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Ayman G Elnahry, Mina M Habib
No abstract text is available yet for this article.
February 19, 2019: Orbit
Shahzeb Hassan, Bahram Rahmani, Jeffrey C Rastatter, Alok I Jaju, Sudhi P Kurup
Pott's puffy tumor is a significant complication of frontal sinusitis that leads to frontal bone osteomyelitis and can be associated with frontal swelling, subperiosteal abscess, and intracranial abscess. It may be associated with antecedent trauma and typically presents in adolescents. Orbital involvement is rarely reported. We describe the case of a 15-year-old male who presented after blunt facial trauma with orbital hematoma and developed Pott's puffy tumor with orbital cellulitis and subperiosteal abscess...
February 18, 2019: Orbit
Luke A Halliday, David Curragh, Paul Ikgan Sia, Dinesh Selva
Carcinoid tumours are a low-grade neuroendocrine malignancy that infrequently metastisizes to orbital structures. The typical radiological appearance of carcinoid is a solid, well-circumscribed mass that enhances with contrast. We present a case of orbital carcinoid metastasis with pseudocystic radiological appearance and review of the literature.
February 12, 2019: Orbit
Othmaliza Binti Othman, Yasuhiro Takahashi, Ma Regina Paula Valencia, Hirohiko Kakizaki
A 59-year-old man presented with recurrent localized redness of the right eye for 3 months duration despite topical antibiotic and steroid administration. Examination revealed focal conjunctival injection in the temporal region and a palpable right lacrimal gland. During incisional biopsy, a small, white, hard mass was noted within the lacrimal gland, which was surgically removed. Histopathological examination revealed a lacrimal gland ductule stone. The conjunctival injection resolved immediately after surgery...
February 12, 2019: Orbit
John G Nolan, Matthew Vestal, Scellig Stone, Linda R Dagi
No abstract text is available yet for this article.
February 12, 2019: Orbit
Hokyung Choung, Edith R Reshef, Thidarat Tanking, Suzanne K Freitag
PURPOSE: To present five cases of lower eyelid cicatricial entropion secondary to ocular cicatricial pemphigoid (OCP) successfully repaired with a conjunctival-sparing surgical technique. METHODS: The records of one surgeon (SKF) were reviewed to identify patients with lower eyelid cicatricial entropion secondary to OCP who underwent repair with a conjunctival-sparing technique between September 1, 2016 and October 18, 2017. The medical records were reviewed and extracted data included: age, gender, past medical history, current medical and OCP status, clinical examination, details of entropion repair surgery, and outcome...
February 7, 2019: Orbit
Edmund Tsui, Kristen E Dunbar, Eleanore T Kim, Payal Patel
No abstract text is available yet for this article.
February 7, 2019: Orbit
Rijul S Kshirsagar, Priscilla Q Vu, Jonathan Liang
PURPOSE: Endoscopic surgeries, such as dacryocystorhinostomy (DCR), are increasingly performed for orbital and lacrimal conditions. This study describes and compares recent trends in endoscopic DCR with open, or external, DCR in the United States (US). METHODS: Medicare-Part-B National Summary data files were analyzed from 2000 to 2015 for temporal and geographic trends in endoscopic and external DCR. Medicare Physician and Other Supplier public use files detailing provider information were collected and analyzed from 2012 to 2015...
February 2, 2019: Orbit
David S Curragh, Srikandan Kamalarajah, Brendan Lacey, Stephen T White, Alan A McNab, George Kalantzis, Peter J Dolman, Dinesh Selva, Saul N Rajak
PURPOSE: We present a series of primary orbital implant replacement for cases of implant exposure to describe our experience of this one-staged surgical approach. METHODS: This study reports on a one-stage technique which involved the removal of the exposed implant or dermis fat graft (DFG) and insertion of a secondary (replacement) in the same procedure, with a variety of materials, including autologous tissue. Re-exposure in a socket where a DFG was placed was defined as a new defect in the newly epithelialized conjunctiva or dehiscence of the dermis-conjunctiva junction...
February 1, 2019: Orbit
Kirthi Koka, Atanu Barh, Bipasha Mukherjee
A 24-year-old male presented with decreased vision associated with inward deviation of his left eye since childhood and gradually progressive prominence of left eye for 6 months. Left eye examination revealed visual acuity of 2/60, convergent squint with restricted abduction and medial dystopia. Computed tomography (CT) scan showed a well-circumscribed mass with fat fluid levels temporal to the optic nerve indistinguishable from the left lateral rectus. Intraoperatively, a well-encapsulated mass was identified within the lateral rectus muscle which was confirmed as dermoid cyst on histopathology...
January 28, 2019: Orbit
Mariam El-Abiary, Charles Diaper
Oculopharyngeal Muscular Dystrophy (OPMD) is a systemic progressive autosomal dominant myopathy which results in ptosis due to levator weakness. Surgical correction can be complicated by corneal exposure and a non-surgical alternative, such as ptosis props, can be uncomfortable in patients with preserved orbicularis function. We describe a case of a 57-year-old gentleman with OPMD, who declined surgical intervention, and self-manages his ptosis with cosmetic glue.
January 27, 2019: Orbit
Alison B Huggins, Jacqueline R Carrasco, Ralph C Eagle
This is a retrospective case description of a single male patient found to have multiple endocrine neoplasia syndrome type 2B (MEN 2B). At the age of 14, he presented for evaluation of ocular irritation and eyelid thickening. Intraoperative assessment revealed mucosal lesions on the anterior dorsum of his tongue and biopsy of multiple eyelid lesions disclosed bilateral submucosal neuromas, leading to the diagnosis of MEN 2B. MEN 2B is a potentially life-threatening syndrome due to the risk of developing medullary thyroid carcinoma (MTC) and pheochromocytoma...
January 27, 2019: Orbit
Kirthi Koka, Andrea Tongbram, Bipasha Mukherjee, Raman Muthusamy, Azhahia Nambi, Jyotirmay Biswas
Thelazia callipaeda is a rare parasitic infestation caused by spiruroid nematode of the genus Thelazia. We report a case of a 74-year-old gentleman who presented with a painless swelling of left lower lid since 15 days. Examination revealed a firm mobile mass along the inferior orbital rim. Magnetic Resonance Imaging showed a well-defined preseptal cystic lesion and Ultrasound screening revealed multiple mobile worms within. Patient underwent cyst excision in toto under local anesthesia. Four long refractile worms were isolated from within the cyst cavity...
January 22, 2019: Orbit
Xiaodong Zheng, Tomoko Goto, Atsushi Shiraishi, Yumi Nakaoka
PURPOSE: To report a new method to analyze sagittal images of the upper eyelid by anterior segment optical coherence tomography (AS-OCT). METHODS: Ninety subjects equally divided into young (20-39 years), middle age (40-59 years), and elderly (60-79 years) group were studied. A sagittal image of the upper eyelid was obtained by AS-OCT (CASIA2, Tomey, Japan) and the following parameters were determined: upper eyelid thickness (UET), the distance between two parallel lines tangential to the apexes of the cornea and the upper eyelid; the upper eyelid angle (UEA) was the angle formed by a line running tangential to the apex of the cornea and a line passing from the apex of the cornea to the apex of the upper eyelid; and the cross-sectional area (CSA), the area from the edge of the eyelid to a point 6 mm above the corneal apex...
January 22, 2019: Orbit
Juan Carlos Sánchez España, Roberto Secondi
We present the case of an ulcerative lesion of the eyelid as first presentation of type A lymphomatoid papulosis (LP) in a young adult. LP is a rare cutaneous lymphoproliferative disease with a risk of associated systemic or cutaneous lymphoma.
January 15, 2019: Orbit
Ashlie A Bernhisel, Brian E Zaugg, Nick Mamalis, Jonathan J Dutton, Bhupendra C K Patel
Idiopathic subepidermal calcinosis, also known as idiopathic calcinosis cutis, is a rare condition, which typically presents as a small, hard, subepithelial mass in the absence of systemic disease and trauma. We report on an atypical case of idiopathic calcinosis, which appeared in an otherwise healthy 61-year-old female along the tarsus of her right upper eyelid. The purpose of this case report is to demonstrate idiopathic calcinosis in an unusual location that is deep to the dermis and to discuss the vast differential diagnosis of this entity...
January 15, 2019: Orbit
Maya L M Yamane, Donald V Belsito, Lora R Dagi Glass
Dupilumab is a monoclonal antibody used to treat atopic dermatitis. Worsening of atopic dermatitis and conjunctivitis following dupilumab use are reported adverse effects; however, there is little reported on the nature and mechanism of these complications. Here, we describe two patients with chronic atopic dermatitis who developed new or severely worsened periocular dermatitis, believed to be a side effect of dupilumab injections, and resolution after its discontinuation. We explore the possibility of dupilumab-induced suppression of Th2 mediated inflammation and upregulation of Th1 and IFNγ mediated inflammation as a possible mechanism...
January 10, 2019: Orbit
Clara J Men, Frances Wu, Bradford W Lee, Jonathan H Lin, Bobby S Korn, Don O Kikkawa
A 5-year-old otherwise healthy girl presented to the oculoplastic service with a painless superotemporal subconjunctival mass in the left eye. Visual acuity was within normal limits, and there was no evidence of proptosis or orbital enlargement. Excision was performed to remove the anterior portion of the mass for alleviation of symptoms. On histopathological analysis, the mass was comprised of fibroadipose tissue consistent with dermolipoma and contained a hard nodule found to be a calcified tooth. In the periocular region, odontogenic choristoma (tooth) is a rare lesion, and has been reported to occur within teratomas, dermoid cysts, and displaced oral embryonic epithelium...
January 10, 2019: Orbit
Jessica R Chang, Anna M Gruener, Clarissa Kum, Timothy J McCulley
PURPOSE: Thermal injury to the optic nerve is a potential complication of bony decompression of the orbital apex. An animal model was used to compare and contrast temperature change while removing orbital bone with ultrasonic and conventional drills. METHODS: Two devices, Sonopet ultrasonic bone curette and TPS CORE Micro drill, were used to remove bone from six unpreserved exenterated porcine orbits at fixed distances from the optic canal while temperature was recorded...
January 10, 2019: Orbit
Mansooreh Jamshidian-Tehrani, Amin Nabavi, Abolfazl Kasaee, Narges Hasanpoor, Eahsan Elhami, Shervin Sharif-Kashani, Ahamd Masoumi, M Hossein Nowroozzadeh, Ali Sadeghi-Tari
PURPOSE: To evaluate alterations in orbital color Doppler imaging (CDI) parameters and their correlation to disease activity and severity in patients with thyroid eye disease (TED). METHODS: Seventy-six orbits of 45 TED patients and 40 orbits of 40 normal controls were enrolled in this cross-sectional study. According to clinical activity score (CAS), patients were categorized to active (CAS ≥ 3) or inactive disease (CAS < 3). Patients were also classified as having mild, moderate or severe disease...
January 10, 2019: Orbit
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