
#8
Antony George Francis Thottian, Rony Benson, Seema Kashyap, K P Haresh, Subhash Gupta, Dayanand Sharma, Goura Kishor Rath
Second cancers in survivors of hereditary retinoblastoma occur much more commonly than in the general population. This can be attributed both to the germline mutation of the RB gene and chemoradiation used for treatment of this paediatric cancer. Medulloepithelioma is an uncommon tumor of neuroectodermal origin, seen largely in the paediatric population and rarely reported in adults. Though the incidence of second malignancies is common in retinoblastoma, medulloepithelioma as a second malignancy in retinoblastoma survivors is rare, with only one case reported so far...
December 2016: Orbit
https://www.readbyqxmd.com/read/27715359/topical-5-5-fluorouracil-in-the-treatment-of-multifocal-basal-cell-carcinoma-of-the-face-a-novel-chemotherapeutic-approach
#9
Mayuresh P Naik, Anuj Mehta, Sangeeta Abrol, Sandeep Kumar, Vishnu S Gupta
To determine the safety and efficacy of topical 5-fluorouracil (5-FU) 5% ointment in treatment of non-syndromic multifocal basal cell carcinoma. A 55-year-old male patient, with 8 hours of daily sun exposure, having histologically proven and radiologically non-syndromic, multifocal basal cell carcinoma with involvement of 6 sites on the face, was treated with topical 5-FU 5% ointment twice daily over all sites except the site involving lid margin to prevent corneal toxicity. Left lid lesion underwent wide surgical excision with 5-mm clear margins and reconstruction with nasal septal mucoperichondrium and local skin mobilization...
December 2016: Orbit
https://www.readbyqxmd.com/read/27625150/a-unique-and-often-overlooked-cause-of-blepharophimosis-whistling-face-syndrome
#10
S Kapoor
No abstract text is available yet for this article.
December 2016: Orbit
https://www.readbyqxmd.com/read/27617351/how-can-we-maximize-the-use-of-our-operating-lists-an-analysis-of-factors-influencing-theatre-efficiency-in-oculoplastic-day-surgery
#11
Sonali T Nagendran, We Fong Siah, Andre Litwin, Christine Barbosa, Jan Jayatilake, Raman Malhotra
Operating theatre utilization has become the principal measure of NHS operating theatre service performance. We analysed data from oculoplastic theatres in a tertiary centre to identify factors influencing theatre efficiency. We conducted three audits on operating theatre utilization in 2011, 2014 and 2015. Data was collected from real time information entered into the hospital database, including time of arrival, induction, first cut and close of operation. The primary outcome measure was the operating list utilization rate, a combined value of anaesthetic and surgical time as a proportion of the total planned session time...
December 2016: Orbit
https://www.readbyqxmd.com/read/27599918/review-on-surgical-management-of-ptosis-and-the-use-of-phenylephrine-a-national-survey-of-british-oculoplastic-surgery-society-bopss-uk-consultants
#12
Peter M Mota, Jonathan H Norris
We assess current practice using topical phenylephrine by British Oculoplastic Surgery Society (BOPSS) consultants in the surgical management of ptosis. All UK consultant BOPSS members were invited to participate in a web-based survey, consisting of 8 questions relating to the surgical management of adult primary involutional ptosis with normal levator function and the use of phenylephrine in the management of ptosis. 53 BOPSS consultants (43%) completed the survey, of which 76% perform anterior approach levator advancement as first-line surgery...
December 2016: Orbit
https://www.readbyqxmd.com/read/27599797/comparing-the-left-and-right-whitnall-s-tubercles-and-their-relation-to-the-frontozygomatic-suture-application-to-symmetry-following-lateral-orbital-surgery
#13
Fabian N Fries, Pamela Youssef, Paul Anthony Irwin, R Isaiah Tubbs, Marios Loukas, R Shane Tubbs
We compare, on left and right side of human skulls, the length of Whitnall's tubercle as a relevant landmark and anchor point for the lateral retinaculum. Twenty human skulls were used in this study. A caliper was used to measure the length of Whitnall's tubercle, the distance from Whitnall's tubercle to the frontozygomatic suture and the height of the orbit. An overall mean for these three parameters was calculated using the data obtained. There were no significant differences between left and the right sides...
December 2016: Orbit
https://www.readbyqxmd.com/read/27599688/sensitivity-and-responsiveness-of-the-patient-reported-ted-qol-to-rehabilitative-surgery-in-thyroid-eye-disease
#14
Tessa Fayers, Peter M Fayers, Peter J Dolman
We tested the sensitivity and responsiveness of the TED-QOL to rehabilitative surgery in thyroid eye disease (TED). The 3-item TED-QOL and 16-item GO-QOL, which assess quality of life (QoL) in TED, were administered to consecutive patients undergoing rehabilitative surgery. The questionnaires were completed pre-and post-operatively to assess sensitivity (ability to discriminate between different surgical groups) and responsiveness (ability to detect within patient changes over time).56 patients underwent 69 procedures for TED (29 orbital decompressions, 15 strabismus operations, 25 eyelid procedures)...
December 2016: Orbit
https://www.readbyqxmd.com/read/27599593/tarsal-suture-tarsorrhaphy-quick-safe-and-effective-corneal-protection
#15
Vladimir Theodor Thaller, Kaveh Vahdani
We promote a simple, reversible temporary tarsorrhaphy technique and describe how to place a 4/0 polypropylene suture, on a round-body needle, into the upper and lower tarsal plate to create a strong suture tarsorrhaphy. This technique has been found to be extremely effective over 20 years' experience with minimal patient discomfort or complications. The eyelid margin anatomy is not disrupted and maintains its normal architecture and contour following release of the tarsorrhaphy. This temporary suture tarsorrhaphy technique is inexpensive, safe and easy to learn and above all comfortable for the patient...
December 2016: Orbit
https://www.readbyqxmd.com/read/27580012/constitutively-low-expression-of-collagen-xiii-alpha-1-may-help-explain-the-vulnerability-of-the-inferior-rectus-muscle-to-thyroid-associated-ophthalmopathy
#16
Olivia Claire Morris, Kirsten Schebitz Walter, Esbjörn Telemo, Christoph Hintschich
Thyroid-associated ophthalmopathy (TAO) has a predilection for inferior rectus muscle that has never been explained. We conducted immunohistochemical staining for the soluble cleaved form of collagen XIII alpha 1 (COL13A1) and found constitutively low expression of COL13A1 in normal human inferior rectus muscles and moderate expression of COL13A1 in normal human medial rectus muscles. COL13A1 is known to be essential to development and maintenance of neuromuscular junctions and there is some evidence to suggest it may help support normal immune function...
December 2016: Orbit
https://www.readbyqxmd.com/read/27561080/the-effect-of-upper-eyelid-blepharoplasty-on-eyelid-and-brow-position
#17
Tanuj Nakra, Sara Modjtahedi, Ivan Vrcek, Ronald Mancini, Stan Saulny, Robert A Goldberg
This article evaluates the effect of upper eyelid blepharoplasty on eyelid margin position and brow height. This study is a retrospective analysis of patients who underwent upper eyelid blepharoplasty without concurrent blepharoptosis repair or brow surgery. The medical records of the participants were retrospectively reviewed and an established image analysis software was used to quantify the upper margin reflex distance (MRD1) as well as brow height using high quality standardized clinical photographs. A total of 19 patients (38 eyelids and brows) met the inclusion criteria...
December 2016: Orbit
https://www.readbyqxmd.com/read/27560939/the-success-rate-of-ted-upper-eyelid-retraction-reoperations
#18
Shani Golan, Dan B Rootman, Robert A Goldberg
Although reoperation rates for upper lid retraction surgery for thyroid eye disease (TED) typically range between 8% and 23%, there is little literature describing the outcomes of these second operations. In this retrospective observational cohort study, all patients that underwent surgery for upper eyelid retraction over a 14-year period at a single institution were included. Cases were included if a second eyelid retraction surgery was performed during the study period. Success of surgery was defined as a marginal reflex distance (MRD1) of 2...
December 2016: Orbit
https://www.readbyqxmd.com/read/27560717/isolated-myeloid-sarcoma
#19
Kamal Kant Sahu, Deba Prasad Dhibar, Pankaj Malhotra
No abstract text is available yet for this article.
December 2016: Orbit
https://www.readbyqxmd.com/read/27559770/goat-horn-induced-intracranial-emphysema-and-orbital-injury
#20
Alison B Huggins, James J Evans, Adam E Flanders, Michael P Rabinowitz
This is a case description of a male patient found to have orbital and intracranial emphysema, specifically with air in his cavernous sinuses bilaterally following penetrating trauma to the medial orbit from a goat's horn. There were no orbital or skull base fractures. Although the presence of traumatic intracranial emphysema is not uncommon, it is typically the result of direct communication of the cranial vault with the paranasal sinuses in the setting of associated fracture or, alternatively, from direct penetration and inoculation...
December 2016: Orbit
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