Ophthalmic Plastic and Reconstructive Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Orbital Vascular Anomalies: A Nomenclatorial, Etiological, and Nosologic Conundrum
Conclusions: Interdisciplinary and intradisciplinary dialogue concerning orbital vascular anomalies is seriously compromised due to the lack of a unanimous agreement on terminology and the absence of a unified classification concept system. The authors recommend that oculoplastic surgeons adopt ISSVA terminology whenever technically possible and scientifically sound. However, they also propose modifying the ISSVA 2018 classification specifically to adapt to the peculiarities of vascular anomalies in the periorbital region. At present, the simplified classification proposed here is a preliminary first step towards manag...
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Major Reviews Source Type: research

Solitary Extramedullary Plasmacytoma of the Lacrimal Sac With Associated Crystal-Storing Histiocytosis
Conclusions: Crystal-storing histiocytosis is an uncommon entity in which crystals, most commonly arising from altered immunoglobulins, aggregate within histiocytes and form symptomatic mass lesions. It has been reported in ophthalmic regions in patients with a concurrent lymphoproliferative or plasma cell disorder and can rarely predate a malignancy. The current case is notable because crystal-storing histiocytosis occurs with a localized process, solitary extramedullary plasmacytoma, and presents in an unusual site, the lacrimal sac. Tissue biopsy with multimodal pathological evaluation is necessary to make the diagn...
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Major Reviews Source Type: research

Manuscript Reviewers 2021
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - March 1, 2022 Category: Opthalmology Tags: Reviewers Source Type: research

Infiltrative Sebaceous Carcinoma Presenting as a “Tumor Tarsorrhaphy”
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: OPRS Images Source Type: research

Cytomegalovirus Blepharitis and Keratitis Masquerading as Eyelid Malignancy
No abstract available (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: OPRS Images Source Type: research

Targeted Neoadjuvant Intra-arterial Chemotherapy in Lacrimal Gland Adenoid Cystic Carcinoma: A Histological Correlation Using Apoptotic Tumor Markers
Neoadjuvant intra-arterial cytoreductive chemotherapy is used for the treatment of lacrimal gland adenoid cystic carcinomas (ACC) to improve outcomes in this condition with an otherwise dismal prognosis. We share our experience in the management of an advanced case of ACC using a novel, highly targeted intra-arterial cytoreductive chemotherapy delivery technique involving both the internal and external carotid circulation, with an attempt to correlate the effect histologically. Refinement of the chemotherapy delivery using the tumor’s vascular anatomy and appropriate blood vessel selection may lead to future globe sparin...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Lower Eyelid Ectropion Secondary to Over-the-Counter Treatment of Xanthelasma
We report the first case to describe a cicatricial ectropion from the topical treatment, “Glycolic acid, Lactic acid, Mandelic acid, Salicylic acid, Resorcinol, Jessners peel” (XanthelR, 483 Green Lanes, London, N13 4BS). (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Prosthetic Rehabilitation in a Patient With Orbital Exenteration: The First Hybrid System With Miniplates and Magnetic Retention Described in Humans
The authors report the case of an 80-year-old male patient who had a modified left orbit exenteration with preservation of myocutaneus eyelid flap. The radical surgical treatment was performed due to high-grade recurrent pleomorphic conjunctival sarcoma with extension to the sclera and medial orbit. Five previous resection surgeries were performed, until the exenteration was considered. Prosthetic rehabilitation was planned integrating interdisciplinary biomedical knowledge, to create a new hybrid osteointegrated method with costume-made titanium miniplates and magnetic retention. During the second-year follow up, the syst...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Parvimonas micra Necrotizing Panophthalmitis Involving the Sclera, Cornea, Uvea, Retina, and Orbit
We present an unusual case of a patient who acquired a pansinusitis and orbital cellulitis with necrotizing features, subsequently developing scleritis, keratitis, and anterior uveitis. To date, there are no reported cases of the simultaneous involvement of these ocular structures from a pansinusitis. Our patient was urgently taken to the operating room for drainage of the abscesses within his sinuses and the orbit. Intraoperative cultures were positive for Parvimonas micra, an odontogenic anaerobic bacteria. He was additionally found to have a central retinal artery occlusion. He was treated with systemic and topical anti...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Corneal Neurotization via Dual Nerve Autografting
Corneal neurotization is a fast-evolving surgical procedure for sensory reinnervation in neurotrophic keratopathy. After neurotization, prior reports document return of corneal sensation on average 8 months after surgery with 38 mm of sensation gain measured via cochet bonnet esthesiometer testing. Here, the authors describe a dual nerve grafting approach via simultaneous parallel sural nerve grafts from both the supratrochelar and supraorbital nerves to the affected contralateral cornea with return of sensation by postoperative week 11. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Extensive Sclerosis (“mummification”) in Lacrimal Gland Pleomorphic Adenoma May Indicate Neighboring Malignant Transformation
Salivary gland pleomorphic adenomas not uncommonly show extensive sclerosis (“dense hyalinization,” “coagulative necrosis,” or “mummification”), which arise spontaneously or after prior surgery, and this change is considered a high-risk factor for malignant transformation of benign salivary adenomas. While minor hyalinization is common in lacrimal gland adenomas, massive sclerosis—where almost all (90% or more) of the tumor is replaced by an amorphous hyaline material—is extremely rare. Four patients (2 males) are described in whom, despite not having an acute inflammatory episode, their lacrimal gland tumo...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Scleral Contact Lens as Initial Management in a Neonate With a Large Upper Eyelid Coloboma
A neonate presented with a large full-thickness upper eyelid coloboma with near-complete exposure of the cornea. After failing lubrication and a moisture chamber, he was fit with a customized scleral contact lens that protected the ocular surface. It was tolerated well, and ocular surface health was maintained for 13 months to permit the growth of eyelid tissue for future oculoplastic surgery. Delaying reconstruction by using scleral contact lenses as management for large eyelid colobomas has not been previously described. A temporizing measure such as this could be considered for large eyelid colobomas in neonates. (Sourc...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Occult Colon Adenocarcinoma and Multiple Myeloma Associated With Clostridium septicum Panophthalmitis With Orbital and Chiasmal Extension: A Case Report
 A previously healthy 62-year-old African American female presented with a fulminant orbital cellulitis of the right eye with diffuse scleritis and orbital inflammation extending to the optic chiasm on neuroimaging. She was taken for an emergent orbitotomy with an orbital fat biopsy and started on broad-spectrum intravenous (IV) and topical antibiotics. Within 36 hours of presentation, scleral thinning and a corneal melt ensued, ending in enucleation. Intraoperative cultures were positive for Clostridium septicum, leading to a systemic work-up exposing a previously undiagnosed colon adenocarcinoma and metastatic multiple...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Small Cell Neuroendocrine Carcinoma Presenting as Recurrent Dacryocystitis: Case Report of a Rare Entity
An 84-year-old man presented with a localized, firm, tender mass over the right lacrimal sac. He had a history of acute dacryocystitis in the same eye 6 months before presentation, which resolved with antibiotics followed by uneventful dacryocystorhinostomy. At repeat presentation, the patient underwent orbital imaging and excisional biopsy of the lesion. Histologic studies revealed a small cell neuroendocrine carcinoma. The patient was subsequently treated with chemotherapy and radiation. Although there are rare reports of small cell neuroendocrine carcinoma originating in the sino-orbital-lacrimal region, this is the fir...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research

Bell’s Palsy and the Peril of Eponyms
The seemingly mundane management of a Bell’s palsy can have devastating consequences if the diagnosis of nonidiopathic cranial nerve palsy is not kept in perspective. The case of an elderly man mislabeled by a primary care physician as having a Bell’s palsy illustrates how eye physicians can prevent an adverse outcome. Unilateral incomplete eyelid exposure and ipsilateral progressive pain were this patient’s main problems for roughly 18 months during which time ophthalmologists managed his corneal exposure but failed to appreciate a parotid gland tumor. Eye physicians are in a unique position to recognized if a nonid...
Source: Ophthalmic Plastic and Reconstructive Surgery - January 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research