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https://www.readbyqxmd.com/read/28165837/endoscopic-dacryocystorhinostomy-following-head-and-neck-radiation-therapy
#1
Adam R Sweeney, Greg E Davis, Shu-Hong Chang, Arash Jian-Amadi
This article determines the efficacy of endoscopic dacryocystorhinostomy (endoDCR) in patients who have undergone adjuvant external beam radiation therapy (XRT) following head and neck cancer resection. A retrospective chart review was performed on all patients who underwent endoDCR between 2006 and 2014 at a tertiary referral center. Cases were reviewed and selected for the following inclusion criteria: history of adjuvant sinonasal XRT following head and neck cancer resection, preoperative probing and irrigation demonstrating nasolacrimal duct obstruction (NLDO), postoperative probing and irrigation following silicone tube extubation...
February 6, 2017: Orbit
https://www.readbyqxmd.com/read/28156180/diagnosis-of-optic-nerve-sheath-meningioma-during-optic-nerve-sheath-decompression
#2
Austin R Meeker, Melissa W Ko, Bryant P Carruth, Kenneth B Strumpf, Thomas A Bersani
Optic nerve sheath meningioma (ONSM) is typically diagnosed based on clinical suspicion and imaging characteristics and is most often treated with radiation. Historically, biopsy, optic nerve sheath decompression, and debulking surgeries have been avoided for fear of optic nerve vascular disruption and tumor spread into the orbit. This is a case of a 48-year-old man who presented with unilateral optic disc edema, declining visual acuity, and a visual field defect. Despite an initial improvement with acetazolamide, his vision subsequently worsened...
February 3, 2017: Orbit
https://www.readbyqxmd.com/read/28152321/a-case-report-of-rim-enhancing-lesion-at-the-orbital-apex
#3
Rachna Agarwal, Vikas Kanaujia, Priyadarshini Mishra, R V Phadke, Kumudini Sharma
We report a case of partial third nerve palsy resulting from a cystic lesion located at the orbital apex. Imaging was suggestive of cystic schwanomma but histopathology of the lesion confirmed epidermoid cyst, which is a rare tumour of the orbit.
February 2, 2017: Orbit
https://www.readbyqxmd.com/read/28146369/evisceration-in-patients-with-sturge-weber-syndrome
#4
Helen Merritt, Margaret L Pfeiffer, Margaret E Phillips, Karina Richani
The management of blind, painful eyes in Sturge-Weber syndrome patients poses unique challenges to the oculoplastic surgeon. Intraocular and orbital vascular malformations and calcification may theoretically lead to unexpected hemorrhage and difficulty placing an implant in a calcified scleral shell. We present two cases of patients with Sturge-Weber syndrome with blind, painful eyes who underwent evisceration with silicone implant and discuss the relevant current literature. Both of our patients had uncomplicated surgeries and post-operative courses...
February 1, 2017: Orbit
https://www.readbyqxmd.com/read/28146362/epiphora-as-first-presenting-sign-of-primary-extranodal-nk-t-cell-lymphoma-of-the-lacrimal-sac
#5
Mikel Mikhail, René P Michel, Jeffrey Chankowsky, Bryan Arthurs
A 28-year-old Caucasian female presented with a six-month history of epiphora of the right eye. Diagnostic lacrimal syringing revealed obstruction of the right nasolacrimal duct. During external dacryocystorhinostomy (DCR), the lacrimal sac had an unusual papillary appearance. Frozen sections suggested malignant lymphoid cells. Pathologic examination revealed extranodal NK/T-cell lymphoma, nasal type. Imaging revealed a mass lesion centered on the lacrimal sac. The authors describe the youngest Caucasian patient with a primary NK/T-cell lymphoma of the lacrimal sac, as well as the first case presenting with epiphora as the sole presenting symptom, reported in the literature...
February 1, 2017: Orbit
https://www.readbyqxmd.com/read/28145798/lacrimal-intubation-during-dacryocystorhinostomy-utilizing-the-stentube
#6
Roman Shinder, Andrew Wu, Reshma A Mehendale, Sunny X Tang, Qasiem J Nasser, Eva Chou, Matthew C Sniegowski, Alexandra Janda, Todd R Shepler, Sean M Blaydon, Tanuj Nakra
The traditional use of the Crawford tube for lacrimal intubation during dacryocystorhinostomy (DCR) carries several drawbacks. We describe the use of the STENTube for DCR intubation and detail its advantages. Retrospective, noncomparative, interventional case series; 313 patients with nasolacrimal duct obstruction (NLDO) underwent 339 DCRs (216 external, 123 endonasal) with the STENTube from January 2007 - June 2013 by 5 surgeons (RS, QN, TS, SB, TN) across 3 institutions (SUNY Downstate Medical Center, Texas Oculoplastics Consultants, and Moorfields Eye Hospital)...
February 1, 2017: Orbit
https://www.readbyqxmd.com/read/28139140/canalicular-lacerations-factors-predicting-outcome-at-a-tertiary-eye-care-centre
#7
Swati Singh, Anasua Ganguly, Apurva Hardas, Devjyoti Tripathy, Suryasnata Rath
To determine the factors predictive of outcome in canalicular laceration repair at a tertiary eye care centre. A retrospective review of the medical records of all primary canalicular laceration repairs managed at a tertiary eye care centre between the years 2006 and 2014 was done. Thirty-nine patients were included and majority were male (79.5%) with a mean age of 30.05 + 16.2 years (range 2-65). Most (n = 34) had monocanalicular laceration and 5 had bicanalicular laceration. All surgeries were done in the operating room setting...
January 31, 2017: Orbit
https://www.readbyqxmd.com/read/28129025/outcomes-of-levator-advancement-and-m%C3%A3-ller-muscle-conjunctiva-resection-for-the-repair-of-upper-eyelid-ptosis
#8
G N Thomas, J Chan, G Sundar, S Amrith
Both the Müller muscle-conjunctiva resection (MMCR) and levator advancement (LA) procedures can be used to manage ptosis in patients with good levator function. The aim of this article is to evaluate the efficacy and cosmetic outcomes of the two procedures. The clinical records of 29 consecutive eyelids of 26 patients undergoing MMCR and 30 eyelids of 23 patients undergoing LA were analysed. Eleven (42%) in the LA group and 9 (39%) in the MMCR group were male. The preoperative eyelid measurements were significantly different in the LA compared to the MMCR groups, in terms of palpebral aperture (PA) (6...
January 27, 2017: Orbit
https://www.readbyqxmd.com/read/28121477/tear-trough-rejuvenation-a-safety-evaluation-of-the-treatment-by-a-semi-cross-linked-hyaluronic-acid-filler
#9
Marouen Berguiga, Olivier Galatoire
The aim of this study is to describe the experience of 33 physicians, dermatologists and surgeons, with the use of a semi-cross-linked hyaluronic acid (HA) gel as a tear trough deformity filler within one month following injection, and to assess patient satisfaction with the procedure. This study is a case series conducted between February 2012 and December 2012 with the use of semi-cross-linked HA to correct tear trough deformity. The filler was administered in the preperiosteal tissues. The study involved case note review and a patient satisfaction survey...
January 25, 2017: Orbit
https://www.readbyqxmd.com/read/27824507/effects-of-muller-s-muscle-conjunctival-resection-for-ptosis-on-ocular-surface-scores-and-dry-eye-symptoms
#10
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...
February 2017: Orbit
https://www.readbyqxmd.com/read/27841951/addenda
#11
(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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
COMPARATIVE STUDY
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
#20
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
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