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Eye, Oculoplastics, Orbit

Patricia Akaishi, Alicia Galindo-Ferreiro, Sahar M Elkhamary, Zakeya Al-Sadah, Alberto Galvez-Ruiz, A Augusto Cruz
Accidental removal of the lacrimal gland is a rare complication of ptosis surgery. We report two children who underwent large unilateral levator palpebrae superioris resections (LPSr). After surgery, both patients developed dry eye. Post-operatively, the parents of both patients noticed no tears in the affected eye when their child cried. Computed tomography proved the absence of the lacrimal gland in the operated eye in both patients. Oculoplastic surgeons should pay close attention to the anatomy of the levator muscle and its proximity to surrounding tissues in order to avoid lesions on important orbital structures, including the lacrimal gland, and to avoid the development of long-term dry eye...
January 2017: Arquivos Brasileiros de Oftalmologia
Natalie Homer, Frederick A Jakobiec, Anna Stagner, Mary Elizabeth Cunnane, Suzanne K Freitag, Aaron Fay, Michael K Yoon
IMPORTANCE: To describe presenting patterns of breast cancer metastases to the orbit and eyelids BACKGROUND: To provide clinical, radiographic, and pathologic correlations of breast metastases to the orbit or eyelids and evaluate radiographic volumetric orbital changes DESIGN: Retrospective review in an academic center PARTICIPANTS: Ten female patients with periocular metastatic breast carcinoma who were seen at the Massachusetts Eye and Ear Infirmary Oculoplastics Clinic METHODS: Retrospective review of patient records, imaging and pathology findings...
February 9, 2017: Clinical & Experimental Ophthalmology
Helen Merritt, Margaret L Pfeiffer, Margaret E Phillips, Karina Richani
The management of blind, painful eyes in Sturge-Weber syndrome patients poses unique challenges to the oculoplastic surgeon. Intraocular and orbital vascular malformations and calcification may theoretically lead to unexpected hemorrhage and difficulty placing an implant in a calcified scleral shell. We present two cases of patients with Sturge-Weber syndrome with blind, painful eyes who underwent evisceration with silicone implant and discuss the relevant current literature. Both of our patients had uncomplicated surgeries and post-operative courses...
February 2017: Orbit
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
Michael G Daniel, Albert Y Wu
PURPOSE OF REVIEW: The review examines the utility of stem cell biology in ophthalmology and oculoplastic surgery. RECENT FINDINGS: The applicability of stem cell biology varies across a range of different subfields within ophthalmology and oculoplastic surgery. Resident stem cells have been identified in the lacrimal gland, corneal limbus, orbital fat, and muscles of the eye, and can potentially be applied for in-vitro cell and organ cultures with the intent of disease modeling and transplants...
September 2016: Current Opinion in Ophthalmology
We Fong Siah, Bhupendra Ck Patel, Raman Malhotra
AIM: To report a case series of patients with persistent temple-related problems following lateral wall rim-sparing (LWRS) orbital decompression for thyroid-related orbitopathy and to discuss their management. METHODS: Retrospective review of medical records of patients referred to two oculoplastic centres (Corneoplastic Unit, Queen Victoria Hospital, East Grinstead, UK and Moran Eye Center, University of Utah, Salt Lake City, USA) for intervention to improve/alleviate temple-related problems...
August 2016: British Journal of Ophthalmology
Konstadinos G Boboridis, Jimmy Uddin, Dimitrios G Mikropoulos, Catey Bunce, George Mangouritsas, Irini C Voudouragkaki, Anastasios G P Konstas
INTRODUCTION: Orbital decompression is the indicated procedure for addressing exophthalmos and compressive optic neuropathy in thyroid eye disease. There are an abundance of techniques for removal of orbital bone, fat, or a combination published in the scientific literature. The relative efficacy and complications of these interventions in relation to the specific indications remain as yet undocumented. We performed a systematic review of the current published evidence for the effectiveness of orbital decompression, possible complications, and impact on quality of life...
July 2015: Advances in Therapy
Aline Pimentel de Miranda, Nariman Nassiri, Robert A Goldberg
PURPOSE: To study angular and temporal vein engorgement following periorbital hyaluronic acid gel (HAG) injection. METHODS: In this retrospective study, the authors reviewed the photographs of 805 patients who had periorbital HAG injection at Jules Stein Eye Institute Oculoplastic Clinic between January 2004 and January 2014. HAG injections were used to fill the orbital hollow, zygomatic hollow, septal confluence hollow, and cheek. The inclusion criteria were patients who had at least 1 pre-, immediate post-, and late postinjection photographs...
March 2016: Ophthalmic Plastic and Reconstructive Surgery
Sachin S Pawar, John S Rhee, Timothy S Wells
We present a case of a 26-year-old man who sustained a close-range gunshot wound to the head. His injuries included significant left orbital injury resulting in a ruptured, blind eye and severely comminuted fractures of the left orbital roof, superior and inferior orbital rims, and orbital floor. Associated injuries included left frontal lobe injury, anterior and posterior table fractures of the left frontal sinus, and a comminuted left zygomaticomaxillary complex fracture. We employed an interdisciplinary surgical approach with collaboration among the Otolaryngology, Neurosurgery, and Oculoplastic Surgery services performed in two stages...
January 2015: Ear, Nose, & Throat Journal
Inessa Bekerman, Paul Gottlieb, Michael Vaiman
The purpose of the current research was to reevaluate the normative data on the eyeball diameters. Methods. In a prospective cohort study, the CT data of consecutive 250 adults with healthy eyes were collected and analyzed, and sagittal, transverse, and axial diameters of both eyeballs were measured. The data obtained from the left eye and from the right eye were compared. The correlation analysis was performed with the following variables: orbit size, gender, age, and ethnic background. Results. We did not find statistically significant differences correlated with gender of the patients and their age...
2014: Journal of Ophthalmology
Bolanle G Balogun, Bola J Adekoya, Modupe M Balogun, Olufunke A Ehikhamen
AIMS: To determine the prevalence of orbito-oculoplastic diseases and thereby contributing a data base to the emerging orbito-oculoplastics subspecialty in the sub-Saharan region. SETTINGS AND DESIGN: A tertiary eye care centre. MATERIALS AND METHODS: A descriptive prospective study was done in a tertiary eye care center. Demographic and clinico-pathological diagnoses of 269 patients presenting to the oculoplastics clinic over a 4-year period (January 2008 -December 2011) were collected at entry and during follow-up visits...
July 2014: Middle East African Journal of Ophthalmology
Francesco M Quaranta-Leoni, Caterina Moretti, Sabrina Sposato, Stefano Nardoni, Alessandro Lambiase, Stefano Bonini
PURPOSE: To perform a histopathological review of exposed porous orbital implants requiring explantation and to study the clinical outcome of replacement of the exposed implant with an autologous dermis-fat graft. METHODS: Case series. Analysis of the clinical charts of 25 patients (age 5 to 62 years) who were submitted to explantation of exposed hydroxyapatite orbital implants, followed by simultaneous replacement with a dermis-fat graft by 1 oculoplastic surgeon between 2000 and 2011...
March 2014: Ophthalmic Plastic and Reconstructive Surgery
Sung In Kim, Kyeong Wook Lee
INTRODUCTION: We report a rare case of epidemic keratoconjunctivitis (EKC) that developed into an orbital inflammation in an adult. CASE PRESENTATION: A 67-year-old Korean man, who had been diagnosed with EKC and treated for conjunctival injection and chemosis in the right eye for 4 days, was referred to Oculoplastics as orbital cellulitis was suspected. At the point of referral, clinical features such as decreased visual acuity, severe eyelid swelling, chemosis, follicles, corneal edema, limitations in lateral eye movement, and diplopia were observed in the right eye...
2013: Case Reports in Ophthalmology
Yasas S N Jayaratne, Curtis K Deutsch, Roger A Zwahlen
Measurement of periocular structures is of value in several clinical specialties including ophthalmology, optometry, medical and clinical genetics, oculoplastic surgery, and traumatology. Therefore we aimed to determine the periocular anthropometric norms for Chinese young adults using a noninvasive 3D stereophotography system. Craniofacial images using the 3dMDface system were acquired for 103 Chinese subjects (51 males and 52 females) between the ages of 18 and 35 years. Anthropometric landmarks were identified on these digital images according to standard definitions, and linear distances between these landmarks were calculated...
2013: BioMed Research International
M O Osazuwa
BACKGROUND: Reports of histological types of orbital and adnexal tumours are few in the West African Sub-region and non-existent in Ghana. OBJECTIVE: This study was to determine and report the histological types of orbital and adnexal tumours seen in the eye unit in Korle-bu Teaching Hospital METHODS: This was a retrospective study of orbital and adnexal tumours in a referral orbit and oculoplastic clinic in a teaching hospital in Ghana. Biopsy specimen taken from the orbit, conjunctiva and eyelids of patients referred to the orbit and oculoplastic clinic of the eye unit between November 2005 and October 2009 were mailed to Royal Hallamshire Hospital Sheffield, UK for histological evaluation...
April 2013: West African Journal of Medicine
Roberta Lilian Fernandes de Sousa, Silvana Artioli Schellini, Denise de Cássia Moreira Zornoff, Carlos Roberto Padovani
PURPOSE: To determine the most common approach to repair the anophthalmic socket in Brazil, and to compare the data with the trends in other countries. METHODS: Exploratory study using electronic questionnaire sent by Internet to ophthalmologists members of the Brazilian Orbit and Oculoplastic Society (SBCPO). The received answers were analyzed by adhesion analysis, using Chi-square test. RESULTS: We received 75 answered questionnaires. Fifty-three per cent of the respondents frequently treat anophthalmic socket and use the 18 mm diameter polymethylmethacrylate sphere in the majority of the surgeries, mainly covered by sclera (92%)...
November 2012: Arquivos Brasileiros de Oftalmologia
Thomas Gander, Heinz-Theo Lübbers, Wolfgang Zemann, Christine Jacobsen
BACKGROUND: Complex visual hallucinations in the presence of a clear mental state and in the absence of underlying neurological disorders have received increased recognition since Charles Bonnet reported visual hallucinations secondary to mature cataracts in 1760. The prevalence of Charles Bonnet syndrome (CBS) varies widely in the literature and might be underestimated in most settings. The current paper presents a case of acute-onset CBS due to a unilateral Frost suture after revision of an orbit floor fracture...
March 2014: Oral and Maxillofacial Surgery
Tiffany L Kent, Philip L Custer
PURPOSE: This study was performed to ascertain the incidence of anticoagulant use in oculoplastic surgical patients and the reliability of patient medication disclosure. Differences in perioperative bleeding complications among patients continuing anticoagulants, those who withheld the medications, and those not anticoagulated were investigated. METHODS: Following institutional review board approval, a retrospective chart review was conducted (January 1, 2008, to June 30, 2010)...
March 2013: Ophthalmic Plastic and Reconstructive Surgery
Hatem A Tawfik, Mohammad A Rashad
PURPOSE: To describe the demographics, characteristics, management pitfalls, and outcomes of pseudoptosis associated with congenital fibrosis of the extraocular muscles (CFEOM). METHODS: A retrospective review was performed of eight patients presenting with ptosis and hypotropia to oculoplastic service. All patients underwent full ocular evaluation and magnetic resonance imaging of brain and orbit. Five of these patients underwent stepwise correction of hypotropia by single-stage adjustable strabismus surgery (SSASS), followed by a frontalis sling if needed...
2013: Clinical Ophthalmology
Manjool Shah, Eric A Steele
A 59-year-old man with a history of chronic hydrocephalus and lifelong poor vision was referred to the oculoplastic surgery service for the management of symptomatic proptosis and intermittent globe subluxation of his OD. Imaging studies of his orbits revealed massively enlarged and calcified optic nerve sheaths. Neurosurgical consultation recommended against violation of the cerebrospinal fluid space given the chronic compensated hydrocephalus. Three-wall bony orbital decompression was therefore performed without complication and resulted in improved symptomatic and cosmetic outcomes...
March 2013: Ophthalmic Plastic and Reconstructive Surgery
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