PubMed Journal Database | Ophthalmic plastic and reconstructive surgery 
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Showing PubMed Articles 1–25 of 68 from Ophthalmic plastic and reconstructive surgery
An 8-year-old boy developed vision loss to no light perception on the left side over a 2-day period. He initially presented with unilateral eyelid swelling, which progressed to bilateral edema and an eventual left-sided orbital apex syndrome. Orbital imaging revealed enlarged extraocular muscles, and biopsy confirmed idiopathic orbital inflammation. Despite subsequent orbital decompression, high-dose steroids, and additional steroid-sparing therapy, he did not regain vision after 9 months of follow up.
Bilateral Orbital Subperiosteal Hemorrhage Following Labor.
A 27-year-old woman presented with 13 days of bilateral periorbital swelling, discomfort, and visual loss, which developed immediately after labor. She had significant blood loss requiring blood transfusion. There was bilateral proptosis, left optic neuropathy, and a superior visual hemifield defect in the left eye. MRI of the orbits showed bilateral superior subperiosteal hematomas. She underwent bilateral orbitotomy and drainage of subperiosteal hematomas. Six months later, complete resolution of proptosi...
Reply re: "Lacrimal Canalicular Transplantation With Composite Eyelid Graft"
A Survey Study of Occupational Pain and Injury in Ophthalmic Plastic Surgeons.
PURPOSE:: To determine factors associated with pain/injury related to practicing ophthalmic plastic and reconstructive surgery. METHODS:: A 29-question electronic survey was sent to the American Society of Ophthalmic Plastic and Reconstructive Surgery's listserv. The Chi-Squared Automatic Interaction Detector technique was used to generate a decision tree using SPSS software. The levels of dendograms were limited to 8. Significance was pre-established at α = 0.05. RESULTS:: One hundred thirty surveys were...
Histoplasmosis Presenting as a Cutaneous Malignancy of the Eyelid.
Cutaneous histoplasmosis is an uncommon infection and can occur as a primary infection. A manifestation imitating a cutaneous neoplasm is rare, and eyelid involvement is rarer still. The authors report a case of histoplasmosis that presented as an ulcerated lesion on the lower eyelid margin that clinically resembled a basal cell carcinoma. Given its worldwide distribution, it is important to include this disease in the differential diagnosis of nonhealing eyelid lesions. Biopsy and tissue culture are paramo...
Adult-Onset Asthma and Severe Periocular Xanthogranuloma: A Case Report.
A 55-year-old obese Mexican American male with a 3-year history of adult-onset asthma presented with a 10-year history of disfiguring eyelid edema. A biopsy revealed lymphoid aggregates consisting of reactive lymphoid follicles and Touton giant cells. He was diagnosed with adult-onset asthma associated with periocular xanthogranuloma and treated with systemic steroids. This case highlights an uncommon disease in its most severe presentation.
Ptosis Assessment Spectacles: A New Method of Measuring Lid Position and Movement in Children.
PURPOSE:: Accurate assessment of eyelid position and movement is vital in planning the surgical correction of ptosis. Conventional measurements taken using a millimeter ruler are considered the gold standard, although in young children this can be a difficult procedure. The authors have designed ptosis assessment spectacles with a measuring millimeter scale marked on the center of the lens to facilitate accurate assessment of eyelid position and function in children. The purpose of the study was to assess t...
Primary Orbital Manifestation of Hodgkin Lymphoma in a 3-Year-Old Child.
Hodgkin lymphoma is exceedingly rare in children, as is primary orbital manifestation of systemic Hodgkin lymphoma in any age category. The authors describe the clinicopathologic manifestations of a rare case of systemic Hodgkin lymphoma with primary orbital manifestation in a 3-year-old boy with histologically proven Hodgkin lymphoma with mixed cellularity. After an incisional biopsy and tumor debulking, followed by systemic workup, the diagnosis of stage IVA Hodgkin lymphoma was made. He underwent treatme...
A Case of Delayed Oculocardiac Reflex Induced by an Intraorbital Foreign Body.
A 56-year-old male presented with a history of left periorbital pain, nausea, vomiting, dyspnea, sweating, and pallor. His left eye was injured by a bomb explosion approximately 40 years ago. Evisceration was performed. There were no cardiopulmonary and gastroenterological findings except mild bradycardia (54/min). CT evaluation revealed a 4-cm-sized, sharp, metallic, intraorbital foreign body in the left orbit. After the removal of the foreign body, the symptoms completely resolved with a normal heart rate...
Anticyclic-Citrullinated Protein Antibodies in the Diagnosis of Ophthalmic Inflammatory Disease.
While rheumatoid factor (RF) testing has been previously used in the detection of rheumatoid arthritis (RA), its effectiveness has been limited by poor rates of sensitivity and specificity and its positivity in multiple other disease states. Given its enhanced specificity, quantification of anticyclic-citrullinated protein (anti-CCP) antibodies has emerged as a standard in molecular testing for RA. Despite the importance of this test in clinical rheumatology, we are unaware of any reports of its use in the...
PURPOSE:: To compare the exposure rate of wrapped hydroxyapatite versus unwrapped porous polyethylene orbital implants in enucleated patients. METHODS:: Medical records of the patients who underwent primary placement of hydroxyapatite (Bio-Eye) or porous polyethylene (Medpor) orbital implants after enucleation between 2002 and 2005 in Farabi Eye Hospital were reviewed, and the occurrence of implant exposure during follow-up visits was recorded. The exclusion criteria were secondary implantation, evisceratio...
Herpes Simplex Vegetans Presenting as an Eyelid Mass.
A 16-year-old girl with congenital T-cell immunodeficiency presented with a 2-month history of an enlarging lower eyelid mass. After complete excision of the mass, the lesion was noted to recur. Histologic and immunohistochemical analysis of the excised mass revealed infection with herpes simplex virus types 1 and 2 with exuberant inflammatory reaction and granulation tissue consistent with the diagnosis of herpes simplex vegetans. Treatment with valacyclovir resulted in complete resolution of the remaining...
Periorbital Masson's Tumor: A Case Series.
Intravascular papillary endothelial hyperplasia (IPEH) or Masson's tumor is an unusual variety of benign vascular tumor. Involvement of periorbital area is uncommon. We report 2 cases of periorbital IPEH and review relevant literature.
PURPOSE:: To perform an early melanoma diagnosis and to repair the full-thickness lower eyelid defect with an island upper eyelid myocutaneous flap tailored into a new shape. METHODS:: Two patients with pigmented lesion involving skin and tarsus of the lower eyelid were reported. Histologic examination, performed after diagnostic punch biopsy, confirmed the diagnosis of in situ melanomas in both cases. A full-thickness excision was done and a single pedicle island myocutaneous flap from the upper eyelid was...
Reply re: "The Levator Aponeurosis Exposed"
Using the Inferior Oblique Muscle to Augment Implant Coverage in Enucleation Surgery.
While the basic procedure for enucleation has remained relatively unchanged, modifications have been suggested over the years, such as modifying implant material or shape, to improve various aspects of the procedure including motility, socket volume, or implant position. The authors present a technique modification that may decrease implant exposure or extrusion by using native tissue to reinforce the implant at the most susceptible area, specifically the anterior-most aspect. This retrospective series demo...
Three Carcinomas in One Eyelid.
A 90-year-old woman presented with 2 masses on the right lower eyelid. Excisional biopsy revealed 1 lesion to be Merkel cell carcinoma and the other to be invasive squamous cell carcinoma. The patient also had a prior history of basal cell carcinoma in the same eyelid. This case emphasizes the importance of careful pathologic examination of all eyelid lesions regardless of previous history.
Ptosis and Ophthalmoplegia Associated With Epidermolysis Bullosa Simplex-Muscular Dystrophy.
The association of epidermolysis bullosa simplex and muscular dystrophy (EBS-MD) has rarely been discussed in ophthalmology literature. This case report offers a brief summary of epidermolysis bullosa and describes what is known about EBS-MD. The case involves a patient with EBS-MD who presented with ptosis and ophthalmoplegia, suggesting that these may be complications of EBS-MD.
Orbital Schwannoma With Fluid-Fluid Levels on MRI.
A 40-year-old man presented with a progressively growing left orbital mass producing proptosis. Orbital MRI revealed a large bilobed mass that was isointense with respect to the extraocular muscles on T1-weighted images and demonstrated heterogenous contrast enhancement. T2-weighted images revealed a markedly heterogenous internal appearance with fluid-fluid levels. The mass was completely excised in one piece. Histopathologically, the encapsulated tumor consisted mostly of spindle-shaped tumor cells with e...
Upper Eyelid Margin Mass Excision Technique: Supraciliary Approach.
PURPOSE:: To evaluate the effectiveness of a supraciliary approach for upper eyelid margin excisional biopsies. METHODS:: A retrospective, comparative case series. A 2-year review of medical records of patients who underwent the procedure was performed. Data collected included the dates and type of procedure(s), review of operative and pathology reports, dates of follow up, findings of clinical examination, review of photographs, and postoperative complications. The main outcome measure was to assess both t...
Reply re: "The Use of Hydrogel Orbital Implants in Anophthalmia and Microphthalmia"
Re: "Levator Excursion and Its Relationship to Lid Lag in Thyroid Eye Disease"
Outcomes in Silicone Rod Frontalis Suspension Surgery for High-Risk Noncongenital Blepharoptosis.
