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Ophthalmic Plastic and Reconstructive Surgery

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https://www.readbyqxmd.com/read/29979270/orbital-extension-of-conjunctival-pseudoadenomatous-hyperplasia
#1
Norman C Charles, Richard N Palu
A 41-year-old woman developed persistent unilateral conjunctivitis following an upper respiratory infection. A white cystic lesion of the inferior fornix was noted on computed tomography scan to extend behind the orbital septum into the anterior portion of the orbit. Following subtotal excision, histopathology showed benign pseudoadenomatous (pseudoglandular) hyperplasia. The case represents the 5th report of this lesion occurring in the conjunctiva and the only instance of its extension into the orbit.
July 3, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29979269/carboplatin-and-pembrolizumab-chemoimmunotherapy-achieves-remission-in-recurrent-metastatic-sebaceous-carcinoma
#2
Saranya Kodali, Eswar Tipirneni, Pamela C Gibson, Deborah Cook, Claire Verschraegen, Katherine A Lane
A 72-year-old Caucasian woman who had recurrent sebaceous carcinoma of the right orbit with bilateral cervical lymph node involvement 24 months after orbital exenteration was treated with carboplatin (area under the curve of 5) and pembrolizumab (2 mg/kg) for 6 cycles, followed by maintenance pembrolizumab. She obtained a complete pathological remission and remains free of local, regional, and systemic disease at 15 months.
July 3, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29979268/lateral-canthotomy-and-cantholysis-in-operations-iraqi-freedom-and-enduring-freedom-2001-2011
#3
Alexandria F Jaksha, Grant A Justin, Brett W Davies, Denise S Ryan, Eric D Weichel, Marcus H Colyer
PURPOSE: To describe outcomes and associated ocular injuries of lateral canthotomy and cantholysis (LCC) as performed in combat ocular trauma. METHODS: Data from the Walter Reed Ocular Trauma Database of patients requiring LCC during Operations Iraqi Freedom and Enduring Freedom was reviewed as a retrospective cohort. Primary outcome measures included final visual acuity (VA) and Ocular Trauma Score. Secondary outcome measures were associated injuries and timing of surgery...
July 3, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29975327/assessment-of-infraorbital-hypesthesia-following-orbital-floor-and-zygomaticomaxillary-complex-fractures-using-a-novel-sensory-grading-system
#4
Natalie Homer, Lora R Glass, N Grace Lee, Daniel R Lefebvre, Francis C Sutula, Suzanne K Freitag, Michael K Yoon
PURPOSE: Introduction of a novel sensory grading system to assess the incidence and long-term recovery of infraorbital hypesthesia following orbital floor and inferior orbital rim fractures. METHODS: Patients who presented for evaluation of orbital floor and/or zygomaticomaxillary complex (ZMC) fractures between January 2015 and April 2016 were analyzed. Two-point subjective infraorbital sensory grading in 5 discrete anatomic areas was performed. Fractures were repaired based on traditional criteria; hypesthesia was not an indication for surgery...
June 30, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29958196/frontalis-orbicularis-muscle-advancement-for-correction-of-upper-eyelid-ptosis-a-systematic-literature-review
#5
Antonio A V Cruz, Patricia M S Akaishi
PURPOSE: To review the level of standardization of frontalis-orbicularis muscle advancement to correct severe blepharoptosis and the degree of scientific evidence supporting the procedure as a useful modality of blepharoptosis repair. METHODS: The authors searched the Medline, Lilacs, and Scopus databases for all articles in English, Spanish, and French that used as keywords the terms "frontalis muscle flap," "orbicularis muscle flap," and "ptosis...
June 28, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29952933/orbital-periorbital-and-intracranial-emphysema-caused-by-compressed-air-injury-in-a-5-year-old-child
#6
Abbas Bagheri, Amirreza Veisi, Sayed Ezatollah Memarzade, Mehdi Tavakoli
A 5-year-old boy was accidentally injured by a compressed air blast to his right eye and developed periorbital and subconjunctival emphysema and proptosis subsequently. CT scan showed periorbital subcutaneous and intraorbital emphysema around the right eye, as well as intracranial and cervical emphysema without frank fractures in orbital bones. He was examined under sedation, and the subconjunctival air was aspirated. He was also prophylactically treated with topical and systemic antibiotics to prevent infection...
June 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29952932/nasolacrimal-sac-diverticulum-a-case-series-and-literature-review
#7
Nicholas J Enright, Sebastian J Brown, Hannah C Rouse, Alan A McNab, Thomas G Hardy
PURPOSE: To describe the demographics, presentation, treatment, and outcome in 10 cases of lacrimal sac diverticulum and to review the literature on this topic, and to determine the incidence of diverticula from a series of dacryocystograms. METHODS: Data were collected for all consecutive patients with lacrimal sac diverticulum seen between 2003 and 2015, including patient demographics, clinical presentation, imaging findings, treatment, and follow-up. A systematic literature review was performed for cases of lacrimal sac diverticulum...
June 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29952930/phi-fat-and-the-mathematics-of-a-beautiful-midface
#8
Ran Stein, John B Holds, Allan E Wulc, Arthur Swift, Morris E Hartstein
PURPOSE: The Golden ratio, or Phi, has been used to explain the substrates of two-dimensional beauty utilizing the faces of models. A "Phi point" has been identified at the apex of the cheek mound that can be targeted in filler injections. The authors report herein how they have applied this algorithm for surgical shaping of the "beautiful" cheek as a routine part of their lower blepharoplasty procedure. The authors present their technique and results with patients undergoing lower blepharoplasty along with the adjunct of liposculpture to areas of volume deficiency in the midface with a particular goal of enhancing the Phi point...
June 21, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29933354/selenium-in-graves-hyperthyroidism-and-orbitopathy
#9
Michele Marinò, Francesca Menconi, Giovanna Rotondo Dottore, Marenza Leo, Claudio Marcocci
PURPOSE: To review the in vitro and in vivo studies supporting a role of selenium for the treatment of mild Graves orbitopathy. METHODS: Review of the current literature on the role of selenium in the management of Graves orbitopathy. RESULTS: Graves orbitopathy (GO) is a disfiguring and disabling disorder usually observed in patients with Graves hyperthyroidism, and more rarely in patients with hypothyroid autoimmune thyroiditis or in the absence of overt thyroid dysfunction...
June 20, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29927883/extraocular-muscle-enlargement-and-thyroid-eye-disease-like-orbital-inflammation-associated-with-immune-checkpoint-inhibitor-therapy-in-cancer-patients
#10
Oded Sagiv, Thomas J Kandl, Sudip D Thakar, Bradley A Thuro, Naifa L Busaidy, Maria Cabanillas, Camilo Jimenez, Ramona Dadu, Paul H Graham, J Matthew Debnam, Bita Esmaeli
PURPOSE: To describe thyroid eye disease (TED)-like orbital inflammatory syndrome in 3 cancer patients treated with immune checkpoint inhibitors. METHODS: All consecutive patients treated by the senior author who were receiving immune checkpoint inhibitors and developed TED-like orbital inflammation were included. RESULTS: Three cancer patients treated with immune checkpoint inhibitors developed orbital inflammation. The first patient was treated with a combination of a cytotoxic T-lymphocyte antigen-4 inhibitor and a programmed cell death protein 1 inhibitor and developed TED-like orbital inflammation with normal thyroid function and antibody levels...
June 19, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29927882/dysthyroid-optic-neuropathy
#11
Peerooz Saeed, Shahzad Tavakoli Rad, Peter H L T Bisschop
PURPOSE: Dysthyroid optic neuropathy (DON) is a serious complication of Graves orbitopathy that can result in irreversible and profound visual loss. Controversy exists regarding the pathogenesis and management of the disease. The authors provide an overview of the current understanding of DON and present a therapeutic guideline. METHODS: A review of the literature. RESULTS: The mechanism of DON appears to be multifactorial: direct compression of the optic nerve by enlarged extraocular muscles, stretching of the optic nerve by proptosis, orbital pressure, vascular insufficiency, and inflammation...
June 19, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29927881/cultures-of-proximal-and-distal-segments-of-silicone-tubes-after-dacryocystorhinostomy
#12
Bruce B Becker
PURPOSE: To compare the results of cultures of the proximal and distal segments of silicone tubes after dacryocystorhinostomy. METHODS: The medical records of patients undergoing a dacryocystorhinostomy and silicone intubation were reviewed. The inclusion criteria were cultures of both distal and proximal stent segments after removal, dye testing, evaluation of the tear meniscus, and notation of the presence or absence of discharge before and after removal. The exclusion criteria included the use of systemic or topical antibiotics within 1 month before tube removal...
June 19, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29923968/epibulbar-mass-with-upper-eyelid-cleft-and-focal-scalp-alopecia-in-a-neonate-a-new-case-of-oculoectodermal-syndrome
#13
Marissa K Shoji, Hajirah N Saeed, Larissa A Habib, Suzanne K Freitag
A female neonate presented with a pedunculated left lateral epibulbar mass protruding through the eyelids that originated from the temporal cornea and superolateral bulbar and palpebral conjunctiva. She had a cleft in the ipsilateral central upper eyelid with horizontal kink of the tarsus lateral to the cleft and focal patches of alopecia on the scalp. Histopathology of the epibulbar mass revealed conjunctival epithelium with underlying connective tissue, cartilage, bone, adipose, and lacrimal gland consistent with epibulbar dermoid...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29923967/orbital-mass-with-features-of-both-kimura-disease-and-immunoglobulin-g4-related-disease
#14
Jung Hyun Lee, Jeong Hee Kim, Sang Un Lee, Sung Chul Kim
Kimura disease has been known as a chronic inflammatory disease of unknown etiology, since the first report in 1937 and characterized by an increased eosinophil fraction in peripheral blood, increased serum immunoglobulin E (IgE) levels, and lymphoid granuloma with eosinophilic infiltration on histopathological examination. The authors present a 30-year-old man who visited their clinic with a 3-month history of protrusion and conjunctival injection of the right eye. Surgical mass resection was performed, and initial histopathology revealed Kimura disease...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29923966/efficacy-and-safety-of-immunosuppressive-agents-for-thyroid-eye-disease
#15
Diego Strianese
PURPOSE: To present an update on the efficacy and safety of immunosuppressive therapy for thyroid eye disease (TED) and to offer a general recommendation for management of TED, in light of these reports. METHODS: Data were retrieved from a literature search on PubMed, using the following words: thyroid eye disease, immunosuppressant, corticosteroid, methotrexate, azathioprine, cyclosporine, cyclophosphamide, rituximab, etanercept, adalimumab, tocilizumab, teprotumumab, adverse effects, side effects, and complications...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29923965/expression-of-surfactant-proteins-in-the-human-canaliculus-evidence-and-potential-insights-into-the-tear-flow-dynamics
#16
Mohammad Javed Ali, Nadimpalli Siva Kumar, Lars Bräuer, Friedrich Paulsen, Martin Schicht
PURPOSE: To investigate the presence and distribution patterns of 6 surfactant proteins (SPs) in the human lacrimal canaliculus. METHODS: The study was performed on fresh frozen cadaveric samples of canaliculi. Immunohistochemical labeling was performed for assessing the presence and distribution of SP: SP-A, SP-B, SP-C, SP-D, SP-G/SFTA2, and SP-H/SFTA3. Immunofluorescence double staining was performed using the respective fluorescein-conjugated antibodies and the results were scored as positive or negative and the distribution pattern within the canalicular system was assessed...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29923964/revision-surgery-for-undercorrected-blepharoptosis-after-frontalis-sling-operation-using-autogenous-fascia-lata
#17
Ju-Hyang Lee, Kyung In Woo, Yoon-Duck Kim
PURPOSE: Undercorrected blepharoptosis can be encountered after frontalis sling operation. Revision surgery for undercorrection has commonly involved introducing a new sling material. We describe and evaluate a simple surgical technique to correct undercorrection by adjusting preexisting fascia. METHODS: This is a retrospective interventional case series of patients undergoing sling revision between February 2010 and February 2017. Skin incision was made on the previous incision line...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29923963/improvement-in-both-primary-and-eccentric-ocular-alignment-after-thyroid-eye-disease-strabismus-surgery-with-tenon-s-recession
#18
Stacy M Scofield-Kaplan, Kristen Dunbar, Gregory Stein, Michael Kazim
PURPOSE: To evaluate the improvement in primary and eccentric gaze ocular alignment in thyroid eye disease (TED) patients undergoing horizontal strabismus surgery with Tenon's recession. METHODS: This is an Institutional Review Board-approved retrospective analysis of TED patients undergoing horizontal strabismus surgery for esotropia. The study included all patients from 2007 to 2016 operated on by a single surgeon at Columbia University Medical Center. Surgical success was defined as the ability to fuse at both near and distance either without prismatic correction or with less than 10 prism diopters (PD) of correction...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29923962/triamcinolone-for-the-treatment-of-graves-ophthalmopathy-tested-with-short-tau-inversion-recovery-magnetic-resonance
#19
Tomás Ortiz-Basso, Rodolfo L Vigo, Mariano Sidelnik, Mariana S Vazquez-Durand, María F Shokida, Eduardo J Prémoli, Ricardo García-Mónaco
PURPOSE: To evaluate if parabulbar triamcinolone reduces orbital swelling in patients with Graves ophthalmopathy. METHODS: This is a prospective study of a series of patients with active and moderate Graves ophthalmopathy. Short tau inversion recovery magnetic resonance was used to evaluate the intensity of the extraocular rectus muscles and orbital fat, before and after the treatment with parabulbar triamcinolone. RESULTS: The signal intensity ratio of the sum of the OD rectus muscles was 3...
June 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29905641/surgical-treatment-of-diplopia-in-graves-orbitopathy-patients
#20
Anja Eckstein, Joachim Esser, Michael Oeverhaus, Peerooz Saeed, Hinke Marijke Jellema
PURPOSE: To review the authors' current understanding of motility dysfunction in patients with thyroid eye disease and to summarize appropriate evaluation and available management options. METHODS: Data were retrieved from a systematic search of the literature. RESULTS: Diplopia is one of the most disabling symptoms for Graves orbitopathy patients. It occurs in moderate-to-severe Graves orbitopathy stages and does not respond well to available anti-inflammatory treatment...
June 13, 2018: Ophthalmic Plastic and Reconstructive Surgery
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