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Mohsen Bahmani Kashkouli, Parya Abdolalizadeh, Samira Jafari, Sahab Shahrzad, Nasser Karimi
AIMS: To report clinicopathological characteristics of two patients with optic nerve sheath schwannoma (ONSS) and review the literature. METHOD: The first patient (22-year-old man) presented with left eye proptosis and decreased vision in 2012 whose orbital imaging showed a large cystic lesion around the optic nerve. The second patient (52-year-old man) presented with decreased vision in the left eye (without proptosis) in the 2006. His imaging showed a small orbital apex lesion between the medial rectus and optic nerve...
November 16, 2018: Orbit
Tri Rejeki Herdiana, Yasuhiro Takahashi, Ma Regina Paula Valencia, Marian Grace Ana-Magadia, Eri Ishikawa, Hirohiko Kakizaki
A healthy 18-year-old girl presented with a superotemporal epibulbar mass that was present since birth. Computed tomography revealed a cystic mass with fat-like low-density and a central oval-shaped mass that was isodense to the bone in the superotemporal region of the globe. Histopathology of the excised tumour revealed osseous choristoma and dermolipoma. Our review of literature yielded nine reported cases of epibulbar osseous choristoma within a dermolipoma and we reviewed these cases.
November 15, 2018: Orbit
Mohammad Javed Ali, Tarjani Vivek Dave, Dilip Kumar Mishra, Milind N Naik
PURPOSE: The aim of this study was to perform a histopathological assessment of the efficacy of sclerosing agents in dacryocystosclerotherapy (DCST) and to evaluate its role as an alternative to dacryocystectomy (DCT) in a specific group of patients. METHODS: Thirteen lacrimal drainage systems of 10 patients with primary acquired nasolacrimal duct obstruction (PANDO) were studied. All patients were awaiting a DCT, indications being repeated attacks of dacryocystitis with severe systemic or ocular co-morbidities and/or refusal for a dacryocystorhinostomy...
November 13, 2018: Orbit
Amir Yeganeh, Kunal R Sinha, David Fell, Daniel B Rootman
INTRODUCTION: Levator function is classically estimated by measuring upper eyelid excursion (ULE) with digital brow stenting. The purpose of this study is to compare ULE with and without brow stenting in normal and ptotic eyelids. METHODS: In this prospective observational study, normal and ptotic eyelids were recruited. Subjects were photographed with and without digital brow stenting in primary position, downgaze, and upgaze. Measurements were conducted on digital photographs...
November 9, 2018: Orbit
Lucy Sun, Alan H Friedman, Rand Rodgers, Matthew Schear, Giovanni Greaves, Kathryn B Freidl
The majority of ocular adnexal lymphomas are B-cell in origin. We report two cases of T-cell lymphoblastic lymphoma (T-LBL) involving the ocular adnexa. One patient presented with a painless pink conjunctival lesion and inferior orbital fullness. The second patient presented with a painless orbital mass. The diagnoses were confirmed by histopathology and immunohistochemistry. Both patients had extensive multifocal lesions during staging. Prompt intensified chemotherapy regimens were initiated. T-LBL is an aggressive disease with poor prognosis...
November 6, 2018: Orbit
Nicholas A Moore, Roxana Fu, Jeremy Clark, Mark Prendes, William R Nunery, Richard A Burgett, H B Harold Lee
PURPOSE: The anterior vestibule salvaging ('Birdcage') technique may limit orbital implant extrusion following evisceration. METHODS: A 10-year retrospective chart review from 2005 to 2015 of individuals who underwent evisceration procedures utilizing the vestibule salvaging technique was performed. RESULTS: A total of 96 patients (61 male; 35 female; average age 64 years; range 17-96 years) underwent evisceration with a technique avoiding anterior scleral relaxing incisions...
November 2, 2018: Orbit
Zubair A Ansari, Catherine J Choi, Andrew J Rong, Benjamin P Erickson, David T Tse
A 20-year-old woman presented with loss of vision in her right eye and a "black nose" after receiving hyaluronic acid filler injections in her right glabella 1 month prior. Her vision was no light perception, and external examination revealed resolving skin necrosis at the nasal tip. A dilated fundus exam showed a fibrotic membrane emanating from a pale optic nerve and a diffusely atrophic retina with sclerotic vessels. An MRI demonstrated scattered right-sided parietal lobe infarcts. These findings were consistent with inadvertent cannulation of the supraorbital artery, followed by injection of filler into the internal carotid circulation...
October 30, 2018: Orbit
Ivan J Lee, John Y Koh
PURPOSE: To evaluate prognostic factors and survival of patients with sebaceous carcinoma of the eyelid through a population-based analysis. METHODS: A total of 940 patients with primary sebaceous carcinoma of the eyelid were derived from the Surveillance, Epidemiology, and End Results (SEER) database in the United States from 1973 to 2013. Kaplan-Meier univariate analysis and Cox Regression multivariate analysis were performed to examine prognostic factors in overall survival (OS)...
October 29, 2018: Orbit
Adriana Iuliano, Fausto Tranfa, Lidia Clemente, Federica Fossataro, Diego Strianese
Merkel cell carcinoma (MCC) is one of the rarest eyelid tumors, with high mortality rate due to lymphatic and metastatic spread. We hereby report six cases of patients with histological diagnosis of MCC referred to our Orbit Unit between 2012 and 2018, focusing on diagnosis, treatment, and subsequent follow up. All patients underwent surgical excision and systemic work-up. Both MCC TNM and eyelid MCC TNM were used to stage lesions. MCC of the eyelid is usually misdiagnosed as benign or other malignant lesions...
October 29, 2018: Orbit
Shoaib Ugradar, Robert Goldberg, Daniel Rootman
PURPOSE: To characterise variations in the location of the optic canal and its entry into the orbit in relation to the sphenoid sinus. METHODS: In this observational study, patients with high-resolution computed tomography (CT) scans seen by 2 specialists (RG and DR) over a period of 12 years were reviewed for study entry. The primary outcome measure was characterisation of the optic canal route in relation to the sphenoid sinus and the location of its opening within the orbit...
October 18, 2018: Orbit
Milind N Naik, Ankita Nema, Mohammad Hasnat Ali, Mohammad Javed Ali
PURPOSE: To compare efficacy and safety of mechanical drill and piezoelectric technology in the prevention of infraorbital nerve hypoaesthesia during orbital floor decompression. METHODS: Single-centre, non-randomized prospective, interventional case series. We enrolled 24 patients who underwent 3-wall orbital decompression. A total of 13 patients underwent floor decompression using 5-mm diamond dusted Piezoelectric tip (Synthes GmbH, Oberdorf, Germany), whereas 11 patients underwent conventional mechanical decompression of the floor using Stryker Core handpiece with 5-mm diamond dusted tip (Stryker, USA) and a Kerrison's bone ronguer...
October 18, 2018: Orbit
Aliakbar Sabermoghaddam, Mahsa Sardabi, Mohammad Yaser Kiarudi, Saeed Shokoohi-Rad
Subperiosteal hematoma of the orbit is a rare complication that may occur in different situations. The most common cause is blunt trauma to the head region. The victims are usually young boys and the common site is usually orbital roof. There is no uniform approach in the literature in the management of subperiosteal hematoma. Conservative management has been recommended in cases with intact visual function. If conservative management is planned, complete resorption of hematoma may last several months, and the patients must tolerate diplopia and varying degrees of proptosis in this relatively long period of time...
October 18, 2018: Orbit
Gamze Ozturk Karabulut, Korhan Fazil, Can Ozturker, Zehra Karaağaç Gunaydin, Cigdem Altan, Asli İnal, Muhittin Taskapili, Pelin Kaynak
PURPOSE: The aim of this study was to evaluate whether orbital changes induced by thyroid eye disease affect the ocular pulse amplitude and choroidal perfusion. MATERIALS AND METHODS: A total of 38 eyes of 38 patients with thyroid eye disease (Group 1) and 38 eyes of 38 control individuals (Group 2) with normal intraocular pressure were enrolled in this study. Thyroid eye disease activity was defined using clinical activity score. Intraocular pressure measurement with Goldmann applanation tonometer, axial length, central corneal thickness, Hertel exophthalmometry and systolic and diastolic blood pressure measurements were taken from each patient...
October 18, 2018: Orbit
Sergio Petroni, Paolo Capozzi, Rosa Parrilla, Gaetano Zinzanella, Luca Buzzonetti
PURPOSE: To evaluate the surgical outcome of a frontalis sling using deep temporal fascia in the treatment of severe congenital ptosis (SCP). METHODS: A retrospective, interventional case series was performed. The study involved 25 patients with SCP (>4 mm). All patients underwent frontalis sling surgery with deep temporal fascia between 2004 and 2012 with a follow-up period of 12 months at a minimum. Data regarding eyelid position, eyelid symmetry, cosmetic outcomes, and postoperative complications were evaluated...
October 16, 2018: Orbit
Alicia Galindo-Ferreiro, Sahar M Elkhamary, Fatimah Alhammad, Laila AlGhafri, Manar AlWehaib, Dalal Alessa, Saif Aldossari, Patricia Akaishi, Rajiv Khadekar, Osama AlShaikh, Silvana Artioli Schellini
PURPOSE: The purpose of the study is to evaluate demographic data and outcomes of the management of congenital anophthalmia/microphthalmia. METHODS: This retrospective, descriptive, cross-sectional study evaluated patients with congenital anophthalmia/microphthalmia managed from 2004 to 2014 at a tertiary hospital in Saudi Arabia. Data were collected on patient age, gender, cause, orbital status, laterality, systemic comorbidities, ocular evaluation, and management (type of surgery, type of orbital implant, and complications)...
October 4, 2018: Orbit
David S Curragh, Alkis J Psaltis, Neil C Tan, Dinesh Selva
PURPOSE: To report a case of a lacrimal sac tumour and describe a prelacrimal approach to the maxillary sinus to excise the nasolacrimal duct in its management. To our knowledge, this approach has not been adapted to remove the nasolacrimal duct for the management of pathological processes involving the nasolacrimal system. METHODS: A 58-year-old female patient presented with a 6-month history of epiphora. A lacrimal sac mass was identified, and a biopsy revealed squamous cell carcinoma...
September 20, 2018: Orbit
(no author information available yet)
No abstract text is available yet for this article.
September 19, 2018: Orbit
Michelle M Maeng, Kyle J Godfrey, Michael Kazim
Dermoid cysts are histologically defined as surface epithelium encapsulating an inner lumen. They are well described in the literature as discrete, single masses, either circumscribed or dumbbell-shaped, with or without a longstanding fistula. Chronic granulomatous inflammation is often a feature of dermoid cysts, contributing to local soft tissue and bony destruction. Isolated multicystic dermoids are not well described. We present a case of a multilobular dermoid characterized both radiographically and histopathologically...
September 14, 2018: Orbit
Mohammad Javed Ali, Ashapogu Venugopal, Kavyashree Sakharayapatna Ranganath, Medicharla V Jagannadham, Siva Kumar Nadimpalli
PURPOSE: Glycoproteins play an important role in human mucosal defenses and immunity-related cell-to-cell interactions. The aim of the present study is to investigate the presence and patterns of lacrimal sac glycoproteins involved in defense mechanisms with a special reference to prolactin-inducible protein (PIP). METHODS: The study was performed on healthy lacrimal sacs obtained from exenteration samples immediately after surgery and frozen at -80 degrees for subsequent analysis...
September 13, 2018: Orbit
Lior Or, David Zadok, Morris E Hartstein
PURPOSE: To assess the effectiveness of mini-monoka (MM) stenting in treating patients with perennial allergic conjunctivitis (PAC) and punctal stenosis. METHODS: A retrospective case analysis was performed on 20 patients (40 eyes) who suffered from PAC with punctal stenosis who underwent MM (FCI Ophthalmics, Pembroke, MA, USA) stenting. RESULTS: Nineteen patients (95%) were females, with an age range of 19-66 years (average 40.6 ± 25...
September 11, 2018: Orbit
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