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Ophthalmic Plastic and Reconstructive Surgery

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https://www.readbyqxmd.com/read/30439723/absorbable-implant-foreign-body-reaction-masquerading-as-orbital-cellulitis
#1
Gabrielle J Shaughness, Kira L Segal, Alon Kahana
Poly-DL-lactide polymer implants absorb over a period of 6 to 12 months and have been used with increasing frequency for repair of orbital fractures. The authors describe the case of a 7-year-old boy who presented with orbital inflammation 10 months following repair of a white-eyed blowout fracture with a poly-DL-lactide implant. Rapid improvement in symptoms followed initiation of oral steroids, with excellent long-term result. Clinical presentation and treatment response implicated a foreign body inflammatory reaction as the underlying etiology of symptoms...
November 12, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30439722/histopathological-study-on-the-proposed-pathogenesis-of-intratarsal-keratinous-cysts
#2
Tina Tang, Seymour Brownstein, Henry Chen, David R Jordan, Codrin E Iacob, Paula Blanco, James Farmer
PURPOSE: Intratarsal keratinous cysts (IKCs) are a recently described entity that is frequently misdiagnosed clinically as chalazia and mislabeled in the literature as "intratarsal epidermal inclusion cysts" or "epidermoid cysts." It is important to accurately diagnose IKCs and distinguish them from chalazia because IKCs require a complete surgical excision and can exhibit multiple recurrences following curettage. The authors performed a retrospective case series to further elucidate the pathogenesis of IKCs and to determine the diagnostically optimal panel of stains for diagnosis...
November 12, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30439721/opioid-prescribing-patterns-among-american-society-of-ophthalmic-plastic-and-reconstructive-surgery-members-in-the-medicare-part-d-database
#3
Emily S Charlson, Paula Wu Feng, Anh Bui, Seanna Grob, Jeremiah P Tao
PURPOSE: To assess opioid prescribing patterns among American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) members. METHODS: An observational, retrospective, cohort study of ASOPRS members' prescribing patterns in the 2013-2016 Medicare Part D Prescriber database. These prescribers were stratified by years in practice, sex, and geography. The ASOPRS member cohort was compared with all ophthalmologists, as a group, and other surgeons. RESULTS: The authors identified 617 surgeons in the 2017 ASOPRS directory...
November 12, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30418419/preseptal-upper-eyelid-lipoma
#4
Michelle M Maeng, Kyle J Godfrey, Michael Kazim
Superficial subcutaneous lipomas are benign, slow-growing neoplasms comprised mature adipose cells that may be surrounded by a fibrous tissue capsule. While found commonly on the body, simple lipomas are rarely described in the eyelids. Reports of two eyelid lipomas in the literature describe the anatomy to be posterior to the orbital septum. The presenting authors report the case of a simple lipoma of the eyelid found fully in the preseptal plane. Lipomas can occur anterior to the orbital septum and should be considered in the differential when presented with a painless, slow-growing eyelid mass in adults...
November 9, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407997/acute-sterile-canaliculitis-a-case-report-and-review-of-the-literature
#5
Emily Li, Alberto Distefano, Mahsa Sohrab
A 53-year-old male developed secondary canaliculitis after undergoing nasolacrimal intubation with a silicone stent. Negative cultures, symptoms refractory to antibiotics, and rapid resolution after stent removal suggest an immune reaction as the mechanism of canaliculitis. This case raises awareness of noninfectious hypersensitivity or hypersensitivity-like reactions as a potential acute or subacute complication of nasolacrimal stenting.
November 5, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407996/preoperative-intravenous-ketorolac-safely-reduces-postoperative-pain-in-levator-advancement-surgery
#6
Edward J Wladis, Kate V Dennett, Valerie H Chen, Arup De
PURPOSE: To assess the impact of intravenous ketorolac (IVK) on self-reported pain scores, requirements for opioid analgesic and anti-emetic medications, and bleeding complications in the setting of levator advancement surgery METHODS:: A prospective randomized controlled trial was performed among adult patients undergoing levator advancement surgery. Pain scores were measured immediately after surgery, prior to discharge from the surgical facility, and on the first postoperative day...
November 5, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407995/systemic-diffuse-large-b-cell-lymphoma-presenting-as-bilateral-orbital-vasculopathy
#7
Stefania B Diniz, Jose Manuel Abalo-Lojo, Fernando Chahud, Shoaib Ugradar, Antonio A V Cruz
The authors report a case of a 58-year-old man with bilateral proptosis and signs of orbital inflammation without any associated systemic findings. MRI showed diffuse orbital infiltration. An intraconal orbital biopsy revealed polyclonal lymphoplasmacytic infiltration and non-necrotizing lymphoid small-vessel vasculopathy. The orbital symptoms resolved following a 2-week course of oral prednisone. Three months later, the patient experienced abdominal pain and weight loss. Ultrasonographic investigation showed hepatosplenomegaly, a retroperitoneal mass, and inguinal lymphadenopathy...
November 5, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407994/medial-orbital-wall-reconstruction-to-facilitate-endoscopic-sinus-surgery-for-erosive-polypoidal-sinus-disease
#8
Megan R Silas, Johnathan V Jeffers, Asim V Farooq, Jacquelynne P Corey, Hassan A Shah
The authors report the use of a 0.35-mm-thickness nylon implant for medial orbital wall reconstruction to facilitate functional endoscopic sinus surgery (FESS) for severe erosive polypoidal sinus disease while minimizing iatrogenic injuries to the orbital contents. A retrospective chart review identified 4 patients with extensive polypoidal sinus disease who underwent medial orbital wall reconstruction in the setting of FESS. All patients underwent successful reconstruction of bilateral eroded medial orbital walls using a 0...
November 5, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407993/novel-use-of-cryopreserved-ultra-thick-human-amniotic-membrane-for-management-of-anophthalmic-socket-contracture
#9
Dane H Slentz, Christine C Nelson
PURPOSE: To describe the use of cryopreserved ultra-thick human amniotic membrane for management of anophthalmic socket contracture. METHODS: A chart review was performed to identify patients undergoing fornix reconstruction with cryopreserved ultra-thick human amniotic membrane for management of anophthalmic socket contracture. Patient demographics, disease etiology, and data regarding postoperative prosthesis fit and complications were collected. RESULTS: The technique is described in 3 female patients with anophthalmic socket contracture who underwent fornix reconstruction using cryopreserved ultra-thick human amniotic membrane...
November 5, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407992/the-incidence-of-lacrimal-drainage-disorders-across-a-tertiary-eye-care-network-customization-of-an-indigenously-developed-electronic-medical-record-system-eyesmart
#10
Anthony Vipin Das, Suryasnata Rath, Milind N Naik, Mohammad Javed Ali
PURPOSE: To assess the incidence of lacrimal drainage disorders across a tertiary eye care network in India. METHODS: A 5-year retrospective review of all the patients who were diagnosed with lacrimal drainage disorders across the tertiary care network of L.V. Prasad Eye Institute was performed from January 2013 to December 2017. All the patient data were retrieved using all the diagnostic terms assigned to the lacrimal drainage disorders in the in-house electronic medical record system eyeSmart...
November 5, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407999/phakomatous-choristoma-of-the-orbit-with-involvement-of-the-inferior-oblique-muscle
#11
Brandon F Harris, Justin P Harris, Timothy J Ducey, John H Boden, Vladimir S Yakopson
The authors report a case of phakomatous choristoma presenting as an orbital tumor with involvement of the inferior oblique muscle. This is the only known case of this rare tumor directly invading and incorporating the inferior oblique. This tumor should be included in the differential of eyelid tumors and orbital tumors in infants. Finally, the authors review the histopathological and embryological characteristics of this lenticular tumor.
November 2, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30407998/nasolacrimal-duct-obstruction-following-hyaluronic-acid-rejuvenation-of-the-tear-trough
#12
Evan Kalin-Hajdu, Robert C Kersten
Although generally safe, hyaluronic acid rejuvenation of periorbital tissue has been reported to cause minor and major adverse events. The authors document a case of nasolacrimal duct obstruction due to hyaluronic acid rejuvenation of the tear trough. Nasolacrimal duct obstruction immediately resolved following irrigation of hyaluronidase into the affected lacrimal system. To the authors' knowledge, this is the first reported case of nasolacrimal duct obstruction due to filler injection.
November 2, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30383574/perfusion-monitoring-shows-minimal-blood-flow-from-the-flap-pedicle-to-the-tarsoconjunctival-flap
#13
Kajsa Tenland, Khashayar Memarzadeh, Johanna Berggren, Cu Dinh Nguyen, Ulf Dahlstrand, Jenny Hult, Karl Engelsberg, Sandra Lindstedt, Rafi Sheikh, Malin Malmsjö
BACKGROUND: A previous study in pigs has shown that the pedicle of the tarsoconjunctival flap does not appear to have adequate blood perfusion. The aim of this study was to monitor perfusion in tarsoconjunctival flaps in patients with large lower eyelid defects resulting from tumor surgery. METHODS: The modified Hughes procedure was performed in 13 patients. Blood perfusion was monitored using laser Doppler velocimetry and laser speckle-contrast imaging. RESULTS: Blood flow decreased gradually from the pedicle base to the end of the flap and was 19% at the flap base, 11% in the middle of the flap, and 4% in the distal end of the flap...
October 30, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30371551/pathological-features-and-clinical-course-in-patients-with-recurrent-or-malignant-orbital-solitary-fibrous-tumor-hemangiopericytoma
#14
Oded Sagiv, Diana Bell, Yunxia Guo, Shirley Su, Sara T Wester, Kailun Jiang, Vivian T Yin, Roman Shinder, Brent Hayek, Hee Joon Kim, Michael T Tetzlaff, Bita Esmaeli
PURPOSE: A risk assessment score for metastasis based on age, tumor size, and mitotic figures has been suggested for nonorbital solitary fibrous tumor (SFT)/hemangiopericytoma. The authors herein examine the clinicopathological features of recurrent and metastatic orbital SFT and evaluate the existing risk assessment score for orbital SFT. METHODS: The American Society of Ophthalmic Plastic and Reconstructive Surgery Oncology Database was queried for patients with recurrent or malignant orbital hemangiopericytoma/SFT...
October 26, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30365480/multicentric-mucinous-adenocarcinoma-in-the-periorbital-region
#15
Meredith Furst, Marie B Somogyi, Ivan Vrcek, Edward Weir, John W Shore
Primary mucinous adenocarcinoma of the skin is an uncommon malignancy in clinical practice, but multicentric presentation of the malignancy is considered even more rare. In this case report, the authors present a 70-year-old woman with multicentric primary mucinous adenocarcinoma of the skin manifesting with 2 separate lesions located on the right eyelid and cheek. Lesion removal and immunohistochemical staining ruled out mucinous adenocarcinoma of the skin secondary to lung or thyroid carcinoma, however, was inconclusive for breast carcinoma...
October 24, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30365478/spinal-ewing-sarcoma-metastatic-to-bilateral-orbits
#16
Lawrence Chan, Marez Megalla, Jenna M Kim, Renelle Pointdujour-Lim
A 39-year-old woman with primary spinal Ewing sarcoma and known lung metastases presented with painless bilateral decreased visual acuity over a 1-month period. Examination revealed bilateral disc edema. MRI of the brain/orbits showed metastatic lesions to the dura and bilateral orbits. Venous sinus thrombosis extending to the jugular vein was also noted. To the authors' knowledge, this is the first case of bilateral orbital metastasis and papilledema secondary to Ewing sarcoma and related hypercoagulability...
October 24, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30365477/anthropometric-analysis-on-the-ocular-region-morphology-of-children-and-young-adults-in-chinese-han-population
#17
Xianxian Cai, Ying Chen, Qian Li, Huan Ma, Zhixin Tang, Cong Nie, Rong Lu
PURPOSE: The periocular features vary in different age groups and ethnic populations. In this study, the authors sought to determine whether age-related differences exist for certain periocular parameters between children and young adults of Chinese Han population. METHODS: OU of 310 children (aged 7-10 years) and 301 young adults (aged 20-30 years) were evaluated by 2-dimensional photogrammetry. All the subjects were of Chinese Han population. The eyelid crease profiles were classified according to their morphology...
October 24, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30365476/fractionated-stereotactic-radiotherapy-for-cavernous-venous-malformations-of-the-orbital-apex
#18
Gishan S Ratnayake, Alan A McNab, Michael J Dally, Catherine Zajarski, Sashendra Senthi, Jeremy D Ruben
PURPOSE: The objective of this study was to investigate the efficacy and safety of fractionated stereotactic radiotherapy in the treatment of cavernous venous malformation of the orbital apex. METHODS: The authors reviewed a prospective database from a single center of patients with cavernous venous malformation of the orbital apex who had treatment with fractionated stereotactic radiotherapy. The authors compared the symptoms, visual function and the size of the tumor pre- and posttreatment as well as reviewed the treatment details and the incidence of complications...
October 24, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30365475/correction-of-recalcitrant-cicatricial-lower-lid-retraction-and-entropion-with-transverse-tarsotomy-and-tarsoconjunctival-flap
#19
Raymond I Cho
PURPOSE: To describe a novel technique to correct cicatricial lower lid entropion and retraction using a transverse lower lid tarsotomy with an interposed tarsoconjunctival flap posterior lamellar spacer. METHODS: Technique description and retrospective interventional case series. RESULTS: Four patients underwent the procedure-two with complications following treatment of sinonasal carcinoma and two with complications following orbital fracture repair...
October 24, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30365474/acquired-obliteration-of-the-proximal-lacrimal-drainage-system
#20
Victoria S Starks, Michael K Yoon
PURPOSE: We present a series of patients with acquired obliteration of one or more components of the proximal lacrimal drainage system, including puncta and canaliculi. This finding was noted with and without other obstructions or stenoses of the lacrimal drainage system. Review of these patients in search of possible risk factors for this condition and histopathology of two patients are presented. METHODS: Medical records of patients treated at the Massachusetts Eye and Ear Infirmary between 2010 and 2016 with diagnosis codes of lacrimal punctum stenosis, stenosis of unspecified lacrimal punctum, epiphora due to insufficient drainage, and epiphora not otherwise specified were retrospectively reviewed...
October 24, 2018: Ophthalmic Plastic and Reconstructive Surgery
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