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Ophthalmic Plastic and Reconstructive Surgery

Khami Satchi, Alan A McNab
PURPOSE: Acquired lacrimal canalicular obstruction has a variety of causes. In a small proportion of patients, no cause can be identified. This article describes a cohort of 27 patients with idiopathic acquired lacrimal canalicular obstruction encountered over a 28-year period. METHODS: The diagnostic database of the senior author was analyzed to identify all cases of idiopathic acquired lacrimal canalicular obstruction seen from 1990 to 2017. Demographic, clinical, and treatment details were analyzed...
September 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
Daniel J Oh, Catherine Y Liu, Allen M Putterman
This is a case report of a symptomatic varicose angular vein exacerbated by chronic glasses wear. Compressing the vein in a recumbent position led to increased fullness of the medial canthal region and reproduced his symptoms. Obliteration by cauterization of the vein led to resolution of symptoms.
September 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
Helen H L Chan, Thomas G Hardy, Alan A McNab
PURPOSE: The authors present the largest series of patients to date of spontaneous hemorrhage in relation to extraocular muscles (EOMs). METHODS: Observational retrospective case series. Institutional review board approval was obtained. RESULTS: Eighteen patients with a mean age of 71 years presented with 20 episodes of spontaneous orbital hemorrhage closely related to an EOM. Most patients woke with unilateral proptosis, pain, and diplopia...
September 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
Christopher M Stewart, Philip J Luthert, Geoffrey E Rose
PURPOSE: To review the histological findings in the lacrimal sac and nasal mucosa from patients with sarcoidosis undergoing external lacrimal drainage surgery. METHODS: All patients undergoing external dacryocystorhinostomy at Moorfields Eye Hospital with a known history of sarcoidosis had biopsies taken from the lacrimal sac and/or nasal mucosa during surgery. These patients were identified from databases at Moorfields Eye Hospital and the Institute of Ophthalmology, and their clinical notes were reviewed retrospectively for intraoperative findings with a view to identifying common trends...
September 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
Priscilla Q Vu, Seanna R Grob, Jeremiah P Tao
A 51-year-old woman presented with no light perception vision of the right eye 12 hours after another provider injected calcium hydroxylapatite into the glabella and dorsum of the nose. Exam and fluorescein angiography demonstrated optic nerve edema and choroidal hypoperfusion consistent with ischemia of the posterior ciliary circulation. The central retinal circulation appeared intact. One thousand two hundred units of retrobulbar hyaluronidase were injected urgently in several boluses. Oral prednisone and aspirin also were administered...
September 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
Mohammad Taher Rajabi, Bahman Inanloo, Mirataollah Salabati, Mohsen Rafizadeh, Seyed Ziaeddin Tabatabaie, Reza Bayat, Raziyeh Mahmoudzadeh
PURPOSE: To evaluate the effect of inferior turbinate fracture in the treatment of congenital nasolacrimal obstruction combined with first attempt probing in children younger than 36 months. METHODS: This prospective case-control study was conducted on 230 eyes from 176 children aged 12 to 36 months with congenital nasolacrimal duct obstruction. All patients underwent simple probing under general anesthesia. Inferior turbinate fracture was performed in case group combined with first probing...
September 14, 2018: Ophthalmic Plastic and Reconstructive Surgery
Ashley A Campbell, Tavish Nanda, Susel Oropesa, Michael Kazim
PURPOSE: This study compares the age-related clinical features of thyroid eye disease-compressive optic neuropathy (TED-CON) to those with noncompressive disease (TED-NC). METHODS: A retrospective case series review of 165 orbits from 121 patients with TED-CON were compared with an age- and gender-matched cohort of 88 orbits from 44 patients with TED-NC with institutional review board approval. Clinical features including exophthalmos, dyschromatopsia, restricted ocular motility, visual acuity, and mean deviation on 24-2 Humphrey Visual Field were compared in 5 age groups...
September 14, 2018: Ophthalmic Plastic and Reconstructive Surgery
Rui Zhang, Jiang Qian, Fengxi Meng, Yifei Yuan, Mengying Bai, Yingwen Bi, Binbin Xu, Yiqun Yuan, Rujian Hong
PURPOSE: To determine the effect of a staged procedure in the treatment of primary lacrimal sac epithelial malignancy. METHODS: This is a retrospective case series of 18 consecutive patients with primary lacrimal sac epithelial malignancy treated at an orbital tumor referral center between 2002 and 2017. Study was conducted in compliance with the Declaration of Helsinki. All patients underwent biopsy of the mass to confirm the diagnosis pathologically. Chemotherapy concurrent with radiotherapy was delivered to the patients to reduce and concrete the tumor prior to surgery...
September 6, 2018: Ophthalmic Plastic and Reconstructive Surgery
Brandon C Clair, George Salloum, Bryant P Carruth, Thomas A Bersani, Robert H Hill
Myxofibrosarcoma is rarely found in the orbit, let alone as a primary orbital tumor. With this having only been previously reported 5 times in the literature, there is a very limited understanding of its presentation and course. Typical management involves surgical excision with or without postoperative radiotherapy. Low-grade malignancy, although rare to metastasize, still has a high rate of local recurrence and with each recurrence increases the risk of metastatic potential. With this in mind, analysis of each case is critical in better understanding the disease, and this case adds to the current literature...
September 6, 2018: Ophthalmic Plastic and Reconstructive Surgery
Peijie Huang, Ailin Liu, Hui Ren, Kang Xue
PURPOSE: This study aimed to evaluate the effects of retinal artery occlusions caused by cosmetic facial filler injections on the retrobulbar blood flow parameters. METHODS: This was a retrospective, noncomparative case series. Ten consecutive patients with fundus artery occlusions caused by facial filler injections were evaluated using color Doppler flow imaging (CDFI). The peak systolic velocity and end diastolic velocity of the ophthalmic artery, central retinal artery, and posterior ciliary arteries were determined...
September 4, 2018: Ophthalmic Plastic and Reconstructive Surgery
Mohammad Javed Ali
PURPOSE: The aim of this study was to examine the ultrastructural features of the nasolacrimal duct (NLD) openings in the inferior meatus. METHODS: Five openings of the NLD in the inferior meati from 5 sagittal head sections of 3 cadavers were studied. Each of the openings were completely excised with 2 mm margins on all sides and transported to the laboratory in 2.5% glutaraldehyde. The analysis was performed using the standard protocols of scanning electron microscopy...
September 4, 2018: Ophthalmic Plastic and Reconstructive Surgery
Christopher J Compton, Andrew T Melson, Jason A Sokol, William R Nunery, Manuel Ochoa, Babak Ziaie, H B Harold Lee
PURPOSE: The aim of this study was to evaluate the efficacy of the nonporous polyethylene barrier sheet as an alternative for nylon foil (SupraFOIL) implants in repair of orbital fractures. METHODS: This is a prospective, case series using the Stryker 0.4-mm-thick nonporous polyethylene barrier sheet in all patients over the age of 18 years presenting with orbital fractures from December 2014 to June 2015. Patient's age, location of fracture, etiology of injury, presence of preoperative restriction and diplopia, and postoperative diplopia and/or enophthalmos was recorded...
September 4, 2018: Ophthalmic Plastic and Reconstructive Surgery
Tarjani Dave, Shikha Taneja, Sweety Tiple, Sayan Basu, Milind N Naik
PURPOSE: To assess the outcome of aspiration and sclerotherapy with sodium tetradecyl sulfate in the management of conjunctival inclusion cysts. METHODS: Retrospective interventional case series of 6 patients with clinical diagnosis of conjunctival inclusion cysts treated with cyst aspiration and foam sclerotherapy with 3% sodium tetradecyl sulfate. The volume of the sclerosant was 20% of the aspirated cyst volume. RESULTS: Four patients had an inclusion cyst in anophthalmic sockets and 2 patients in sighted eyes...
August 23, 2018: Ophthalmic Plastic and Reconstructive Surgery
Sruti S Akella, Dianne M Schlachter, Evan H Black, Anne Barmettler
PURPOSE: To review and summarize the clinical features, presentations, diagnostic modalities, and management of ophthalmic manifestations of eosinophilic granulomatosis with polyangiitis (EGPA, formerly Churg-Strauss Syndrome). METHODS: A systematic PubMed search of all English articles on EGPA with ophthalmic involvement was performed. Emphasis was placed on English-language articles, but any article with an abstract translated into English was also included. Only those cases that satisfied the American Rheumatology criteria (1990) for diagnosis were included...
August 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
Jonathan Carrere, Kyle Lewis
No abstract text is available yet for this article.
August 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
Leon Rafailov, Daniel Rubinstein, Edward J Wladis, Neena Mirani, Larry P Frohman, Paul D Langer, Roger E Turbin
PURPOSE: The clinical significance of postoperative pseudomeningocele formation following optic nerve sheath fenestration (ONSF) has not been fully characterized. A literature review identifies 9 previously published cases the authors believe demonstrate pseudomeningocele formation and approximately 19 other similar findings that were either transient or less defined blebs. This study was undertaken to more clearly define the clinical, radiographic, and histopathologic features associated with this entity...
August 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
Oluwatobi O Idowu, Davin C Ashraf, Evan Kalin-Hajdu, Michael C Ryan, Robert C Kersten, M Reza Vagefi
PURPOSE: Pain relief for a blind painful eye often follows an escalating paradigm of interventions. This study compares the efficacy of common interventions. METHODS: A retrospective chart review of blind painful eye cases was conducted at a single tertiary institution from April 2012 to December 2016. Demographics, etiology, treatment, and pain level were assessed. RESULTS: Among 99 blind painful eyes, 96 eyes initially received medical therapy (topical steroids, cycloplegics, and/or hypotensives), with pain relief in 39% of eyes...
August 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
Larissa A Habib, Kyle J Godfrey, Priya Mathews, Joaquin De Rojas, Michael Kazim
PURPOSE: To evaluate the association of risk of obstructive sleep apnea (OSA) and thyroid eye disease-compressive optic neuropathy (TED-CON). METHODS: The authors performed a retrospective observational study. All TED patients evaluated by the principal investigator over the past 5 years were screened with the snoring tired observed pressure (STOP)-Bang questionnaire to assess their risk for OSA. Patients were grouped into 2 age-matched cohorts based on the presence (TED-CON) or absence of CON...
August 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
Kelsey A Roelofs, Victoria Starks, Michael K Yoon
PURPOSE: The objective of this study was to report a case of persistent and likely self-induced orbital emphysema (OE) following functional endoscopic sinus surgery with dislodgement of a previously placed orbital floor implant and to review the literature surrounding etiologies, pathophysiology, and management of OE. METHODS: Case report and review of the literature. RESULTS AND DISCUSSION: While blunt trauma resulting in disruption of the medial orbital wall is the most common cause of OE, there are an additional 25 underlying etiologies reported in the current literature...
August 20, 2018: Ophthalmic Plastic and Reconstructive Surgery
Geoffrey E Rose, Sri K Gore, Nicholas P Plowman
PURPOSE: To ascertain long-term outcome of treatment for primary epithelial malignancies of the lacrimal gland and compare outcomes after cranio-orbital resection or after macroscopic tumor resection with radiotherapy. METHODS: Comparative case series of 79 patients (49 male; 62%) treated for primary epithelial malignancies of the lacrimal gland at Moorfields Eye Hospital between 1972 and 2014. Patients were identified from clinical and pathological databases and, where available, the clinical, pathological, and imaging records reviewed...
August 20, 2018: Ophthalmic Plastic and Reconstructive Surgery
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