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Liposomal Bupivacaine Suspension for Pain Control Following Ocular Evisceration Surgery
Conclusions: Retrobulbar liposomal bupivacaine is more effective than 0.75% bupivacaine for controlling pain during the first 2 days after evisceration and should be considered for patients undergoing this procedure. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2022 Category: Opthalmology Tags: Original Investigations Source Type: research

The Efficacy of Orbital Septal Flap in the Treatment of Moderate and Severe Upper Eyelid Retraction
Conclusions: Orbital septal flap is a safe and reliable procedure for management of upper eyelid retraction of moderate and severe degree. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2022 Category: Opthalmology Tags: Original Investigations Source Type: research

Optic Nerve Head Vessel Density Changes from Graves’ Disease without TED to TED Dysthyroid Optic Neuropathy: Does Optic Nerve Head Ischemia Play a Role?
Purpose: To compare the retinal peripapillary capillary (RPC) vessel density (VD) between 5 groups of patients on the spectrum of thyroid eye disease (TED). Method: This is a prospective comparative study looking at 5 groups of patients who were consecutively included from January 2018 to March 2021. They were composed of: Healthy volunteers (39 eyes and 20 subjects), patients with Graves’ disease without TED (26 eyes and 13 patients), mild TED (28 eyes and 14 patients), moderate-severe TED (30 eyes and 17 patients), and TED with dysthyroid optic neuropathy (DON) (21 eyes and 12 patients). Ocular and periocula...
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2022 Category: Opthalmology Tags: Original Investigations Source Type: research

Clinico-Radiological-Pathological Correlation of Visual Loss in COVID-Associated Rhino-Orbito-Cerebral Mucormycosis
Conclusion: Acute visual loss in ROCM cases is associated with orbital apex involvement and thrombotic ischemia of ophthalmic artery. Cessation of flow in CRA possibly occurs secondary to ophthalmic artery thrombosis. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2022 Category: Opthalmology Tags: Original Investigations Source Type: research

Clinical and Radiological Features of Intramuscular Orbital Amyloidosis: A Case Series and Literature Review
Conclusion: EOM amyloidosis is uncommon. The combination of clinical and radiologic findings described in this study should lead to its clinical suspicion. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2022 Category: Opthalmology Tags: Major Reviews Source Type: research

Perioperative Considerations for Antithrombotic Therapy in Oculofacial Surgery: A Review of Current Evidence and Practice Guidelines
Conclusions: Perioperative antithrombotic management is largely guided by retrospective studies, consensus recommendations, and trials in other surgical fields due to the limited number of studies in oculoplastic surgery. This review summarizes evidence-based recommendations from related medical specialties and provides context for surgeons to tailor antithrombotic medication management based on patient’s individual risk. The decision to continue or cease antithrombotic medications prior to surgery requires a careful understanding of risk: risk of intraoperative or postoperative bleeding versus risk of a perioperativ...
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2022 Category: Opthalmology Tags: Major Reviews Source Type: research

Intraocular Pressure and Glaucoma in Thyroid Eye Disease
Conclusions: While raised IOP in TED is a common phenomenon, the diagnosis of glaucoma in TED requires a high index of suspicion before any intervention. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - May 1, 2022 Category: Opthalmology Tags: Major Reviews Source Type: research

Periocular Necrobiotic Xanthogranuloma Response to Cladribine
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Oprs Images Source Type: research

Corneal Invasion by Basal Cell Carcinoma
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Oprs Images Source Type: research

Epiphora and Dacryocystitis After Transcanalicular Laser-assisted Dacryocystorhinostomy due to an Undiagnosed Dacryolith
A 45-year-old female patient who had previously undergone endoscopic dacryocystorhinostomy (EN-DCR) at another surgical center was diagnosed with functional failure after DCR and underwent an uneventful transcanalicular laser-assisted DCR (TCL-DCR). After 5 months, the patient underwent endoscopic examination due to persistent epiphora and dacryocystitis attacks. Endonasal visualization revealed a large dacryolith that filled the ostium and sac and was removed en bloc mechanically with forceps. Carbonized material on the dacryolith’s superior part indicated that it was perforated through-and-through by the laser beam dur...
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Septic Superior Ophthalmic Vein Thrombosis in a Prothrombotic Adolescent Patient
A 14-year-old boy presented to the emergency room with 5 days of fever and periorbital edema and erythema refractory to 4 days of augmentin and clindamycin. Examination revealed normal visual acuity, mild left periorbital edema and erythema, and a (−)1 supraduction deficit, concerning for orbital cellulitis. CT imaging revealed pansinusitis, orbital cellulitis with subtle orbital fat stranding, and a dilated superior ophthalmic vein with concern for thrombosis. This was confirmed on subsequent magnetic resonance venography. He was treated with intravenous antibiotics and enoxaparin with significant improvement in 24 hour...
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Chronic Granulomatous Dacryoadenitis Associated With Pleomorphic Adenoma
We describe the clinical features, imaging and histopathology for 4 patients (3 female) who had granulomatous inflammation alongside lacrimal gland adenomas—the patients being with age 39, 44, 48, and 53 years at time of surgery. One patient had an asymptomatic lesion found on imaging, and the other 3 had symptoms for between 3 years and several decades. Conjecturally, this rare phenomenon might arise from an inflammatory response to leakage of secretions from the ductular components of the glands. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Orbital Ependymoma
Orbital ependymomas are rare in the orbit and usually occur secondary to extracerebral extension of an intraventricular ependymoma. The authors present a rare case of orbital ependymoma in a 74-year-old female. The patient was initially diagnosed with intraventricular ependymoma at the age of 13 years that required multiple repeat craniotomies for tumor recurrence. She then developed progressive tumor growth with extension into the bilateral frontal lobes and orbit. The orbital involvement produced binocular diplopia, epiphora, and globe distortion with compressive optic neuropathy. To the authors knowledge, this is the fi...
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Neurotrophic Keratitis in a Pediatric Patient With Goldenhar Syndrome and Trigeminal Aplasia Successfully Treated by Corneal Neurotization
Herein, the authors report an unusual case of a 6-year-old boy with right-sided Goldenhar syndrome and trigeminal nerve aplasia who developed neurotrophic keratopathy (NK). Despite the use of therapeutic contact lenses and multiple temporary tarsorrhaphy, NK worsened showing a central corneal scar, neovascularization, and significant stromal thinning, with risk of corneal perforation. Cochet-Bonnet esthesiometry revealed complete corneal anesthesia. To minimize additional corneal complications, the patient underwent indirect corneal neurotization by a sural nerve autograft anastomosed to the contralateral supratrochlear ne...
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

GNA11 Mutation in an Intracranial Melanocytoma with Orbital Involvement and Nevus of Ota
The prognostic value of mutations in G-protein genes GNAQ and GNA11 in patients with intracranial and orbital melanocytomas is unknown. The authors present a case of GNA11 mutation (GNA11Q209L) in a 32-year-old male suffering from a meningeal melanocytoma with orbital involvement and ipsilateral Nevus of Ota. The patient underwent gamma knife stereotactic radiosurgery without biopsy and later partial transcranial resection of the melanocytic tumor that was subject to immunohistochemical and molecular analysis. A 50-gene next-generation sequencing panel revealed a 626A>T mutation in the GNA11 gene. One year later, intracran...
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research