Rhinosporidiosis of the Lacrimal Sac
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Frontosphenoidal Intraosseous Dermoid Cyst Presenting With Cicatricial Ectropion With Discharging Sinus
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Choroidal Melanoma With Optic Nerve Infiltration Presenting as Orbital Pseudocellulitis
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Rapidly Progressive Conjunctival Squamous Cell Carcinoma With Orbital Invasion
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Woakes Syndrome: A Rare Cause of Proptosis due to Sinonasal Polyposis
The authors report 2 consecutive adult male patients, aged 61 and 38 years, who presented with painless unilateral proptosis. Their past medical histories were negative for asthma, allergies, and Graves disease. On examination, the nose bridge of the eldest patient was clearly enlarged. Computed tomography scans of the orbits and paranasal sinuses showed in both patients the same radiologic pattern of hyperdense ethmoidal opacifications and expansion of the inferomedial orbital floor. Histopathological analysis of the ethmoidal cells mucosa obtained during inferomedial decompression revealed benign sinonasal polyposis. The...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Angiofibroma of the Eyelid: A Rare Clinical and Histologic Variant
A flesh-colored, supraciliary lesion of the left upper eyelid in a 47-year-old man was excised for cosmetic reasons. Histopathology and immunohistochemistry demonstrated CD34-positive benign spindle cells, factor XIIIa-positive dendritic cells, and CD163-positive histiocytes, all dispersed within a diffuse collagenous background. Prominent loose perivascular cuffs of fibroblastic cells and collagen surrounded small blood vessels. Interpreted as an angiofibroma, the histopathology bore resemblance to that of a single previously-reported forearm lesion termed a “dermal fibroma with a distinctive perivascular cell arran...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Subconjunctival Dirofilariasis Presenting as Orbital Cellulitis
Human ocular Dirofilariasis is a relatively rare, zoonotic disease, caused by a filarial nematode, Dirofilaria repens. This parasitic infestation usually presents as a subconjunctival nodule with hyperemia. The authors present a case of subconjunctival dirofilariasis in a 91-year-old gentleman, who presented with manifestations of orbital cellulitis. The live worm was surgically removed and identified to be D. repens. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Inflammatory Reaction to Decellularized Porcine-Derived Xenograft for Lower Eyelid Retraction
A 54-year-old woman underwent uncomplicated bilateral lower eyelid surgery for eyelid retraction using porcine decellularized membrane graft (TarSys). Left lower eyelid pain began several months after surgery and persisted until the graft was removed 15 months after implantation. The opposite eyelid graft caused no symptoms. Histologically, the lesion consisted of acellular collagen surrounded by florid granulomatous inflammation. Although the inflammatory reaction suggested a cell-mediated immune response, this pathway of injury is difficult to reconcile given the asymptomatic opposite eyelid. The literature reflects limi...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Trichoadenoma of the Upper Eyelid Mimicking Comedo-Like Lesions
The purpose of this report is to detail the unique occurrence of comedo-like trichoadenoma of the upper eyelid. A 54-year-old man underwent surgical resection of the lesions of the left upper eyelid that were suspected to be dilated pores. The lesions were studied with histopathological examination. Histopathology showed lesions in the dermis and epidermis containing keratinous cysts surrounded by interstitial edema and infiltration of lymphocytes. The lesions were finally diagnosed as trichoadenoma. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Isolated Langerhans Cell Histiocytosis of the Lacrimal Gland in Conjunction With Mucosa-Associated Lymphoid Tissue Lymphoma and Elevated IgG4 Plasma Cells
Langerhans cell histiocytosis (LCH) is a clonal neoplastic proliferation of Langerhans-type cells. Orbital LCH is infrequent, typically manifesting as an isolated lytic bony lesion with an adjacent soft tissue mass in a child. Isolated lacrimal gland involvement by LCH is extremely rare, with only 2 previously reported cases. The authors describe a 37-year-old woman with a 6-month history of painless right upper eyelid swelling and diffuse right lacrimal gland enlargement without bony changes on computed tomography scan. Excisional biopsy of the lacrimal gland demonstrated concurrent LCH, extranodal marginal zone B-cell ly...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Lacrimal Sac Sebaceous Carcinoma
Sebaceous carcinoma is an aggressive malignancy with a high mortality rate that commonly arises in the periorbital area. Rarely, the lacrimal apparatus may be involved by either contiguous or noncontiguous spread. The authors describe 2 unusual cases of sebaceous carcinoma in the lacrimal sac, presenting as a medial canthal mass simulating chronic dacryocystitis. In Case 1, the sebaceous carcinoma occurred primarily in the lacrimal sac, in the absence of concurrent or previous ocular adnexal sebaceous neoplasia. Mapping biopsies found no evidence of intraepithelial disease. Case 2 developed a late noncontiguous disease rec...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Oculoplastics Abstracts
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Abstracts Source Type: research

Aesthetic Abstracts
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Abstracts Source Type: research

Reply Re: “A Systematic Review and Meta-analysis of Methods for Reducing Local Anesthetic Injection Pain Among Patients Undergoing Periocular Surgery”
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Re: “A Systematic Review and Meta-analysis of Methods for Reducing Local Anesthetic Injection Pain Among Patients Undergoing Periocular Surgery”
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Reply re: “A Prospective Comparative Study Between Subcuticular and Sutureless Technique of Skin Closure Following External Dacryocystorhinostomy”
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Re: “A Prospective Comparative Study Between Subcuticular and Sutureless Technique of Skin Closure Following External Dacryocystorhinostomy”
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Surgical Treatment of Infantile Hemangioma Involuted With Fatty Degeneration
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Paradoxical Prominence of Nasolabial Fold as a Sign of Aberrant Facial Nerve Regeneration: The Alam’s Sign
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Iatrogenic Morbidity of the Extraocular Muscle Biopsy
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Optic Strut Terminology
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Letters to the Editor Source Type: research

Single Suture Müeller Muscle Conjunctival Resection (ssMMCR): A Modified Technique for Ptosis Repair
Conclusions: Single suture MMCR is an efficient and effective method for ptosis repair. It results in comparable outcomes including elevation in margin-to-reflex distance 1, safety profile, and reoperation rates, when compared with traditional MMCR. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Surgical Techniques Source Type: research

CO2 Laser Lash Tilt Technique for the Treatment of Mild to Moderate Lash Ptosis and Augmentation of Upper Eyelid Blepharoplasty Results
Purpose: To assess the safety, efficacy, and patient satisfaction of a newly described technique for the treatment of mild to moderate lash ptosis performed as augmentation to upper eyelid blepharoplasty. Methods: Patient medical records for 27 consecutive cases of upper eyelid blepharoplasty between January 2016 and June 2017 and 19 consecutive cases of upper eyelid blepharoplasty with the laser lash tilt procedure between July 2016 and January 2017 performed by the senior author were retrospectively reviewed. Lash position in preoperative and postoperative photographs was graded in a randomized masked fashion on a 4...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Surgical Techniques Source Type: research

Multimodality Management of Complex Periorbital Venolymphatic Malformations
Conclusions: A comprehensive understanding of each patient’s unique lesion is critical to a rational treatment approach. Teamwork and creativity are key to effectively managing these lesions. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Change in Lower Eyelid Position After Ptosis Repair in Patients With Unilateral Myogenic Versus Aponeurotic Blepharoptosis
Conclusions: Lower scleral show was significantly improved after ptosis repair in both MP and AP. The more severe MP was significantly associated with more severe preoperative scleral show. Preoperative MRD2 was the only factor predicting postoperative improvement of scleral show in the MP. No factor was significantly associated with MRD2 in the AP group. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Revascularization of Free Skin Grafts Overlying Modified Hughes Tarsoconjunctival Flaps Monitored Using Laser-Based Techniques
Conclusions: Full-thickness skin grafts revascularize within 3 to 8 weeks, despite overlying a tarsoconjunctival flap, which has recently been reported to be avascular. This provides further evidence that it should be possible to repair large eyelid defects using free full-thickness eyelid grafts. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Surgical Timing for Congenital Ptosis Should Not Be Determined Solely by the Presence of Anisometropia
Conclusions: The authors data did not show movement toward normalization of refractive error following ptosis surgery. In fact, it showed a statistically significant worsening of astigmatism following surgery. Because refractive error does not improve following surgery, anisometropia should not be the sole indication for early surgery in congenital ptosis. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Methotrexate as an Adjuvant in Severe Thyroid Eye Disease: Does It Really Work as a Steroid-Sparing Agent?
Conclusions: The results demonstrated improved vision and disease activity at 3 months in the combination treatment group. This may suggest that the addition of methotrexate to methylprednisolone is beneficial for accelerating suppression of disease activity and hastens visual recovery. Addition of methotrexate to methylprednisolone did not reduce the requirement for steroids. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Histopathological Study on the Proposed Pathogenesis of Intratarsal Keratinous Cysts
Purpose: Intratarsal keratinous cysts (IKCs) are a recently described entity that is frequently misdiagnosed clinically as chalazia and mislabeled in the literature as “intratarsal epidermal inclusion cysts” or “epidermoid cysts.” It is important to accurately diagnose IKCs and distinguish them from chalazia because IKCs require a complete surgical excision and can exhibit multiple recurrences following curettage. The authors performed a retrospective case series to further elucidate the pathogenesis of IKCs and to determine the diagnostically optimal panel of stains for diagnosis. Methods: A s...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Opioid Prescribing Patterns Among American Society of Ophthalmic Plastic and Reconstructive Surgery Members in the Medicare Part D Database
Purpose: To assess opioid prescribing patterns among American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) members. Methods: An observational, retrospective, cohort study of ASOPRS members’ prescribing patterns in the 2013–2016 Medicare Part D Prescriber database. These prescribers were stratified by years in practice, sex, and geography. The ASOPRS member cohort was compared with all ophthalmologists, as a group, and other surgeons. Results: The authors identified 617 surgeons in the 2017 ASOPRS directory. Members wrote an average of 45 opioid prescriptions/year. Almost half (45%) ...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Preoperative Intravenous Ketorolac Safely Reduces Postoperative Pain in Levator Advancement Surgery
Conclusions: In the setting of levator advancement surgery, IVK results in a dramatic reduction in self-reported pain score immediately after surgery and on postoperative day 1 and the requirement for opioid analgesics. This medication may be safely utilized for ptosis repair. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

The Incidence of Lacrimal Drainage Disorders Across a Tertiary Eye Care Network: Customization of an Indigenously Developed Electronic Medical Record System—eyeSmart
Conclusions: This study depicts the incidence of various lacrimal drainage disorders in a very large cohort of patients. There is a need to modify the International Classification of Diseases (ICD) classification to incorporate all the diagnostic terminologies commonly used so as to capture the real global scenario. The present study helped to further customize the electronic medical record system that caters to the intricacies of lacrimal disorders. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Impact of Food and Drug Administration Approval of Vismodegib on Prevalence of Orbital Exenteration as a Necessary Surgical Treatment for Locally Advanced Periocular Basal Cell Carcinoma
Conclusions: The prevalence of orbital exenteration as a necessary surgical procedure in patients with a locally advanced periocular BCC has fallen since the Food and Drug Administration approval of vismodegib. Although vismodegib is not specifically approved for organ-sparing, it has changed the authors’ practice and enabled eye preservation in patients with locally advanced periocular BCC, who would otherwise require an orbital exenteration. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Perfusion Monitoring Shows Minimal Blood Flow From the Flap Pedicle to the Tarsoconjunctival Flap
Conclusions: Tarsoconjunctival tissue survival does not seem to be dependent on a conjunctival flap. Free tarsoconjunctival grafts or composite grafts might be considered as viable alternatives in reconstruction of major eyelid defects. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Acquired Obliteration of the Proximal Lacrimal Drainage System
Conclusions: Although various combinations of lacrimal system stenoses and obstructions have been described, acquired punctal obliteration is an under-recognized entity. These cases differ from typical punctal stenosis in that the puncta are completely obliterated, and no indication of a punctal opening is clinically detectable. In this study, 3 patients had previously documented normal lacrimal irrigation. The ipsilateral canaliculi were also found to be obstructed in a third of patients. Two patients had complete absence of a canalicular lumen on histopathology. The predominance of inferior punctum involvement, patient...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Study on the Aging Dynamics of the Periorbital Region: From Observation to Knowledge of Physiopathology
Conclusion: We have highlighted some interesting elements, partly agreeing with the data already recorded by other authors’, and our data suggest an important role of the eyelid structures senescence and its impact on the surrounding structures. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Anthropometric Analysis on the Ocular Region Morphology of Children and Young Adults in Chinese Han Population
In this study, the authors sought to determine whether age-related differences exist for certain periocular parameters between children and young adults of Chinese Han population. Methods: OU of 310 children (aged 7–10 years) and 301 young adults (aged 20–30 years) were evaluated by 2-dimensional photogrammetry. All the subjects were of Chinese Han population. The eyelid crease profiles were classified according to their morphology. Periocular measurements, including 11 linear and 3 angular parameters were acquired from standardized photographs, 3 indices were further derived. The presence of epicanthal fold...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Fractionated Stereotactic Radiotherapy for Cavernous Venous Malformations of the Orbital Apex
Conclusion: Fractionated stereotactic radiotherapy appears to be a safe and effective management option for cavernous venous malformation of the orbital apex and leads to a sustained reduction of the volume of the lesion with associated improvement in symptoms and visual function. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

A Prospective Comparative Study Between Subcuticular and Sutureless Technique of Skin Closure Following External Dacryocystorhinostomy
Purpose: To compare the cosmetic outcome of the surgical scar of external dacryocystorhinostomy by the subcuticular versus sutureless technique. Methods: This was a prospective interventional randomized control study conducted at tertiary level hospital. Fifty patients of primary-acquired nasolacrimal duct obstruction were included in this study. The control group patients underwent the technique of wound closure in 2 layers, subcutaneous interrupted suture with 6-0 vicryl and superficial skin with 6-0 prolene continuous subcuticular sutures. In the case group, interrupted subcutaneous sutures with 6-0 vicryl with Ste...
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

Congenital Dacryocystocele: A Major Review
Conclusions: Congenital dacryocystocele is a commonly accepted term and its use should be advocated to enhance uniformity in reporting. Endoscopic evaluation of CDC is useful in the diagnosis and treatment of associated intranasal cysts and enhances the rates of successful outcomes. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - July 1, 2019 Category: Opthalmology Tags: Major Review Source Type: research

Giant Dacryocele in a Setting of Bilateral Congenital Alacrimia With Punctal and Canalicular Agenesis
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Orbital Spread of Fungal Granuloma Post Dacryocystorhinostomy
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Imaging Findings in Agenesis of the Lacrimal and Salivary Glands
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Optic Nerve Sheath Meningocele With Optic Disc Pit: A Rare Finding
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: OPRS Images Source Type: research

Foreign-Body Granulomata Caused by Injected Permanent Filler Masquerading as Cutaneous Sarcoidosis
Foreign-body granuloma formation following filler injections is most commonly seen with permanent fillers; these reactions can occur years following the injections and often require either an intralesional steroid injection or surgical excision. The authors present a case of a 75-year-old woman with a history of systemic sarcoidosis previously treated with numerous immunosuppressive medications who was examined for bilateral infraorbital nodules and swelling that were unresponsive to treatment. She underwent a bilateral anterior orbitotomy through a transconjunctival approach with mass excision. The histologic analysis was...
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Angiolipoma of the Orbit
Angiolipoma is characteristically described as an encapsulated mass of mature adipose tissue containing clusters of small blood vessels. The authors have described an extremely rare case of angiolipoma of the orbit. This rare case is only the third reported in the orbit and should be readily recognized from other differential diagnoses. The patient had an excellent prognosis after full surgical excision. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

A Case of Velocardiofacial Syndrome With Bilateral Inferior Punctum and Canalicular Agenesis
A 16-year-old girl diagnosed with velocardiofacial syndrome complained of occasional bilateral ocular discharge. Examination revealed an agenesia of the inferior puncti and canaliculi, while the irrigation through the superior puncta was patent on both sides. Dacryocystorhinostomy with insertion of Lester Jones tubes is not considered for the time being because of the absence of epiphora. To the best of the authors’ knowledge, this is the second reported case of lacrimal system agenesia in velocardiofacial syndrome. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Orbital Atypical Lipomatous Tumor/Well-Differentiated Liposarcoma Masquerading as Pleomorphic Lipoma: A Diagnostic Challenge
Atypical lipomatous tumor/well-differentiated liposarcoma is a common neoplasm of the superficial and deep soft tissues of the extremities, trunk, and retroperitoneum. Atypical lipomatous tumor/well-differentiated liposarcoma is very rare in the orbit, with only 19 previously reported cases. The authors describe a 22-year-old woman who presented with an 8-month history of diplopia and was found to have an orbital mass on MRI. The excised tumor initially was interpreted as spindle cell/pleomorphic lipoma based on its morphologic and immunohistochemical features. Nine years later, the patient returned with a recurrence that ...
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Trichofolliculoma of the Eyelid Margin: A Case Report and Review of Literature
Trichofolliculoma is a rare benign tumor of the skin, with distinct pilar differentiation and a predilection for the head and neck. To the best of the authors’ knowledge, only 10 cases of eyelid trichofolliculoma has been described in the English literature. Moreover, these benign hair follicle lesions have been reported to clinically mimic eyelid malignancy. The authors report a case of a 58-year-old woman with a nodule on the eyelid margin, with typical clinical features and characteristic histopathological findings aiding the diagnosis of trichofolliculoma. Complete resection was performed to prevent recurrence. T...
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research

Solid Variant of a Proliferative Apocrine Hidrocystoma
A cystic lesion of the eyelid margin in a 37-year-old man was diagnosed clinically as an apocrine hidrocystoma, a common lesion in that location. Histopathologic examination confirmed the presence of a hidrocystoma but also disclosed an extensive proliferation of bland epithelial cells arising from the inner layer of the cyst. The authors further characterized this unique occurrence on the spectrum of Moll gland eyelid tumors by immunohistochemical analysis. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2019 Category: Opthalmology Tags: Case Reports Source Type: research