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Journals Ophthalmic Plastic and Reconst...

Ophthalmic Plastic and Reconstructive Surgery

https://read.qxmd.com/read/38771920/triglyceride-glucose-index-a-potential-indicator-in-the-evaluation-of-graves-ophthalmopathy
#1
JOURNAL ARTICLE
Ali Osman Gundogan, Selman Belviranli, Ali Tezcan, Nazmi Zengin
PURPOSE: To determine the relationship between Graves ophthalmopathy (GO) and triglyceride glucose index (TGI) and to evaluate the predictive importance of this index in terms of GO activity. METHODS: This retrospective study included 20 inactive GO patients, 20 active GO patients, and 20 healthy controls. TGI was calculated using fasting plasma triglyceride and fasting plasma glucose levels and values were compared between the groups. The receiver operating characteristics curve was used to calculate the optimal TGI cutoff value and the sensitivity and specificity of this value between active and inactive GO groups...
May 17, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38771914/teprotumumab-related-hearing-loss-a-large-scale-analysis-and-review-of-voluntarily-reported-patient-complaints-to-the-food-and-drug-administration-fda
#2
JOURNAL ARTICLE
Gerald McGwin, Cynthia Owsley, Matthew G Vicinanzo
PURPOSE: Accumulating case reports and series have suggested that teprotumumab may significantly increase the risk of hearing impairment that, in some cases, does not resolve. This study investigates the association between hearing impairment and teprotumumab use. METHODS: A disproportionality analysis was conducted using the United States Food and Drug Administration Adverse Event Reporting System, a publicly accessible database used for postmarketing surveillance and research...
May 17, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38771897/isolated-superior-ophthalmic-vein-thrombosis
#3
JOURNAL ARTICLE
Richard Yi, Ryan Gabbard, James Pratt, Kenneth Chang, Rakesh M Patel, Mark Robinson
The purpose of this article is to report a rare case of isolated superior ophthalmic vein thrombosis. A 74-year-old female presented to the emergency department with a sudden onset of eye pain and bulging. Ophthalmological examination was remarkable for proptosis and ptosis with chemosis of the OS. Neuroimaging demonstrated an isolated superior ophthalmic vein thrombosis secondary to presumed thrombosis of the superior vein varix. Hypercoagulable, infectious, and autoimmune lab workups were unremarkable. The patient was initiated on anticoagulation with the eventual resolution of her symptoms...
May 17, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38771896/influence-of-the-phenylephrine-test-in-outcomes-of-external-levator-advancement-for-involutional-ptosis
#4
JOURNAL ARTICLE
Livia Chaneac, Baptiste Bertrand, Amaury Schmid, Laurent Guyot, Thierry David, Florian Dalmas
PURPOSE: This study aims to evaluate the influence of preoperative phenylephrine testing on the surgical outcome of patients undergoing surgery for involutional ptosis by external levator advancement. METHODS: This was an observational, monocentric, retrospective study. Fifty-one eyelids from 32 patients, who had surgery between January 2018 and May 2023, were included for analysis. Preoperative clinical examination data were collected. Evaluation was performed at 1 month postoperatively...
May 17, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38771895/an-unusual-case-of-an-intradiploic-arachnoid-cyst-of-the-orbit
#5
JOURNAL ARTICLE
Santiago Ortiz-Perez, Francisco Zamorano-Martín, Ewa Maciag, Joaquim Enseñat
This study reported a case of an arachnoid cyst of the sphenoid bone causing orbital signs and symptoms in a 58-year-old man with progressive proptosis and nonspecific discomfort in the OS. Orbital MRI showed a 3-cm homogeneous cyst within the left greater wing of the sphenoid bone. To the best of our knowledge, this is the first report of an intradiploic arachnoid cyst in the sphenoid bone with atypical radiological features, causing clinical symptoms, and managed through an eyelid approach, achieving a complete resolution with no complications...
May 17, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722787/the-profuse-bleeding-potential-of-orbital-epithelioid-hemangioendotheliomas
#6
JOURNAL ARTICLE
Ziad Jassar, Randa Al Barazi, Roula Hourany, Ramzi Alameddine
Epithelioid hemangioendothelioma is a rare vascular tumor originating from vascular endothelial or pre-endothelial cells. We present the case of a 4-month-old male with a rapidly enlarging left zygomatico-orbital tumor causing mass effect on the eye globe. Examination revealed a large, nontender, solid lesion. CT angiography showed no major feeder or intralesional vessels. Complete surgical excision was performed, which was complicated by life-threatening intraoperative bleeding and successfully controlled with electrocautery...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722786/herpes-simplex-virus-dacryoadenitis-preceding-skin-vesicles
#7
JOURNAL ARTICLE
Yasaman Ataei, Nina S Boal, Neda Esmaili
Herpes simplex virus involvement of the orbit is rare. We report the case of an immunocompetent patient who presented with preseptal edema, erythema, decreased vision, and dacryoadenitis prior to the appearance of vesicular skin lesions and in the absence of corneal dendrites. The patient's clinical picture failed to improve on empiric therapy with intravenous antibiotics. The patient subsequently developed skin vesicles and a nucleic acid amplification swab of the ocular surface was positive for herpes simplex virus-1...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722781/lacrimal-obstruction-in-craniosynostosis-anatomical-and-genetic-risk-factors
#8
JOURNAL ARTICLE
Daphna Landau-Prat, Jesse A Taylor, Christopher L Kalmar, Yinxi Yu, Gui-Shuang Ying, Scott Bartlett, Jordan Swanson, Karen Revere, Gil Binenbaum, William R Katowitz, James A Katowitz
PURPOSE: To investigate whether patients with craniosynostosis exhibit higher rates of nasolacrimal duct obstruction (NLDO) and to explore potential risk factors. METHODS: Retrospective review including all craniosynostosis patients treated at both the Divisions of Ophthalmology and Plastic, Reconstructive, and Oral Surgery at The Children's Hospital of Philadelphia between 2009 and 2020 was conducted. Synostosis characteristics, lacrimal disorders, and genetic data were collected...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722780/the-effectiveness-of-facial-exercise-therapy-in-ophthalmic-complications-of-facial-nerve-palsy-and-the-cads-grading-scale-as-an-ophthalmic-specific-grading-system
#9
JOURNAL ARTICLE
Christina S Lim, Sonali Nagendran, Catriona Neville, Charles Nduka, Ruben Kannan, Raman Malhotra
PURPOSE: The effectiveness of facial exercise therapy in facial nerve palsy is well documented in the literature. However, there is no study examining its effect on ophthalmic manifestations of facial nerve palsy. The study reports its impact on the ophthalmic manifestations of facial nerve palsy using the ophthalmic-specific CADS grading system. METHODS: A retrospective case series of patients aged 18 years or older with facial nerve palsy was performed in a single specialist center between 2013 and 2019...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722779/meibography-guided-electroepilation-for-congenital-distichiasis-a-novel-surgical-technique
#10
JOURNAL ARTICLE
Prerna Sinha, Vidhi Anklesaria, Swati Singh
PURPOSE: Congenital distichiasis is managed either by ablation, using laser, cryotherapy, or electroepilation, or by surgical excision with mucous membrane grafting. Ablative procedures are usually blind as the exact depth of distichiatic eyelashes is unknown. The described surgical technique utilizes meibography for imaging the root and depth of distichiatic eyelashes that aided in performing electroepilation. METHODS: Six patients (n = 24 eyelids; mean age 15...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722778/an-analysis-of-surgical-factors-associated-with-clinically-significant-eyelid-edema-csee-in-patients-undergoing-blepharoplasty-lid-crease-techniques-associated-with-csee
#11
JOURNAL ARTICLE
Kristen E Park, Sarah Guo, Preeya Mehta, Joy Li, Alice Shen, Christine L Bokman, Jessica R Chang, Sandy Zhang-Nunes
PURPOSE: Severe postoperative edema after eyelid surgery can have negative clinical and psychological effects. In this study, we investigated whether surgical factors, including surgical techniques and suture type, were associated with clinically significant eyelid edema (CSEE). METHODS: A chart review was performed on 269 patients who underwent upper eyelid blepharoplasty with or without external levator advancement by 2 surgeons at a single institution between January 2021 and December 2022...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722776/long-term-results-of-punctoplasty-with-canalicular-triangular-flap-in-punctal-stenosis
#12
JOURNAL ARTICLE
Arzu Taskiran Comez, Asli Kirmaci Kabakci, Elif Hazal Livan Turkoglu
PURPOSE: The aim was to describe the punctoplasty technique with canalicular triangular flap, and present the long-term results of the technique in patients with inferior punctal stenosis. METHODS: The files of the patients who were diagnosed with punctal stenosis grade 0, 1, and 2 and underwent a canalicular triangular flap were evaluated retrospectively. The study was approved by the local ethical committee of the University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722775/primary-gouty-tophi-involving-the-eyelid
#13
JOURNAL ARTICLE
Anne M Meyer, Hongyan Dai, Jason A Sokol
A 51-year-old male with no known history of gout was referred by his optometrist for bilateral lower eyelid cysts near the puncta. The lesions were not painful but were cosmetically concerning and excision was desired. Utilizing local anesthesia, the lesions were excised and sent to pathology for review. Pathology noted lesions to be "gouty tophus." Given that our patient had no history of gout, this is the first case report of gouty tophus on the eyelid being the initial manifestation of gout.
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722772/effects-of-teprotumumab-on-eyelid-retraction-in-thyroid-eye-disease
#14
JOURNAL ARTICLE
Eman M Al-Sharif, Jason Zhou, Marissa K Shoji, Kaela Acuff, Catherine Y Liu, Bobby S Korn, Don O Kikkawa
PURPOSE: This study evaluates the efficacy of teprotumumab in reducing eyelid retraction in thyroid eye disease (TED) patients. METHODS: This retrospective study included patients with active or chronic moderate-to-severe TED who completed at least 4 cycles of teprotumumab. Patients with upper and/or lower eyelid retraction, defined as margin-to-reflex distance (MRD) 1 and/or MRD2 of more than 5 mm, in one or OU were included. The main outcome measure was a change in MRD1 and MRD2 after treatment...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722767/a-case-of-lepromatous-leprosy-lucio-s-phenomenon-presenting-as-periorbital-edema
#15
JOURNAL ARTICLE
David L Swain, Michael B Green, Anna C Kupcha
Despite low prevalence of leprosy worldwide, new cases continue to present and require swift evaluation and diagnosis to prevent complications. Here, we describe a case of lepromatous leprosy with Lucio's phenomenon initially presenting with facial and periorbital edema. A 38-year-old Brazilian woman presented to the emergency department with facial swelling and erythema, initially treated as cellulitis. Due to rapid worsening despite broad-spectrum antibiotics, she underwent soft tissue exploration and biopsy due to concern for necrotizing fasciitis...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722765/inferior-ophthalmic-vein-dominant-dural-cavernous-fistula-embolization-via-combined-orbitotomy-and-direct-puncture-of-inferior-ophthalmic-vein-a-case-report-and-literature-review
#16
JOURNAL ARTICLE
Daniel B Azzam, Erin Lanzo, Shane M Burke, Omar Abu-Qamar, Laurel N Vuong, Adel M Malek, Victoria S North
Dural carotid-cavernous fistulas (DCF) typically drain into the superior ophthalmic vein. Predominant involvement of the inferior ophthalmic vein (IOV) is rare, with only 4 documented cases in the literature. Here, the authors describe a case of a 51-year-old man who presented with acute left-sided proptosis, dysmotility, and vision loss and was found to have an IOV-dominant type D dural carotid-cavernous fistulas. The fistula could not be embolized by transfemoral endovascular access or orbitotomy alone and was ultimately managed with combined orbitotomy and direct IOV puncture...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722762/photochemical-crosslinking-of-tarsal-collagen-as-a-treatment-for-eyelid-laxity-evaluation-in-ex-vivo-human-tissue
#17
JOURNAL ARTICLE
Alexandra I Manta, Nadja E Pop, Robert G Tripon, Florina Vultur, Shuko Suzuki, Bogdan A Cordos, Carmen C Radu, Timur Hogea, Cosmin Carasca, Karin U Horvath, George A Muntean, Vasile C Siserman, Ovidiu S Cotoi, Mark H B Radford, Traian V Chirila
PURPOSE: Experimental investigation in human eyelids to confirm that exposing excised tarsal plates to ultraviolet-A radiation can induce a stiffening effect through the riboflavin-photosensitized crosslinking of tarsal collagen. METHODS: Thirteen tarsal plates excised from nonfrozen human cadavers were irradiated with ultraviolet-A rays (365 nm wavelength) at an irradiance of 75 mW/cm2 for 3 minutes, equivalent to a radiation fluence of 13.5 J/cm2, in the presence of a riboflavin derivative as a photosensitizer...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722761/ameloblastic-carcinoma-with-orbital-invasion
#18
JOURNAL ARTICLE
Mark B Beecher, Jessica Y Tong, Amardeep Gilhotra, Dinesh Selva
Ameloblastic carcinomas are malignant tumors arising from the odontogenic epithelium and defined as having features of ameloblastic differentiation in addition to cytological features of malignancy. Orbital involvement is rare and generally involves invasion of the orbital floor, apex, or soft tissue. This report describes an advanced presentation of ameloblastic carcinoma with orbital invasion and provides a review of the literature. A 58-year-old male presented with a 2-year history of a mid-facial mass, causing intracranial invasion and distortion of most skull foramina, nasopharynx, nasal cavity, and both orbits...
May 9, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38722797/presentation-of-spontaneous-orbital-hemorrhage
#19
JOURNAL ARTICLE
Kaveh Vahdani, Aruna Dharmasena, Geoffrey E Rose
AIMS: To evaluate the presenting features of patients with nontraumatic orbital hemorrhage (NTOH) based on etiopathological factors. METHODS: A retrospective case-note review for demographics and presenting features of patients with nontraumatic orbital hemorrhage. Patients were categorized into 3 groups: group I with known systemic vascular disease, group II with known or newly revealed orbital vascular anomalies, and group III with no known underlying vasculopathy...
May 3, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38687345/merkel-cell-carcinoma-metastases-to-caruncle-with-orbital-extension-report-and-literature-review
#20
JOURNAL ARTICLE
Josefina Herrera, Krishna Tumuluri
Merkel cell carcinoma (MCC) is an uncommon and aggressive skin cancer of neuroendocrine origin. The tumor usually presents with a locoregional spread and most frequently metastasizes to the skin, liver, bone, lung, and brain. Despite the orbit being a relatively common site of metastases, it has rarely been reported in patients with MCC. The authors present a case of biopsy-proven orbital metastatic MCC in an 86-year-old male who presented with a rapidly enlarging right caruncle/subconjunctival mass with orbital extension and a history of forearm MCC excision 3 years prior...
April 29, 2024: Ophthalmic Plastic and Reconstructive Surgery
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