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lacrimal surgery

A Lecler, L Duron, D Balvay, J Savatovsky, O Bergès, M Zmuda, E Farah, O Galatoire, A Bouchouicha, L S Fournier
To evaluate the relative contribution of different Magnetic Resonance Imaging (MRI) sequences for the extraction of radiomics features in a cohort of patients with lacrimal gland tumors. This prospective study was approved by the Institutional Review Board and signed informed consent was obtained from all participants. From December 2015 to April 2017, 37 patients with lacrimal gland lesions underwent MRI before surgery, including axial T1-WI, axial Diffusion-WI, coronal DIXON-T2-WI and coronal post-contrast DIXON-T1-WI...
February 14, 2019: Scientific Reports
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
Sameh S Mandour, Khaled E Said-Ahmed, Hany A Khairy, Moataz F Elsawy, Marwa A Zaky
Purpose: Evaluation of using pigtail probe to detect and open severely stenosed lower lacrimal punctum followed by self-retaining bicanalicular intubation. Study design: A prospective nonrandomized clinical study. Methods: The study included 24 patients with severe lower punctal stenosis (grade 0 according to Kashkouli scale) attending at Menoufia University Hospitals. The upper punctum and canaliculus were patent. All patients were complaining of epiphora and had a thorough ophthalmological examination including dye disappearance test and slit-lamp examination...
2019: Journal of Ophthalmology
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
Janusz Skrzypecki, Tomasz Huc, Karolina Ciepiaszuk, Marcin Ufnal
PURPOSE Trimethylamine oxide (TMAO) is an osmolyte used by saltwater animals to protect their cells from hyperosmotic environment. Here, we studied if TMAO may exert beneficial effect in dry eye disease which results from hyperosmotic tear film. MATERIALS AND METHODS Female, 12-week-old Sprague Dawley rats underwent either removal of extra- and infraorbital lacrimal glands (dry eye group) or sham surgery (sham group). A one-week topical treatment with either 0.9% NaCl (control) or 1% TMAO in 0.9% NaCl solution was started four weeks after the surgery...
January 31, 2019: Current Eye Research
Yohei Arihara, Kazuyuki Murase, Kohichi Takada, Naotaka Hayasaka, Shogo Miura, Koji Miyanishi, Masayoshi Kobune, Makoto Kurose, Yukinori Akiyama, Shintaro Sugita, Junji Kato
Background: Carcinoma ex pleomorphic adenoma (CXPA) is a rare histologic subtype of lacrimal gland and submandibular gland cancer. Currently, there is no standard treatment for metastatic CXPA, although some case reports have explored the role of targeted agents in chemotherapy. A few histopathologic analyses have shown that some of these tumors overexpress human epidermal growth factor receptor-2 (HER2), suggesting a potential role for HER2-based therapy. We report here two cases of metastatic CXPA that were treated with trastuzumab-based chemotherapy (IRB approved) with rapid and significant responses...
September 2018: Case Reports in Oncology
Brian Dent, Vincent A Wavreille, Laura E Selmic
OBJECTIVE: To describe a novel surgical technique for ventral orbital reconstruction after ventral orbitectomy by using a temporalis fascia transposition flap. STUDY DESIGN: Case report. METHODS: A 7-year-old, spayed female Boston terrier was treated for multilobular osteochondrosarcoma arising from the cranial aspect of the left zygomatic arch, causing asymmetry of the face and mild exophthalmos of the left eye. A ventral orbitectomy with a wide surgical excision (including the cranial aspect of the zygomatic bone, the medial aspect of the lacrimal bone, and the dorsal aspect of the maxilla) was performed with preservation of the left eye...
January 24, 2019: Veterinary Surgery: VS
Edsel B Ing, Justine Philteos, Galina Sholohov, David Ta Kim, Navdeep Nijhawan, Patrick W Mark, Jaclyn Gilbert
This study discusses local anesthetic agents, administration techniques, ancillary considerations, and safety precautions for oculoplastic surgery including eyelid, lacrimal, orbital, and temporal artery biopsy procedures. Methods for reducing patient apprehension and discomfort including systemic premedication, topical pre-anesthetic, visual, auditory and tactile distraction techniques, regional blocks, small gauge needles, warmed lidocaine, and buffered lidocaine are discussed.
2019: Clinical Ophthalmology
Xinmao Song, Shengzi Wang, Jie Wang, Weifang Wang, Shuyi Wang, Gang Yang, Ji Li, Yi Zhu, Fu Chen, Wenjia Zhu
BACKGROUND: To investigate the management and outcomes of patients with lacrimal sac squamous cell carcinoma (SCC). METHODS: This retrospective study examined 69 lacrimal sac SCC cases treated at our hospital between 1992 and 2017. The potential risk factors for prognosis, a new staging method, treatment outcomes, and complications were investigated. RESULTS: The 5-year overall survival (OS) and progression-free survival (PFS) were 87.6 ± 4...
January 10, 2019: Head & Neck
Jung Joo Lee, Gwanghui Ryu, Hyo Yeol Kim, Hun-Jong Dhong, Seung-Kyu Chung, Sang Duk Hong
BACKGROUND: Endoscopic endonasal approach to infratemporal fossa (ITF) had gained popularity. However, the inferior turbinate and/or lacrimal duct are often removed when performing endoscopic medial maxillectomy for ITF approach and there were potential risk of empty nose syndrome or epiphora. Although endoscopic prelacrimal recess approach (EPRA) had been introduced to avoid these complications, there were some limitations associated with surgical freedom. The objective was to report the two-port endoscopic technique using both prelacrimal recess and antral window as a means to preserve inferior turbinate and lacrimal duct while facilitating instrument availability during ITF tumor resection...
January 3, 2019: World Neurosurgery
Natasa Mihailovic, Sandra Elges, Barbara Glitz, Ralph-Laurent Merté, Maged Alnawaiseh, Boris Buerke, Thomas Allkemper, Nicole Eter, Ulrike H Grenzebach
Adenoid cystic carcinoma of the lacrimal gland (ACC) is a rare malignant orbital tumour with a poor overall prognosis. Current therapeutic approaches like radical and local surgery, adjuvant radiation and neoadjuvant intra-arterial chemotherapy are controversial. We present three cases of patients with ACC with different therapy concepts and discuss these with current recommendations from the literature.
December 19, 2018: Klinische Monatsblätter Für Augenheilkunde
X Y Zhu, Y Y Liu, X J Sun, P Yu, S Liu, M Y Fu, X Liu, L M Ren, Z G Li
OBJECTIVE: To comprehend clinical features and patient's physician visit patterns at onset of immunoglobulin G4 related disease (IgG4RD). METHODS: In the study, 100 patients with IgG4RD who received treatments in the Department of Rheumatology and Immunology of Peking University People's Hospital from Apr. 1st, 2017 to Apr. 1st, 2018 were investigated, including gender, age, height, body weight, age of onset, physician visit history, primary history and how did the disease affected their life, etc...
December 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Hye Young Shin, Ji Sun Paik, Suk Woo Yang
PURPOSE: Various absorbable anti-adhesion agents have been used to prevent postoperative synechia formation after endonasal surgery. The purpose of this study was to evaluate the anti-adhesion effects of HyFence and Mediclore after endonasal dacryocystorhinostomy (DCR) compared to a mixed solution of hyaluronic acid and sodium carboxymethylcellulose (Guardix-Sol). METHODS: In this retrospective study, endonasal DCR and silicone tube intubation were performed on 198 eyes of 151 patients...
December 2018: Korean Journal of Ophthalmology: KJO
Min Ho Kim, Ho Ra
RATIONALE: For the treatment of primary canaliculitis, 1,2,3-snip punctoplasty and canalicular curettage are commonly used; however, a recurrence rate of 6.6% to 22% has been reported. Herein, we describe a case of recurrent primary canaliculitis that was completely cured by 4-snip punctoplasty and canalicular curettage. PATIENT CONCERNS: A 53-year-old woman was admitted to our hospital with chief complaints of epiphora, discharge, eyelid flare up, and swelling near the inferior lacrimal punctum in the left eye, which initially presented 6 months earlier...
December 2018: Medicine (Baltimore)
Jinhwan Park, Joohyun Kim, Sehyun Baek
PURPOSE: To evaluate the clinical features and treatment outcomes of patients complaining of tearing after receiving chemotherapy. METHODS: The clinical records of patients who complained of tearing between August 2014 and February 2016, and underwent or were undergoing chemotherapy were retrospectively reviewed. Clinical measurements were as follows: LipiView® interferometer (lipid layer thickness and meibography), lacrimal drainage examinations (syringing), and outcomes at 6 months after treatment...
December 10, 2018: Eye
Marian Grace Ana-Magadia, Yasuhiro Takahashi, Ma Regina Paula Valencia, Eri Ishikawa, Kunihiro Nishimura, Hirohiko Kakizaki
A study on immunoglobulin G4-related ophthalmic disease (IgG4-ROD) with destructive changes in periorbital soft tissues was presented. The patient was an 89-year-old-man who developed a left-sided orbital lesion involving the globe, lacrimal gland, and extraocular muscles. A diagnosis of definite IgG4-ROD was made based on clinical and histopathologic findings. The patient was started on oral prednisolone, which afforded good response initially. However, when tapering was initiated, full-thickness destruction developed on the lateral half of the lower eyelid margin...
January 2019: Journal of Craniofacial Surgery
E L At'kova, O V Zhukov, N N Krakhovetskiy, V D Yartsev, L V Reznikova
The article reviews the literature devoted to modern intraoperative methods of preventing cicatricial process at the site of dacryostoma after endonasal endoscopic dacryocystorhinostomy. Despite the constant improvement of the surgery technique, complications in the postoperative period still occur. They include the formation of granulation tissue at the sites of dacryostoma, synechiae in the nasal cavity, or narrowing of the dacryostoma, which ultimately leads to a relapse of the disease. The main prevention methods are construction of flaps from the medial wall of the lacrimal sac, from mucosa of the nasal cavity, and intubation of the dacryostoma with the lacrimal implant...
2018: Vestnik Oftalmologii
Ikuko Toda
Post-LASIK dry eye is the most common postoperative dry eye after ophthalmic surgeries. The clinical signs of post-LASIK dry eye include positive vital staining of the ocular surface, decreased tear breakup time and Schirmer test values, reduced corneal sensitivity, and decreased functional visual acuity. The symptoms and signs usually last for about 1 month after LASIK. A small number of patients continue to experience symptoms more than 1 year postoperatively. It has been suggested that the loss of corneal innervation caused by flap-making is the major cause, affecting the corneal-lacrimal gland, corneal-blinking, and blinking-meibomian gland reflexes, resulting in decreased aqueous and lipid tear secretion and mucin expression...
November 1, 2018: Investigative Ophthalmology & Visual Science
S Mertsch, J Alder, H S Dua, G Geerling
Neurotrophic keratopathy (NK) is a degenerative corneal disease that is based on an impairment of the corneal innervation. The damage to the sensory innervation, which is delivered through the 1st branch of the trigeminal nerve (ophthalmic nerve), can occur throughout the entire length of the nerve from the nucleus in the brainstem, e.g. caused by brain tumors, to the terminal nerve fibers in the cornea, caused for example by refractive corneal surgery (e. g. LASIK). Due to the loss of the sensory innervation, a reduced lacrimation and a reduction in the secretion of trophic factors occur...
November 26, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
Ilse Mombaerts, Elodie Witters
BACKGROUND/AIMS: Although a Jones tube is considered the mainstay for epiphora in patients with total blockage of the canalicular system, it has been discouraged in children for reasons of inadequate self-care and maintenance. The purpose of this study is to compare the long-term outcome of Jones tube surgery in paediatric versus adult patients. METHODS: Retrospective, interventional case series of a single academic institution. The medical records of all children (≤16 years old) and adults (>16 years old) who underwent conjunctivorhinostomy with placement of a 130° angled extended Jones tube were reviewed...
November 5, 2018: British Journal of Ophthalmology
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