Ultrasound biomicroscopic features of the normal lower eyelid.
CONCLUSION: Echogenicity and thickness of normal lower eyelid structures as measured by UBM are reported. The test is non-invasive, with a good inter-observer agreement. PMID: 32942920 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 17, 2020 Category: Opthalmology Authors: Vasanthapuram VH, Saha P, Mohamed A, Naik MN Tags: Orbit Source Type: research

Orbital involvement of Sitosterolemia.
This report highlights a rare, under-recognised condition (and indeed the first reporting periocular disease), and the potential dangers if misdiagnosed as hypercholesterolemia. PMID: 32942937 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 17, 2020 Category: Opthalmology Authors: Okafor LO, Bowyer J, Thaung C, Murphy E, Verity DH Tags: Orbit Source Type: research

Post periorbital carboxytherapy orbital emphysema: a case report.
Abstract Periorbital carboxytherapy is used as one of the non-surgical facial rejuvenation methods in recent years. In this modality, the sterile carbon dioxide is injected into the subcutaneous space, assuming that to improve blood supply and repair of the injection site. Here, we report a 24- year-old woman who presented with acute bilateral orbital emphysema starting one day after cosmetic periorbital carboxytherapy. On physical examination, bilateral non-tender, non-erythematous swelling of both upper and lower lids was noted with crepitus on palpation. Uncorrected visual acuity (UCVA) of the patient in both e...
Source: Orbit - September 16, 2020 Category: Opthalmology Authors: Jamshidian-Tehrani M, Sheikhghomi S, Kasaee A Tags: Orbit Source Type: research

Primary balloon dacryoplasty for nasolacrimal duct obstruction in adults: a systematic review.
Conclusion: BD is significantly more successful for partial NLDO, without significant additional benefit from subsequent STI. The main complication would be the high recurrence rate. BD is not effective for complete NLDO with very low success rates. However, BD could be proposed for partial NLDO, as it is a safe procedure, with minimal invasiveness in comparison to DCR. Further prospective and controlled studies are required to confirm these encouraging results. PMID: 32912011 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 10, 2020 Category: Opthalmology Authors: Poignet B, Sultanik P, Beaujeux P, Koch E, Benkhatar H Tags: Orbit Source Type: research

Whipple's disease orbitopathy: case report and review of literature.
lho R Abstract A 59-year-old female patient was diagnosed with Whipple's disease (WD) after several months of constitutional complaints and adenopathies that were initially misinterpreted as sarcoidosis. Initial treatment included doxycycline, hydroxychloroquine and prednisolone, which was suspended due to long-term clinical stability. Four months after prednisolone suspension, the patient presented with right periorbital oedema and erythema. Ophthalmological examination revealed restricted eye movements. A computed tomography (CT) scan demonstrated signs of myositis. The patient was treated with anti-inflammatory...
Source: Orbit - September 10, 2020 Category: Opthalmology Authors: Sampaio F, Moreira J, Jordão S, Vieira B, Pereira S, Carvalho R Tags: Orbit Source Type: research

Primary adenoid cystic carcinoma arising from an ectopic lacrimal gland involving both nasal orbits: a rare clinical entity.
We present a case of ACC that occurred in ectopic lacrimal gland tissue involving the medial region of both orbits. A 74-year-old woman was admitted with a 4-week history of progressive painful proptosis in her left eye. Examination revealed a medium-size bilateral nasal canthal mass. Computed tomography (CT) scan revealed a nasal mass in both orbits with bone erosion. The patient underwent bilateral anterior orbitotomy and incisional biopsy was performed. Histopathology exam revealed an ACC with perineural and bone invasion. She refused orbital exenteration and radiation therapy was initiated. PMID: 32912017 [PubMed ...
Source: Orbit - September 10, 2020 Category: Opthalmology Authors: Nava-Castañeda Á, Kahuam-López N, De La Fuente Díez Y, Velásco Y Levy A, Sánchez-Bonilla FG, Martín F, Garnica-Hayashi L, Rodriguez-Reyes A Tags: Orbit Source Type: research

Primary orbital melanoma: A report of a case and comprehensive review of the literature.
CONCLUSIONS: Primary orbital melanoma is a rare malignancy and should be considered in patients with a history of unilateral proptosis and a well-defined orbital mass on imaging. Surgery remains the mainstay of treatment. Adjuvant radiotherapy may improve patient survival. PMID: 32900269 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 9, 2020 Category: Opthalmology Authors: Adetunji MO, McGeehan B, Lee V, Maguire MG, Briceño CA Tags: Orbit Source Type: research

Lacrimal drainage system involvement in Peters anomaly: clinical features and outcomes.
CONCLUSION: Lacrimal drainage involvement was more common in Peters plus syndrome. Multiple proximal and distal lacrimal drainage segment anomalies were noted in all the variants of Peters anomaly; however, Peters plus syndrome was noted to usually involve both the segments. PMID: 32896195 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 8, 2020 Category: Opthalmology Authors: Bothra N, Sharma A, Ali MJ Tags: Orbit Source Type: research

Outcomes of surgical resection of sphenoid-orbital meningiomas with Sonopet ultrasonic aspirator.
CONCLUSION: Sonopet®-assisted resection of spheno-orbital meningiomas has comparable outcomes of visual improvement and complication rates to traditional resection techniques. Longer periods of post-operative observation and follow-up are recommended to observe long-term benefits. PMID: 32894977 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 7, 2020 Category: Opthalmology Authors: Ao J, Juniat V, Davis G, Santoreneos S, Abou-Hamden A, Selva D Tags: Orbit Source Type: research

High nasolacrimal sac-duct junction anatomical variation - retrospective review of dacryocystography images.
CONCLUSIONS: We report the prevalence of an anatomical variant of the lacrimal sac and NLD, observed on DCG, in a population of patients with epiphora, where the NLD originates from the inferior aspect of the medial wall of the lacrimal sac. Knowledge of this anatomic variant may have management implications for patients with epiphora as it may make nasolacrimal intubation more technically difficult. Further studies are needed to correlate this anatomic variation with symptoms and management outcomes. PMID: 32893697 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 7, 2020 Category: Opthalmology Authors: Juniat V, Lee J, Sia P, Curragh D, Hardy TG, Selva D Tags: Orbit Source Type: research

An algorithm for Botulinum toxin A injection for upper eyelid retraction associated with thyroid eye disease: long-term results.
CONCLUSION: In the treatment of upper eyelid retraction due to thyroid eye disease, transconjunctival injection of Botulinum toxin A is an effective, safe, transient, and repeatable method with few complications in patients. The algorithm used in this study resulted in high success rate in long-term follow-up. PMID: 32885692 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 4, 2020 Category: Opthalmology Authors: Ozturk Karabulut G, Fazil K, Saracoglu Yilmaz B, Ozturker C, Günaydın ZK, Taskapili M, Kaynak P Tags: Orbit Source Type: research

Granulomatosis with polyangiitis presenting as recurrent, multifocal orbital myositis.
Abstract A 43-year-old woman was referred with a 10 month history of persistent pain in the left orbit. Two years prior, she experienced similar pain in the right orbit. Magnetic resonance imaging (MRI) at the time revealed an enlarged right medial rectus muscle. She was diagnosed with idiopathic orbital myositis and was successfully treated with oral corticosteroids. A year later, she developed symptoms in the left orbit with similar imaging findings. For ten months, she remained on high dose corticosteroids for presumed left medial rectus myositis before presenting to our service. Computed tomography (CT) i...
Source: Orbit - September 2, 2020 Category: Opthalmology Authors: Franco J, Lee NG Tags: Orbit Source Type: research

Radiographic analysis of fatty infiltration of the extraocular muscles in thyroid eye disease.
CONCLUSIONS: This study characterizes fatty infiltration of the extraocular muscles in patients with TED. PMID: 32878536 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 2, 2020 Category: Opthalmology Authors: Cohen LM, Liou VD, Cunnane ME, Yoon MK Tags: Orbit Source Type: research

An uncommon presentation of a refractory case of retinoblastoma.
PMID: 32873110 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 2, 2020 Category: Opthalmology Authors: Selvin SST, Kuriakose T Tags: Orbit Source Type: research

Does lagophthalmos change on lying supine after upper eyelid platinum segment chain loading?
CONCLUSION: In our study, the prevalence of lagophthalmos increasing on gentle closure when supine is 40%. Statistically, there is no difference between gentle closure in the sitting and supine position. PMID: 32873112 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - September 2, 2020 Category: Opthalmology Authors: Ullrich K, Dolz-Güerri F, Neville C, Kannan R, Nduka C, Litwin A, Malhotra R Tags: Orbit Source Type: research

A case of mistaken identity: Saksenaea vasiformis of the orbit.
Abstract The authors describe a rare presentation of invasive fungal rhino-orbital cellulitis caused by Saksenaea vasiformis in an immunocompetent child. The patient was initially diagnosed and treated as Mucoraceae, which has a high mortality rate and is primarily seen in immunocompromised patients. Though of the same order, Mucorales, the families Mucoraceae and Saksenaeacae, may be difficult to differentiate on histologic examination and must be distinguished by fungal culture and speciation. Our patient responded well to sino-orbital debridement and systemic treatment with amphotericin and posaconazole. P...
Source: Orbit - August 30, 2020 Category: Opthalmology Authors: Chen AJ, Ediriwickrema LS, Verma R, Vavinskaya V, Shaftel S, Deconde AS, Korn BS, Kikkawa DO, Liu CY Tags: Orbit Source Type: research

Mucous membrane grafting in recurrent cicatricial entropion.
PMID: 32865078 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 29, 2020 Category: Opthalmology Authors: Singh S Tags: Orbit Source Type: research

Letter to the editor regarding the article "Labial mucosa grafting for lid margin, anterior lamellar, and posterior lamellar correction in recurrent cicatricial entropion".
Letter to the editor regarding the article "Labial mucosa grafting for lid margin, anterior lamellar, and posterior lamellar correction in recurrent cicatricial entropion". Orbit. 2020 Aug 29;:1-2 Authors: Diab MM PMID: 32865083 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 29, 2020 Category: Opthalmology Authors: Diab MM Tags: Orbit Source Type: research

A rare case of congenital piloleiomyoma of the eyelid.
We report a case of a neonate presenting with upper eyelid mass lesion since birth causing mechanical ptosis. Incisional biopsy followed by histopathology and immunohistochemistry established the diagnosis of piloleiomyoma. There was associated cryptorchidism in our case, a systemic association that has never been reported. Considering the benign nature of the lesion the child was kept under regular follow up without attempting any further removal. PMID: 32847448 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 26, 2020 Category: Opthalmology Authors: Alam S, Banerjee P, Krishnakumar S Tags: Orbit Source Type: research

Concomitant adult onset xanthogranuloma and IgG4-related orbital disease: a rare occurrence.
Abstract Adult onset xanthogranulomatous disease is a rare orbital disease. IgG4-related disease is a systemic disease that can often manifest in the orbit. In this communication, we present the case of a patient with a xanthelasma-like lesion on the upper eyelid, and an enlarged lacrimal gland, which on biopsy was diagnosed as an orbital xanthogranuloma. Detailed serological workup showed that the patient was found to have elevated serum IgG4 levels. The orbital specimen was re-stained and found to be positive for IgG4. The patient was treated with oral steroids with partial resolution of the lesion. This is an i...
Source: Orbit - August 26, 2020 Category: Opthalmology Authors: Andron AA, Nair AG, Della Rocca D, Della Rocca RC, Reddy HS Tags: Orbit Source Type: research

Natural history of inflammatory and non-inflammatory dry eye in thyroid eye disease.
Abstract PURPOSE: The purpose is to understand the natural history and physical findings in thyroid eye disease (TED) patients with severe dry eye symptoms (DES). METHODS: Prospective cohort study, studying DES in TED patients over two years. Baseline data included clinical activity score (CAS), time since disease onset, punctate epithelial erosions (PEE), lagophthalmos, superior limbic keratoconjunctivitis (SLK), and marginal reflex distance 1 (MRD1). Ocular Surface Disease Index (OSDI) was utilized to measure symptomatology and scores> 33 (severe) were the primary outcome measure. Multivariate logistic r...
Source: Orbit - August 26, 2020 Category: Opthalmology Authors: Lo C, Yang M, Rootman D Tags: Orbit Source Type: research

Mesenchymal chondrosarcoma of the orbit masquerading as a hemophilic pseudotumor.
Abstract An 11-year-old boy presented with a lesion of the right orbit that was thought to be a hemophilic pseudotumor. Excisional biopsy revealed an unexpected diagnosis of mesenchymal chondrosarcoma. Both mesenchymal chondrosarcoma and hemophilic pseudotumor of the orbit are exceedingly rare. To the best of our knowledge, this is the first reported case of orbital mesenchymal chondrosarcoma masquerading as hemophilic pseudotumor. PMID: 32835558 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 24, 2020 Category: Opthalmology Authors: Gobert D, Patey N, Doyon J, Kalin-Hajdu E Tags: Orbit Source Type: research

Lacrimal drainage apparatus melanoma remotely following treatment and resolution of conjunctival melanoma.
This report confirms the ability of conjunctival melanoma to give rise to spatially and temporally remote LDA melanoma despite adequate local treatment, and reviews the proposed mechanisms and associated characteristics of LDA recurrence in conjunctival melanoma. PMID: 32811269 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 18, 2020 Category: Opthalmology Authors: Peck T, Schoen M, Padilla M, Rabinowitz M, Curry J, Milman T, Lally S, Shields CL, Shields JA, Rabinowitz M Tags: Orbit Source Type: research

ESOPRS recommendations for oculoplastic surgeons during the COVID-19 pandemic: a challenge for the future.
Abstract In March 2020, at the outset of the current pandemic, ESOPRS issued detailed advice on the appropriate procedures that practicing oculoplastic surgeons should consider to limit the transmission of COVID-19, with this information updated in April 2020. This paper highlights the threat to training opportunities for future generations of oculoplastic surgeons, adjustments in healthcare delivery, modifications of scientific activity, and the possible role of telemedicine in oculoplastics. PMID: 32808834 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 18, 2020 Category: Opthalmology Authors: Quaranta-Leoni FM, Paridaens D, Verity D Tags: Orbit Source Type: research

Intracanalicular antibiotic ointment loading as a management option for canaliculitis.
CONCLUSION: Canalicular antibiotic ointment loading is a minimally invasive, safe, and effective procedure. It preserves the anatomy and function of the punctum and canaliculus and can be considered as one of the management options for canaliculitis. PMID: 32787481 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 13, 2020 Category: Opthalmology Authors: Alam MS, Poonam NS, Koka K, Vijay V, Ganesh S Tags: Orbit Source Type: research

Basal cell carcinoma with extensive periorbital involvement response to vismodegib.
PMID: 32762280 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - August 6, 2020 Category: Opthalmology Authors: Shoji MK, Pirakitikulr N, Tran AQ, Wester ST Tags: Orbit Source Type: research

Custom ocular prosthesis-related concerns: patient feedback survey-based report vis- à-vis objective clinical grading scales.
Custom ocular prosthesis-related concerns: patient feedback survey-based report vis-à-vis objective clinical grading scales. Orbit. 2020 Aug 02;:1-7 Authors: Dave TV, Nayak A, Palo M, Goud Y, Tripuraneni D, Gupta S Abstract PURPOSE: To report the outcomes of a survey on patients' concerns and satisfaction with custom ocular prosthesis (COP) wear and compare with objective clinician grading scales. METHODS: The questionnaire was answered by 156 participants. General social concerns and prosthesis-related concerns were plotted on a scale of 0 to 10, indicating least to maximum satisfaction a...
Source: Orbit - August 2, 2020 Category: Opthalmology Authors: Dave TV, Nayak A, Palo M, Goud Y, Tripuraneni D, Gupta S Tags: Orbit Source Type: research

Cutaneous eyelid melanoma in an African American child.
Abstract Cutaneous melanoma of the eyelid constitutes less than 2% of all eyelid malignancies. Such cases in the pediatric population are even rarer, and exceedingly so in darkly pigmented individuals. A 9-year-old African American boy presented with a left upper eyelid lesion. Biopsy was consistent with deep penetrating melanoma, and the patient underwent a wide local excision and sentinel node biopsy. One upper parotid sentinel node was positive, leading to further parotidectomy and selective neck dissection. The eyelid defect was reconstructed by primary closure after margin clearance. This is the first reporte...
Source: Orbit - July 30, 2020 Category: Opthalmology Authors: Ulloa-Padilla JP, Khararjian A, Choi CJ Tags: Orbit Source Type: research

Bilateral superior ophthalmic vein thrombosis associated with high altitude.
We report a case of a 47-year-old female who experienced periorbital swelling while descending from a Himalayan mountain climb and was found to have bilateral superior ophthalmic vein thromboses (SOVT). Infectious, autoimmune, and hypercoagulability work-up were negative with no cavernous sinus involvement. Symptoms resolved upon initiation of anticoagulation and oral steroids. SOVT is a rare but serious condition and has a risk of extending into the cavernous sinus if not treated early. Although infection is the most common etiology, venous thrombosis can be precipitated under high altitude and low oxygen pressure environ...
Source: Orbit - July 29, 2020 Category: Opthalmology Authors: Shahlaee A, Hennein LM, Winn BJ, Dillon WP, Rasool N Tags: Orbit Source Type: research

Cerebral palsy and associated complex congenital nasolacrimal duct obstruction and pediatric acute dacryocystitis.
This report also lays emphasis on the need for examination of the lacrimal drainage system in all patients with CP, so as to treat them appropriately and reduce the morbidity. PMID: 32718225 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - July 27, 2020 Category: Opthalmology Authors: Bothra N, Ali MJ Tags: Orbit Source Type: research

Endoscopic dacryocystorhinostomy as an option for symptomatic epiphora in isolated monocanalicular obstruction.
We describe two patients with epiphora due to isolated monocanalicular obstruction without concurrent nasolacrimal duct obstruction who underwent endoscopic dacryocystorhinostomy; both cases had previously failed canaliculoplasty, and both reported significant improvement in epiphora postoperatively. We hypothesize this is due to decreased resistance through the lacrimal drainage system allowing for increased flow through the patent canaliculus and shortened lacrimal apparatus. In patients presenting with epiphora secondary to isolated monocanalicular obstruction, endoscopic dacryocystorhinostomy may be considered in the a...
Source: Orbit - July 26, 2020 Category: Opthalmology Authors: Mueller AJ, Scofield-Kaplan SM, Tenzel PA, Winward B, Clair BC, Mancini R Tags: Orbit Source Type: research

High-resolution computed tomography assessment of bony nasolacrimal parameters: variations due to age, sex, and facial features.
CONCLUSION: The bony nasolacrimal duct is smaller in younger female patients. Having a taller nose and narrower upper face is also correlated with a smaller calibre duct. Acquired nasolacrimal duct obstruction in patients without these demographics or facial features may be more likely due to secondary causes. PMID: 32669001 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - July 16, 2020 Category: Opthalmology Authors: Lin Z, Kamath N, Malik A Tags: Orbit Source Type: research

Management of postoperative pain in ophthalmic plastic surgery: a major review.
CONCLUSIONS: Several medications may prevent and treat pain after ophthalmic plastic surgery. These agents are well-tolerated, and many decrease the requirement for opioid analgesics. Clinicians should be aware of these therapies when considering non-narcotic pain management. PMID: 32669009 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - July 16, 2020 Category: Opthalmology Authors: Wladis EJ, Rothschild MI, Rubinstein TJ Tags: Orbit Source Type: research

Cryoanalgesic versus EMLA ® cream to reduced pain during analgesic injection in upper eyelid surgery: a randomized trial.
CONCLUSION: Topical EMLA® cream and cryoanalgesic have no difference in pain score from anesthetic infiltration during eyelid surgery. PMID: 32664779 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - July 15, 2020 Category: Opthalmology Authors: Tanaboonyawat S, Choontanom R Tags: Orbit Source Type: research

The management of periorbital nodular fasciitis using intra-lesional triamcinolone: a case report and review of the literature.
Abstract Nodular fasciitis (NF) is a subcutaneous, nodular, pseudo-sarcomatous, fibroblastic proliferation. It is rarely reported in the periorbital region and the management approach is variable. Presented is an eight-year-old female with a three month history of a periorbital mass. Incisional biopsy histologically confirmed nodular fasciitis with a unique gene translocation. The lesion was treated primarily with one intra-lesional injection of triamcinolone acetonide. Four months post-injection, the lesion resolved completely. No recurrence was seen at 12-months follow-up post-injection. No side effects were not...
Source: Orbit - July 9, 2020 Category: Opthalmology Authors: Keren S, Hildebrand D, Wilson S, McCallum E, Norris JH Tags: Orbit Source Type: research

Colorectal carcinoma presenting in the orbit: mass effect from an uncommon cause.
Abstract An 84-year-old male with previously documented poor medical follow-up presented with progressive painless proptosis of the right eye. Right upper eyelid ptosis, limited motility, proptosis, and inferomedial displacement of the right globe were noted on the exam. Computed tomography (CT) imaging revealed a right retrobulbar extraconal heterogenous mass with ill-defined borders. Biopsy revealed a malignant adenocarcinoma with tumor markers suggestive of a colorectal primary. A rectal mass was identified during a systemic workup. After biopsy, the patient was diagnosed with stage IV metastatic rectal adenoca...
Source: Orbit - July 9, 2020 Category: Opthalmology Authors: Long CP, Lu T, Ediriwickrema LS, Lin JH, Korn BS, Kikkawa DO, Liu CY Tags: Orbit Source Type: research

Ultrasonographic features of lacrimal sac in normal, PANDO and acute dacryocystitis.
PMID: 32633166 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - July 7, 2020 Category: Opthalmology Authors: Ali MJ, Bothra N Tags: Orbit Source Type: research

Association between septoplasty, Lund-Mackay score and Lund-Kennedy score with endoscopic dacryocystorhinostomy results.
CONCLUSION: LK endoscopy and LM CT scores did not show any influence on functional and anatomic outcomes in endo-DCR cases. PMID: 32594817 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 28, 2020 Category: Opthalmology Authors: Cikrikci S, Erkan E, Agdas F Tags: Orbit Source Type: research

Labial mucosa grafting for lid margin, anterior lamellar, and posterior lamellar correction in recurrent cicatricial entropion.
CONCLUSION: Successful resolution of the recurrent cicatricial entropion can be achieved with the use of labial mucosa as one solution for spacing the anterior lamella and reconstruction of the lid margin and posterior lamella with minimal recurrence rate. PMID: 32586179 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 25, 2020 Category: Opthalmology Authors: Singh S, Narang P, Mittal V Tags: Orbit Source Type: research

Eyelid basal cell carcinoma with neuroendocrine differentiation: a case report and literature review.
We present a retrospective case review of a patient with an eyelid BCC with neuroendocrine differentiation. Demographical, clinical, radiological, surgical, histological, and follow-up data are presented. The patient presented with a slow-growing lesion of the eyelid with associated epiphora and dull ache. Initial incisional biopsy of the lesion revealed an infiltrating carcinoma composed of epithelial cells. Immunohistochemistry showed that the tumor was positive for p40, Ber-Ep4, neuron specific enolase (NSE), chromogranin A, CD56 (NCAM), and synaptophysin. The pathology from the margin-controlled excision showed basosqu...
Source: Orbit - June 25, 2020 Category: Opthalmology Authors: Chung IY, McKelvie P, Chen Y Tags: Orbit Source Type: research

Correction.
Authors: PMID: 32580602 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 24, 2020 Category: Opthalmology Tags: Orbit Source Type: research

Optic nerve and ophthalmic artery avulsion following gun shot wound.
PMID: 32576058 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 23, 2020 Category: Opthalmology Authors: Wawrzusin PJ, Sakla NM, Mirani N, Turbin RE Tags: Orbit Source Type: research

Cellular angiofibroma of the orbit.
s D Abstract Cellular angiofibroma is a benign mesenchymal tumor most commonly located in the distal genital tract of both men and women. Although extragenital locations have been reported rarely, this is the first report of cellular angiofibroma of the orbit. A 58-year-old man presented with a mass in the left superomedial orbit since 2 years. Magnetic resonance imaging showed a well-demarcated lesion with a homogeneous intermediate signal intensity on both T1- and T2-weighted images, homogeneous contrast enhancement and high signal intensity on diffusion-weighted images. Complete excision was performed thro...
Source: Orbit - June 23, 2020 Category: Opthalmology Authors: Hötte GJ, Verdijk RM, Gardeniers M, Paridaens D Tags: Orbit Source Type: research

One-week intubation in external dacryocystorhinostomy- a report on long-term outcome.
CONCLUSIONS: This study shows that a high long-term success rate for uncomplicated DCR is possible with only one-week silicone stent intubation. PMID: 32567441 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 22, 2020 Category: Opthalmology Authors: Bohman E, Dafgård Kopp E Tags: Orbit Source Type: research

"Stripe sign"- MRI characteristic of extraocular muscles in tendon sparing thyroid eye disease.
"Stripe sign"- MRI characteristic of extraocular muscles in tendon sparing thyroid eye disease. Orbit. 2020 Jun 22;:1 Authors: Lauer S, Silkiss RZ PMID: 32567442 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 22, 2020 Category: Opthalmology Authors: Lauer S, Silkiss RZ Tags: Orbit Source Type: research

Transvenous embolization of bilateral indirect carotid-cavernous fistulas via aunilateral transorbital approach.
Abstract A 73-year-old man with a complex ophthalmologic history presented with several weeks of worsening diplopia, visual acuity, and proptosis bilaterally. Cerebral angiography demonstrated bilateral indirect Barrow type B carotid-cavernous fistulas (CCFs). Transarterial embolization was not attempted due to small arterial diameter and risk of stroke. Multiple attempts were made to access the fistula via a transfemoral venous approach and were unsuccessful. A transorbital puncture was performed, which allowed access to both cavernous sinuses via a unilateral approach. After embolization with Onyx, there was no ...
Source: Orbit - June 19, 2020 Category: Opthalmology Authors: Laplant JF, Lim LH, Dumont AS, Nerva JD Tags: Orbit Source Type: research

Personal protective equipment (PPE) during the COVID-19 pandemic for oculofacial plastic and orbital surgery.
CONCLUSIONS: Although universal droplet precautions are now recommended in most healthcare settings, some clinical situations require more stringent infection control measures. By highlighting high-risk scenarios specific to oculofacial plastic and orbital surgery, as well as PPE recommendations, we hope to enhance the safety of continued care during the COVID-19 pandemic. PMID: 32552229 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 18, 2020 Category: Opthalmology Authors: Daigle P, Leung V, Yin V, Kalin-Hajdu E, Nijhawan N Tags: Orbit Source Type: research

Synthetic cannabinoid induced ocular self-injury.
We report the cases of two patients with untreated schizophrenia who presented after ocular self-injury while intoxicated on K2. Both patients hallucinated that a bug was behind their eye, and in their attempts at removing the bug, damaged the periocular soft tissue. To our knowledge these are the first reports of ocular self-injury from synthetic cannabinoid intoxication. PMID: 32552411 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 18, 2020 Category: Opthalmology Authors: Malik K, Kommana S, Paul J, Krakauer M Tags: Orbit Source Type: research

Balloon punctoplasty in punctal stenosis.
PMID: 32543926 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 16, 2020 Category: Opthalmology Authors: Ali MJ, Bothra N Tags: Orbit Source Type: research

Orbital exenteration and reconstruction in a tertiary UK institution: a 5-year experience.
CONCLUSIONS: A multidisciplinary approach to advanced orbital malignancy with a comprehensive approach to surgical resection and reconstruction results in favorable oncological outcomes and addresses functional and cosmetic patient rehabilitation. PMID: 32543976 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - June 16, 2020 Category: Opthalmology Authors: Fleming JC, Morley I, Malik M, Orfaniotis G, Daniel C, Townley WA, Jeannon JP Tags: Orbit Source Type: research