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https://www.readbyqxmd.com/read/29144832/postoperative-complications-of-dermis-fat-autografts-in-the-anophthalmic-socket
#1
Victoria Starks, Suzanne K Freitag
Reconstruction of the anophthalmic socket allows the use of an ocular prosthesis and rehabilitation of facial appearance. Dermis-fat grafting is one option in volume augmentation of the anophthalmic socket and presents unique benefits, including increased surface area within the socket and the ability to grow with pediatric patients. Postoperative complications of this procedure are relatively common. Minor complications, such as graft hirsutism, keratinization, and conjunctival cysts or granulomas, are managed easily by observation or simple intervention...
November 16, 2017: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/29090049/orbital-volume-augmentation-with-calcium-hydroxyapatite-filler-in-anophthalmic-enophthalmos
#2
Maryam Aletaha, Hossein Salour, Saied Yadegary, Yousef Fekri, Mehdi Tavakoli
PURPOSE: To report the long-term results of orbital volume augmentation using calcium hydroxyapatite filler injections in patients with anophthalmic sockets. METHODS: Twelve eligible patients with post-enucleation socket syndrome (PESS) and small orbital volumes were included in our study. In this investigation, 1.5 mL injectable calcium hydroxyapatite (Radiesse) was utilized in an off-label application under local anesthesia. We evaluated the effect of orbital volume augmentation for correction of enophthalmos...
October 2017: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/29071272/conjunctival-blue-naevus-in-an-anophthalmic-socket
#3
Hibba Quhill, Paul A Rundle, Hardeep Singh Mudhar
PURPOSE OF THE STUDY: To describe an unusual brown pigmented lesion of the conjunctiva in an anophthalmic socket in a 16-year-old male. PROCEDURES: A 16-year-old male patient presented with socket irritation whilst wearing an artificial eye due to meibomian gland dysfunction. An area of flat, subepithelial, dark brown pigmentation with irregular and indistinct borders on the bulbar conjunctiva of the anophthalmic socket was seen. The patient believed it had been present for at least 2 years...
September 2017: Ocular Oncology and Pathology
https://www.readbyqxmd.com/read/29058505/a-case-series-of-anophthalmic-socket-cysts-excised-utilising-fibrin-sealant
#4
Yun Wong, Lucy Clarke, Gordon Lau
Anophthalmic socket cysts are challenging to remove and incomplete excision has been shown to increase the risk of recurrence. This case series describes a novel technique utilising the fibrin sealant Tisseel (Baxter AG, Vienna, Austria) to retain the socket cyst integrity during surgical removal to facilitate its complete excision. Five patients were included and followed up for a minimum of 1 year, and there were no signs of recurrence in any of the cases. The surgical technique is described and illustrated...
October 23, 2017: Orbit
https://www.readbyqxmd.com/read/29038778/ophthalmological-abnormalities-in-wild-european-hedgehogs-erinaceus-europaeus-a-survey-of-300-animals
#5
David Williams, Nina Adeyeye, Erni Visser
In this study we aimed to examine wild European hedgehogs (Erinaceus europaeus) in rescue centres and to determine ocular abnormalities in this animal population. Three hundred animals varying in age from 2 months to 5 years were examined, 147 being male and 153 female. All animals were evaluated with direct and indirect ophthalmoscopy and slit lamp biomicroscopy in animals where lesions were detected. Tonometry using the Tonovet rebound tonometer was undertaken in selected animals as was assessment of tear production using the Schirmer I tear test...
2017: Open veterinary journal
https://www.readbyqxmd.com/read/28969293/expander-eye-prosthesis-assisting-ocular-rehabilitation-in-child-with-eye-loss
#6
Daniela Micheline Dos Santos, Agda Marobo Andreotti, Bruno Garib Iyda, Stefan Fiuza De Carvalho Dekon, Marcelo Coelho Goiato
This clinical report describes the ocular rehabilitation of a child, initially using an acrylic expander and subsequently the conventional prosthesis. A two-month-old anophthalmic female patient was referred to Araçatuba Dental School, for rehabilitation with ocular prosthesis. The treatment chosen was the manufacturing of expander prostheses changed periodically until the socket reached an adequate size, so that a definitive ocular prosthesis could be installed. The acrylic expander remained in patient's anophthalmic socket for 60 days in order to restore its volume...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28882848/orbital-recurrence-of-iris-melanoma-21-years-after-enucleation
#7
Emilie Bergeron, Nadia Lihimdi, Dan Bergeron, Solange Landreville
We present the case of a 56-year-old man who developed a neoplasm of epithelioid histology in his anophthalmic left orbit 21 years after he underwent enucleation for a spindle cell iris melanoma. The recurrent tumour was managed by orbital exenteration. Neither further recurrence nor metastasis was diagnosed over a 5-year follow-up period. This case, along with five other similar cases in the literature,(1-3) emphasises the importance of long-term follow-up after treatment of iris melanoma.
September 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28876138/aetiology-of-acquired-blepharoptosis-in-young-adults
#8
Sulakshan Rasiah, Thomas G Hardy, James E Elder, Cheng Y Ng, Mpopi Lenake, Alan A McNab
PURPOSE: To identify the causes of blepharoptosis in young adults, and explore cases that do not fit into current diagnostic categories. METHODS: A retrospective cohort study of all patients aged 18-40 years ("young adults") with acquired blepharoptosis that presented to two specialist ocular plastics practices and a paediatric ophthalmologist over a period of up to 25 years. Each patient was classified according to diagnosis. Where the diagnosis was uncertain, the files were examined in detail to try and further establish a cause...
September 6, 2017: Orbit
https://www.readbyqxmd.com/read/28820172/timing-of-surgery-in-traumatic-globe-dislocation
#9
Md Shahid Alam, Olma Veena Noronha, Bipasha Mukherjee
Traumatic globe dislocation into the maxillary sinus is a rare event and usually associated with a poor visual outcome if not managed appropriately. We report a 45-year-old female patient who presented to the emergency after blunt injury to her face with a door. Initial evaluation revealed nil perception of light and an apparently anophthalmic socket. Neuroimaging revealed large floor and medial wall fracture with dislocation of the globe into the maxillary sinus. The patient underwent exploration with repositioning of the globe and fracture repair...
August 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28812919/comparison-of-primary-and-secondary-enucleation-for-uveal-melanoma
#10
Chau M Pham, Philip L Custer, Steven M Couch
We investigated operative course and post-operative findings of patients undergoing primary enucleation for uveal melanoma versus those requiring secondary enucleation after brachytherapy. A retrospective chart review was performed with IRB approval on patients receiving treatment for uveal melanoma. Patients with enucleation as initial treatment and patients enucleated after plaque brachytherapy were analyzed for demographic data, operative course, and post-enucleation outcome. Further cause analysis for secondary enucleations was investigated...
August 16, 2017: Orbit
https://www.readbyqxmd.com/read/28812412/an-investigation-into-discharge-visual-perception-and-appearance-concerns-of-prosthetic-eye-wearers
#11
Nicola S Pine, Ian de Terte, Keith R Pine
We investigate prosthetic eye wearers' initial and current concerns about mucoid discharge, visual perception, and appearance, and the reasons for their concerns. A retrospective, cross-sectional study of private practice patients was designed. Participants were 217 experienced prosthetic eye wearers, aged at least 16 years. An anonymous questionnaire was e-mailed or mailed to participants. Descriptive and inferential statistics were used to investigate differences or correlations between variables. Content analysis was used to analyze participants' open responses...
August 16, 2017: Orbit
https://www.readbyqxmd.com/read/28780249/dermal-fat-graft-for-anophthalmic-socket-in-children-enucleated-for-retinoblastoma
#12
V Bosch-Canto, C Cruz, J C Ordaz-Favila
Retinoblastoma is the most frequent intraocular tumour in childhood. The definitive treatment is enucleation. The management of the anophthalmic socket consists in the use of a plastic implant. The problem is that they are expensive and they usually extrude. The use of dermal-fat grafts minimises the hemi-facial hypoplasia. They usually grow with the face, and help to expand the orbital bones, thus avoiding the psychological and physical consequences. OBJECTIVE: To determine if there is hemi-facial hypoplasia, using MRI images after the use of a dermal-fat implant in patients enucleated for RB...
August 2, 2017: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/28767475/exaggerated-oculocardiac-reflex-elicited-by-local-anesthetic-injection-of-an-empty-orbit-a-case-report
#13
David Nicholson, Andrea Kossler, Katie Topping, Creed M Stary
We report the first description of oculocardiac reflex elicited with injection of local anesthetic in an empty orbit, and highlight clinical indicators for patients that may be at risk for an exaggerated oculocardiac reflex. We describe a patient with prior head and eye trauma treated for anophthalmic socket reconstruction at an outpatient eye surgery center. Injection of local anesthetic into the empty orbit induced an extended sinus arrest. This exaggerated response was avoided in a subsequent surgery by pretreatment with high-dose anticholinergics...
August 1, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28711015/hydrophilic-surface-modification-of-poly-methyl-methacrylate-based-ocular-prostheses-using-poly-ethylene-glycol-grafting
#14
JaeSang Ko, Kanghee Cho, Sang Won Han, Hyung Kyung Sung, Seung Woon Baek, Won-Gun Koh, Jin Sook Yoon
Ocular prostheses are custom-made polymeric inserts that can be placed in anophthalmic sockets for cosmetic rehabilitation. Prosthetic eye wearers have reduced tear amount, and they often experience dry eye symptoms including dryness, irritation, discomfort, and discharge. Most modern ocular prostheses are made of poly(methyl methacrylate) (PMMA), which is highly hydrophobic. Previous research has shown that improving the wettability of contact lens materials decreases its wearers discomfort by increasing lubrication...
October 1, 2017: Colloids and Surfaces. B, Biointerfaces
https://www.readbyqxmd.com/read/28706880/a-novel-method-for-the-management-of-anophthalmic-socket
#15
Srinivasa B Rao, Savita Akki, Deepak Kumar, Sunil Kumar Mishra
An orbital defect causes severe facial asymmetry and disfigurement that result in an immense emotional trauma to the patient and is also associated with economic, esthetic, and psychological problems. A prosthetic replacement is the treatment of choice in helping individual to return to his normal life by producing an acceptable and lifelike appearance. This case report describes the critical areas of fabrication of ocular prosthesis for a patient with missing right eye due to trauma to eye ball in an accident...
2017: Advanced Biomedical Research
https://www.readbyqxmd.com/read/28675567/a-modulatory-role-of-the-rax-homeobox-gene-in-mature-pineal-gland-function-investigating-the-photoneuroendocrine-circadian-system-of-a-rax-conditional-knockout-mouse
#16
Kristian Rohde, Tenna Bering, Takahisa Furukawa, Martin Fredensborg Rath
The retinal and anterior neural fold homeobox gene (Rax) controls development of the eye and the forebrain. Postnatal expression of Rax in the brain is restricted to the pineal gland, a forebrain structure devoted to melatonin synthesis. The role of Rax in pineal function is unknown. In order to investigate the role of Rax in pineal function while circumventing forebrain abnormalities of the global Rax knockout, we generated an eye and pineal-specific Rax conditional knockout mouse. Deletion of Rax in the pineal gland did not affect morphology of the gland, suggesting that Rax is not essential for pineal gland development...
October 2017: Journal of Neurochemistry
https://www.readbyqxmd.com/read/28603245/checklist-of-the-micro-and-anophthalmic-soil-dwelling-weevils-of-the-world-coleoptera-curculionidae
#17
Juan J Morrone, Peter Hlaváč
A checklist of the soil-dwelling microphthalmic and anophthalmic weevils of the world is presented. A total of 485 species in 85 genera are recognised, distributed over eight subfamilies and 26 tribes. The subfamilies are arranged in the currently accepted phylogenetic sequence, whereas the tribes, genera and species are listed in alphabetical order. For each species, the type locality and the geographical distribution by country is provided. Particularly diversified taxa are Entiminae: Otiorhynchini (125 species), Brachycerinae: Raymondionymini (90 species), Cossoninae: Dryotribini (59 species), Cryptorhynchinae: Torneumatini (58 species) and Molytinae: Lymantini (39 species)...
March 8, 2017: Zootaxa
https://www.readbyqxmd.com/read/28601909/study-of-conjunctival-flora-in-anophthalmic-patients-influence-on-the-comfort-of-the-socket
#18
Alvaro Toribio, Teresa Marrodán, Isabel Fernández-Natal, Honorina Martínez-Blanco, Leandro Rodríguez-Aparicio, Miguel Á Ferrero
PURPOSE: To investigate the relationship between conjunctival flora and comfort of the socket in anophthalmic patients. METHODS: A cross-sectional clinical study including 60 patients with unilateral anophthalmia who wear a prosthetic eye. From each patient three microbiological samples were taken from the lower conjunctival sac (healthy eye, pre-prosthesis, and retro-prosthesis space of socket). The 180 samples obtained were cultured. Samples from a randomized subgroup of 29 patients were measured by spectrophotometry at 540 nm after 48 h of growth, to determine their microbial density (MD)...
August 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/28584422/an-innovative-and-simple-approach-to-fabricate-a-hollow-ocular-prosthesis-with-functional-lubricant-reservoir-a-solution-to-artificial-eye-comfort
#19
Aditya Anil Kavlekar, Meena Ajay Aras, Vidya Chitre
The loss of an eye is an emotional and psychological setback to the patient. An ocular prosthesis is created to restore the lost anatomical structure and to correct the cosmetic defect. The tear reflexes do not function at optimal levels in anophthalmic sockets which make prosthesis wear uncomfortable. This case report presents an innovative hollow ocular prosthesis with functional lubricant reservoir which upon normal blinking would draw the lubricant from the reservoir through an exit hole which spreads over the prosthesis allowing a comfortable and long duration of prosthesis wear...
April 2017: Journal of Indian Prosthodontic Society
https://www.readbyqxmd.com/read/28582288/a-survey-of-ocular-prosthetics-rehabilitation-in-the-united-kingdom-part-2-anophthalmic-patients-satisfaction-and-acceptance
#20
Muhanad M Hatamleh, Ahmad A Alnazzawi, Mojgan Abbariki, Noor Alqudah, Anne E Cook
AIM: Ocular prostheses are integral for anophthalmic patients. Part 1 of this study reported that patients' aetiology, opinions, and attitudes significantly affected their prosthetic eyes experience. Part 2 investigates the patient satisfaction and acceptance in light of some of the aetiological demographics reported in Part 1. METHODOLOGY: One hundred sixty questionnaires were delivered to anophthalmic patients attending oculoplastic clinic. Etiological aspects presented in the questionnaire were disseminated in part 1...
June 2, 2017: Journal of Craniofacial Surgery
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