Magne Stridh, Ulf Dahlstrand, Magdalena Naumovska, Karl Engelsberg, Bodil Gesslein, Rafi Sheikh, Aboma Merdasa, Malin Malmsjö
PURPOSE: The gold standard for skin cancer diagnosis is surgical excisional biopsy and histopathological examination. Several non-invasive diagnostic techniques exist, although they have not yet translated into clinical use. This is a proof-of-concept study to assess the possibility of imaging an angiosarcoma in the periocular area. METHODS: We use laser speckle, hyperspectral, and photoacoustic imaging to monitor blood perfusion and oxygen saturation, as well as the molecular composition of the tissue...
April 9, 2024: Orbit
Tatiana R Rosenblatt, Lisa Y Lin, Carolina A Chiou, Nahyoung Grace Lee, Gunsagar S Gulati, Pavan K Bendapudi, Natalie Wolkow
Disseminated intravascular coagulation (DIC) is characterized by abnormal activation of the coagulation cascade, which leads to simultaneous hypercoagulation and excessive bleeding. While it typically occurs in systemic diseases, such as infection, inflammation, obstetric complications, and malignancy, it can rarely manifest postoperatively. This case report describes a patient who presented with prolonged, refractory bleeding after ectropion repair via a lateral tarsal strip procedure. Due to the inability to control the patient's bleeding with conservative measures followed by surgical exploration and electrocautery, the patient underwent a hematologic work-up...
April 3, 2024: Orbit
Ayushi Agarwal, Mohammad Javed Ali
No abstract text is available yet for this article.
April 3, 2024: Orbit
Yilin Feng, Carolina A Chiou, Anna M Stagner, Yuh-Shin Chang, Suzanne K Freitag
A 78-year-old man presented with acute-onset left temporal pain, eyelid swelling, and double vision. Computed tomography (CT) demonstrated a left sphenoid wing mass with extra-osseous intra-orbital and intracranial extension, thought to be a typical sphenoid wing meningioma by the primary team. The patient was admitted for an urgent craniotomy, which was planned for the following day. However, upon consultation with ophthalmic plastic surgery, concern was raised for an alternative diagnosis given the atypical timeline, inflammatory changes, and uncharacteristic imaging findings of mixed lytic and sclerotic bony changes without hyperostosis on CT and extensive peri-lesional dural thickening and enhancement on magnetic resonance imaging...
March 25, 2024: Orbit
Ramón Medel, Elena Scherrer, Lucía Castaño Fernández-Vega, Juan Ignacio Racana, Claudia Cordero, María Inmaculada Paños Palacios, Luz Maria Vasquez
PURPOSE: This study aims to describe a novel approach to medial epicanthoplasty in patients with blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) and evaluate the surgical outcome of this technique. METHODS: A retrospective, noncomparative, interventional case series involving 22 BPES patients who underwent medial epicanthoplasty using the Lambda-Double-Fixation technique (LDFT) performed by a single surgeon. Pre- and postoperative measurements of inner intercanthal distance (DIC) and horizontal palpebral fissure (HPFL) were recorded...
March 21, 2024: Orbit
Agustina L Mena, Constanza Mansur, Margarita Isa, Patricio Thompson, Rodolfo L Vigo
PURPOSE: To describe a novel surgical technique aimed to approach those orbital lesions located superior and posterior to the equator of the globe. METHODS: We describe a novel surgical technique that was performed in four patients to approach intraorbital tumors superiorly and posteriorly located. This technique was completed through an upper eyelid skin crease followed by grinding the superior orbital rim to achieve complete removal of the lesions. RESULTS: Complete removal of the lesion was accomplished in every case...
March 15, 2024: Orbit
Lucy I Mudie, Michael T Yen
No abstract text is available yet for this article.
March 11, 2024: Orbit
Tatiana R Rosenblatt, Carolina A Chiou, Michael K Yoon, Nahyoung Grace Lee, Natalie Wolkow, Suzanne K Freitag
PURPOSE: Despite the high prevalence, treatment challenges, and significant impact of eyelid retraction on vision and quality of life among patients with thyroid eye disease, the effects of teprotumumab on eyelid retraction are not fully understood. This study evaluated change in upper eyelid position after teprotumumab. METHODS: A retrospective study of all patients who completed eight teprotumumab infusions at one institution from January 1 2020 to December 31 2022...
March 11, 2024: Orbit
Álvaro Bengoa-González, María-Dolores Lago-Llinás, Enrique Mencía-Gutiérrez, Elena Salvador
PURPOSE: The superior orbital fissure contains cranial nerves III, IV, VI, and V1 with their three branches: frontal, lacrimal, and nasociliary. Superior orbital fissure syndrome (SOFS) is rare and can occur as a result of compression of these nerves due to trauma, bleeding, or inflammation in the retrobulbar space, but no cases of SOFS after deep lateral orbital wall decompression (DLOWD) have been reported. The aim of this paper is to describe this pathology, its possible causes, management, and outcome...
March 11, 2024: Orbit
Georgi Balchev, Snezhana Murgova
PURPOSE: Surgical reconstruction of medially located lower eyelid defects can be challenging. The Hughes procedure, considered the standard for reconstruction in such cases, often falls short in terms of cosmetic outcomes. An alternative approach that combines medial transposition with a tarsal graft and periosteal strip has shown promise. Here, we aim to demonstrate the cosmetic advantages of medial transposition of a preserved temporal lower eyelid over other techniques. METHOD: We conducted a retrospective study involving seven well-documented patients who underwent the procedure described below...
March 11, 2024: Orbit
Frank Mei, Snehaa Maripudi, Robert N Hogan, Jennifer Cao, Ronald Mancini
Sarcoid-like reaction (SLR) has been reported in patients with solid tumor malignancies, lymphomas, and patients receiving immunotherapy. SLR is often incidentally found during positron emission tomography/computed tomography scans as hilar and/or mediastinal lymphadenopathy. SLR has also been found in the lung, spleen, bone marrow, and skin. Biopsy of these lesions shows noncaseating granulomas. When systemic criteria are not met for sarcoidosis, these noncaseating granulomas are termed SLR. We present the first case in the literature of a case of orbital SLR in a patient with concomitant diffuse large B-cell lymphoma and inverted papilloma of the maxillary sinus...
March 5, 2024: Orbit
Angela J Oh, Connie M Sears, Akhila A Vadivelan, Brigitte N Gomperts, Noah Federman, Jonathan Said, Kelsey A Roelofs
An 8-year-old female presented to the oculoplastics clinic with 3 months of left upper eyelid fullness and edema. Examination showed a mass in the left anterior superior orbit with erythema. Imaging demonstrated a well-circumscribed superolateral orbital mass that was T1 hypointense and T2 hypo-to-iso intense with contrast enhancement. An incisional biopsy was performed via an upper lid crease incision. Histopathology showed aggregates of histiocytic cells with fibrosis and infiltration of eosinophils...
February 19, 2024: Orbit
Soham S Pal, Md Shahid Alam
Eccrine spiradenoma is a rare sweat gland tumor and usually presents as a solitary, painful nodule. A solitary spiradenoma involving the eyelid is quite rare. A 39-year-old Indian female presented with a gradually increasing, painless, nodular upper eyelid mass for the past 4 years. On examination, a non-tender approximately 4 × 3 mm cystic mass was noted, which was not adherent to underlying structures. The mass was excised in toto, and the histopathological examination was suggestive of eccrine spiradenoma with a low Ki-67 index...
February 19, 2024: Orbit
Panida Potita, Vannakorn Pruksakorn, Panudda Srichomkwun, Kanaungnit Kingpetch, Preamjit Saonanon
PURPOSE: This study was designed to evaluate the effect of selenium supplementation in inactive moderate-severe Graves' orbitopathy (GO) patients. METHODS: This study was a single-center, placebo-controlled, double-masked, randomized trial. Inactive moderate-severe GO participants were randomized to receive six months of 200 micrograms/day of selenium supplementation or placebo. Thorough eye exams, clinical activity score (CAS), Graves' Ophthalmopathy quality of life questionnaire (GO-QOL), and serum selenium level were evaluated at baseline and 6 months after the interventions...
February 19, 2024: Orbit
Fabliha A Mukit, Cynthia M Noguera, Natalie Sullivan, Barbara D Smith, James C Fleming, Brian T Fowler
The incidence of penetrating orbital injuries from writing instruments continues to rise in the pediatric population. Such injuries can cause significant visual morbidity and have a lifelong psychosocial impact. While the description of graphite pencil-related orbital trauma management is well demonstrated with over 40 reported cases, a lack of consistent management protocol for colored pencil-related injuries. Here, we report an inadvertent penetrating orbital colored pencil injury with progressive mechanical ptosis and pre-septal cellulitis necessitating urgent orbitotomy, debridement, and washout to reduce inflammatory and infectious burden...
February 7, 2024: Orbit
Ourania Fydanaki, Haytham Rezq, Anastasios E Sepetis, Varajini Joganathan
An 82-year-old male presented with generalised Pityriasis rubra pilaris (PRP) managed initially by dermatology team. The patient did not respond to first- and second-line treatment, including oral acitretin, steroid creams, and methotrexate, and developed bilateral cicatricial ectropion, for which he was referred to oculoplastic team for surgical management. A head injury resulting in subacute subdural haematoma, managed with a week course of low dose oral dexamethasone, resulted in the improvement of his skin condition and complete resolution of the cicatricial ectropion within a few weeks...
February 6, 2024: Orbit
Abdelrahman M Elhusseiny, Jamal O Azhari, Tom Kornhauser, David A Kilgore, David K Wilson, Kevin J Bielamowicz, Kandi A Stallings-Archer, John D Pemberton
Langerhans cell histiocytosis (LCH) is a condition characterized by clonal proliferation of the phagocytic cells derived from the bone marrow. In this article, we present an exceedingly rare case of congenital/neonatal LCH in a 3-week-old girl who initially presented with an isolated swelling of the eyelid, initially misdiagnosed as a chalazion. Subsequently, a biopsy was performed, and histopathological evaluation confirmed the diagnosis of LCH. A staging work-up revealed no evidence of multisystem involvement, and thus, local steroid injection was performed as the initial treatment for the residual lesion...
January 30, 2024: Orbit
Charlotte L Marous, Edward J Wladis
No abstract text is available yet for this article.
January 24, 2024: Orbit
Kasturi Bhattacharjee, Obaidur Rehman, Vatsalya Venkatraman, Dipankar Das, Shyam Sundar Das Mohapatra, Rahul Gogoi, Deepak Soni
PURPOSE: Description of clinical features, radiological characteristics, and management strategies in primary orbital intraosseous venous malformation (OIVM) with pertinent literature review. METHODS: A retrospective analysis including clinical, radiologic, operative, and histopathological data of six cases of histopathologically proven OIVM was done. A comprehensive literature review was conducted using online databases and augmented with manual search to identify reported cases of OIVM...
January 23, 2024: Orbit
Md Shahid Alam, Ruchi Pherwani, Subramanian Krishnakumar
No abstract text is available yet for this article.
January 18, 2024: Orbit
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