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https://www.readbyqxmd.com/read/28005745/indian-survey-on-practice-patterns-of-lacrimal-and-eyelid-disorders-isupple-report-2-mitomycin-c-and-lacrimal-stents-in-dacryocystorhinostomy
#1
Akshay Gopinathan Nair, Saurabh Kamal, Aniruddha Agarwal
PURPOSE: The aim of the study was to assess practice patterns on the use of intraoperative Mitomycin-C (MMC) and lacrimal stents (intubation) in dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) among oculoplastic surgeons in India. The survey was aimed at obtaining data on the duration of stent placement and specifics regarding MMC usage namely, concentration and duration of application. METHODS: A survey that included questions on the management of lacrimal disorders was sent in April 2015 to members of the Oculoplastic Association of India, through an email communication...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28003974/etiology-diagnosis-management-and-outcomes-of-epiphora-referrals-to-an-oculoplastic-practice
#2
Guang-Lin Shen, John D Ng, Xiao-Ping Ma
AIM: To investigate the etiology, diagnosis, management and outcome of epiphora referrals to an oculoplastic practice. METHODS: Retrospective chart review of patients referred for epiphora to an oculoplastic clinic between 2005 and 2009. Patient demographics, past history, ophthalmic examination, treatment and outcome were analyzed. RESULTS: There were 237 subjects with a primary complaint of epiphora. They included 130 (55%) females and 107 (45%) males with an average age of 55...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/27984353/reversible-charles-bonnet-syndrome-after-oculoplastic-procedures
#3
Robert A Beaulieu, Diana A Tamboli, Blair K Armstrong, R Nick Hogan, Ronald Mancini
Individuals with Charles Bonnet syndrome (CBS) typically have severe visual loss and experience visual hallucinations yet have no psychiatric disease. Visual impairment often is due to end-stage glaucoma or macular degeneration. We report 3 cases of CBS in patients who underwent an oculoplastic surgical procedure. One patient experienced binocular visual distortion due to excessive topical ophthalmic ointment, and 2 patients experienced monocular visual impairment from patching. Visual hallucinations resolved once vision returned to baseline...
December 14, 2016: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://www.readbyqxmd.com/read/27941470/simbu-ptosis-an-outreach-approach-to-myogenic-ptosis-in-eastern-highlands-of-papua-new-guinea-experience-and-results-from-a-high-volume-oculoplastic-surgical-camp
#4
Anna G Gushchin, Alison V Crum, Ben B Limbu, Edward P Quigley, Michael S Seward, Geoffrey C Tabin
PURPOSE: To present the results of a high-volume oculoplastic surgical outreach in a remote region of Simbu Province in the Eastern Highlands of Papua New Guinea. The authors describe the clinical features and evaluation and treatment of a novel ptosis syndrome found in this area. DESIGN: A team of 4 international ophthalmologists and 3 local doctors and 3 local nurses involved in a high-volume field intervention for all patients presenting with a bilateral ptosis to Mingende Rural Hospital...
December 9, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27941044/in-vivo-ocular-biomechanical-compliance-in-thyroid-eye-disease
#5
Hans R Vellara, Richard Hart, Akilesh Gokul, Charles N J McGhee, Dipika V Patel
BACKGROUND/AIMS: To compare the ocular biomechanical properties in patients with thyroid eye disease (TED) and healthy participants using a non-contact Scheimpflug-based tonometer (CorVis ST). METHODS: All eyes were examined by slit lamp biomicroscopy, corneal tomography and the CorVis ST (CST). Patients with TED were examined by a fellowship trained oculoplastics specialist to determine status and assess severity. The outputs from CST and additionally derived parameters, including maximum orbital deformation (MOD), were compared between healthy participants and patients with TED using Student's t-test...
December 9, 2016: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/27930752/prevalence-of-body-dysmorphic-disorder-and-surgeon-diagnostic-accuracy-in-facial-plastic-and-oculoplastic-surgery-clinics
#6
Andrew W Joseph, Lisa Ishii, Shannon S Joseph, Jane I Smith, Peiyi Su, Kristin Bater, Patrick Byrne, Kofi Boahene, Ira Papel, Theda Kontis, Raymond Douglas, Christine C Nelson, Masaru Ishii
Importance: Body dysmorphic disorder (BDD) is a relative contraindication for facial plastic surgery, but formal screening is not common in practice. The prevalence of BDD in patients seeking facial plastic surgery is not well documented. Objective: To establish the prevalence of BDD across facial plastic and oculoplastic surgery practice settings, and estimate the ability of surgeons to screen for BDD. Design, Setting, and Participants: This multicenter prospective study recruited a cohort of 597 patients who presented to academic and private facial plastic and oculoplastic surgery practices from March 2015 to February 2016...
December 8, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27930425/the-gracillimus-orbitis-muscle
#7
David R Jordan, Bazil Stoica
The gracillimus orbitis muscle is an anomalous, accessory, or supernumerary extraocular muscle that, although is rarely seen clinically in the human orbit, has been identified in 5% to 14% of dissected cadaver orbits. It arises from the medial surface of the levator near its origin and runs forward between the levator and superior oblique muscles resembling one of the other extraocular muscles. More anteriorly, it becomes thinner, less well defined, and mostly fibrous. Its major insertion is into the fascia surrounding the trochlea, while other fibers may travel to the supratrochlear artery, intermuscular septum, the levator or medial rectus muscle, and the fascia surrounding the superior ophthalmic vein...
December 7, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27905332/publication-rates-from-the-all-india-ophthalmic-conference-2010-compared-to-2000-are-we-improving
#8
R Kumaragurupari, Sabyasachi Sengupta, Sahil Bhandari
PURPOSE: To determine the publication rates of free papers and posters presented at the All India Ophthalmic Conference (AIOC) 2010 in peer-reviewed journals up to December 2015 and compare this with publication rates from AIOC2000 published previously. METHODS: A thorough literature search was conducted using PubMed, Google Scholar, and the general Google search engine by two independent investigators. The title of the paper, keywords and author names were used to "match" the AIOC free-paper with the published paper...
October 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27853012/outcomes-of-endoscopic-dacryocystorhinostomy-experience-of-a-fellowship-trainee-at-a-tertiary-care-center
#9
Saurabh Kamal, Mohammad Javed Ali, Akshay Gopinathan Nair
AIM: The study aims to report a single trainee's experience of learning and performing endoscopic endonasal dacryocystorhinostomy (En-DCR). SETTINGS AND DESIGN: This study was a retrospective, interventional case series. SUBJECTS AND METHODS: Fifty-four eyes of fifty patients presenting at a tertiary eye care center over 1 year were included in the study. All cases underwent endoscopic DCR with mitomycin-C and silicone intubation. The parameters studied included demographics, clinical features, intraoperative details, and postoperative ostium evaluation...
September 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27834964/a-review-of-145%C3%A2-234-ophthalmic-patient-episodes-lost-to-follow-up
#10
A Davis, A Baldwin, M Hingorani, A Dwyer, D Flanagan
PurposeLost to follow-up and delays in follow-up care are a major problem in chronic diseases, particularly when irreversible progression precedes symptoms. The NPSA Glaucoma Safety Alert in 2009 highlighted the risk and requirements for consistent robust review systems in ophthalmology. In response, Moorfields Eye Hospital reviewed the records of all patients in all subspecialties without review appointments booked. The purpose of this study was to determine whether ophthalmic patients lost to follow-up had come to harm and develop investigation techniques to optimise safety, which do not put excessive demands on clinical staff time...
November 11, 2016: Eye
https://www.readbyqxmd.com/read/27828915/trends-in-orbital-decompression-techniques-of-surveyed-american-society-of-ophthalmic-plastic-and-reconstructive-surgery-members
#11
Shani S Reich, Robert C Null, Peter J Timoney, Jason A Sokol
PURPOSE: To assess current members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) regarding preference in surgical techniques for orbital decompression in Graves' disease. METHODS: A 10-question web-based, anonymous survey was distributed to oculoplastic surgeons utilizing the ASOPRS listserv. The questions addressed the number of years of experience performing orbital decompression surgery, preferred surgical techniques, and whether orbital decompression was performed in collaboration with an ENT surgeon...
November 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27823937/orbital-blowout-fractures-a-novel-ct-measurement-that-can-predict-the-likelihood-of-surgical-management
#12
Tamer N Mansour, Megan Rudolph, Derek Brown, Natalie Mansour, M Reza Taheri
OBJECTIVE: The purpose of this study is to identify an accurate and reliable computed tomographic (CT) measurement that can identify those patients presenting to the emergency department (ED) with orbital floor fracture (BOF) who require surgical repair to prevent ensuing visually debilitating diplopia and/or enophthalmos. METHODS: In this retrospective institutional review board-approved study, we reviewed 99 patients older than 18 years with orbital fractures treated in a level I trauma center from 2011 through 2015...
January 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27822009/practice-patterns-in-the-use-of-prophylactic-antibiotics-following-nonoperative-orbital-fractures
#13
Jijo Jizhou Wang, Jennifer M Koterwas, Edward H Bedrossian, William J Foster
PURPOSE: The purpose of this study was to analyze the practice management patterns of the current members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and to determine the use of oral prophylactic antibiotics in an attempt to prevent orbital cellulitis following nonoperative orbital fractures. PATIENTS AND METHODS: A cross-sectional web-based survey was emailed to all the members of ASOPRS regarding their current management of nonsurgical orbital fractures and their experience with orbital cellulitis following nonoperative orbital fractures...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27768177/addressing-practice-gaps-in-cutaneous-surgery-advances-in-diagnosis-and-treatment
#14
Kathryn L Kreicher, Jeremy S Bordeaux
Importance: Cutaneous surgery is performed by otolaryngologists, plastic surgeons, oculoplastic surgeons, dermatologic surgeons, and some primary care physicians. Practice gaps exist among cutaneous surgeons, as do differences in how different physicians approach preoperative, intraoperative, and postoperative decision-making. Objective: To present the newest and best evidence to close common practice gaps in cutaneous surgery. Evidence Review: We performed a detailed search of peer-reviewed publications that were identified through a search of PubMed/MEDLINE (January 1, 2000, through June 30, 2016) using the literature search terms "cutaneous surgery," "Mohs micrographic surgery," "plastic surgery," in combination with "safety," "cost," "anesthesia," "anti-coagulation," "bleeding," "pain," "analgesia," "anxiety," or "infection," among others...
October 20, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27740698/a-practical-decision-tree-model-to-predict-complexity-of-reconstructive-surgery-after-periocular-basal-cell-carcinoma-excision
#15
E Tan, F Lin, L Sheck, P Salmon, S Ng
PURPOSE: To derive a decision rule for predicting surgical complexity in periorbital basal cell carcinoma (pBCC). DESIGN: Prospective, cohort study. PARTICIPANTS: Patients referred to an oculoplastic service for excision of pBCC from September 2010 to November 2015 METHODS: This study was conducted at two centres in New Zealand from September 2010 to November 2015. Baseline demographic information, and an initial assessment of operative complexity (a four-point grading scale) were collected...
October 14, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27678525/defining-ocular-surface-disease-activity-and-damage-indices-by-an-international-delphi-consultation
#16
Priscilla A Mathewson, Geraint P Williams, Stephanie L Watson, James Hodson, Anthony J Bron, Saaeha Rauz
PURPOSE: Unifying terminology for the description of ocular surface disease (OSD) is vital for determining treatment responses and ensuring robust clinical trial outcomes. To date, there are no agreed parameters describing 'activity' and 'damage' phases of disease. METHODS: A working group of international experts in OSD, oculoplastics, and uveitis from a range of backgrounds (university, teaching, district general and private hospitals) participated in a modified Delphi consensus-building exercise (October 31, 2011 to March 20, 2015)...
January 2017: Ocular Surface
https://www.readbyqxmd.com/read/27659381/a-rare-case-of-a-direct-ocular-contact-burn-to-the-right-eye
#17
S Young, R Murphy, S Iyer
Ocular thermal burns represent an oculoplastic emergency, with the potential for blindness owing to limbal ischaemia. We present a rare case of a 66-year-old man who sustained a direct thermal contact burn to the right eye.
January 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27658974/-local-rotating-flaps-in-oculoplastic-surgery
#18
L Zikmund
AIM: In the contemporary medicine, strong emphasis is put on early closing of body surface defects, which contributes to good and early healing, but, of course, closes the entrance gate for possible infection as well. The easiest closing of the defect is the direct suture of the emerged wound. But some defects are of such an extent, so their closure is necessary to handle other way than simple suture, e.g. by rotating flap plastic surgery. In the paper are evaluated results of flap surgery technique in 56 patients...
2016: Ceská a Slovenská Oftalmologie
https://www.readbyqxmd.com/read/27630805/a-review-of-oculoplastic-photography-a-guide-for-clinician-photographers
#19
REVIEW
Chin T Ong, Jun Fai Yap, Yong Zheng Wai, Qi Xiong Ng
Clinical photography in the field of oculoplastic surgery has many applications. It is possible for clinicians to obtain standardized clinical photographs without a studio. A clinician photographer has the advantage of knowing exactly what to photograph as well as having immediate access to the images. In order to maintain standardization in the photographs, the photographic settings should remain constant. This article covers essential photographic equipment, camera settings, patient pose, and digital asset management...
2016: Curēus
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
#20
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
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