Ophthalmic Plastic and Reconstructive Surgery最新文献

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Eosinophilic Granulomatosis With Polyangiitis in a Pediatric Patient With Bilateral Lacrimal Gland Swelling. 双侧泪腺肿胀患儿嗜酸性肉芽肿伴多血管炎。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-24 DOI: 10.1097/IOP.0000000000003297
Steven P Isherwood, Hardeep Singh Mudhar, Raghavan Sampath, Antonella Berry-Brincat
{"title":"Eosinophilic Granulomatosis With Polyangiitis in a Pediatric Patient With Bilateral Lacrimal Gland Swelling.","authors":"Steven P Isherwood, Hardeep Singh Mudhar, Raghavan Sampath, Antonella Berry-Brincat","doi":"10.1097/IOP.0000000000003297","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003297","url":null,"abstract":"<p><p>A 2-year-old male presented to ophthalmology following a short admission for dacryoadenitis, with a background of 6 months of bilateral fluctuating upper lid swelling, obstructive airway disease, and enlarged tonsils. He had been treated for an allergy-related disease with little effect and, post-hospital discharge, continued in a similar fashion as prior. Given the poor response to escalating allergy medication, a biopsy was taken from the right lacrimal gland. This demonstrated an eosinophil-rich small vessel vasculitis with extravascular eosinophilic granulomas, consistent with a diagnosis of eosinophilic granulomatosis with polyangiitis (EGPA), previously known as Churg-Strauss syndrome. The patient was placed on a tapering course of steroids and started on long-term mycophenolate immunosuppression. To our knowledge, this patient is the youngest case of EGPA with orbital involvement. The case and its heterogeneous presentation add to the growing knowledge of this rare condition.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late Deformity of Reconstructed Eyelid From Prostaglandin-Associated Periorbitopathy. 前列腺素相关性眶周病致重建眼睑晚期畸形。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-24 DOI: 10.1097/IOP.0000000000003299
Philip L Custer
{"title":"Late Deformity of Reconstructed Eyelid From Prostaglandin-Associated Periorbitopathy.","authors":"Philip L Custer","doi":"10.1097/IOP.0000000000003299","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003299","url":null,"abstract":"<p><p>An 80-year-old male had undergone extensive left upper eyelid reconstruction. Over the following 14.5 years, he had mild, minimally symptomatic lagophthalmos. He was then started on topical prostaglandin analogues and developed progressive eyelid retraction, lagophthalmos, and ocular exposure. The medication was discontinued, and the findings improved over the following 4 months.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conservative Lateral Orbicularis Oculi Myomectomy for the Correction of Crow's Feet Wrinkles. 保守性眼轮匝肌外肌瘤切除术矫正鱼尾纹。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-23 DOI: 10.1097/IOP.0000000000003293
Rahaf J Altwijri, Mostafa M Diab, Abdullah I Almater, Adel H Alsuhaibani
{"title":"Conservative Lateral Orbicularis Oculi Myomectomy for the Correction of Crow's Feet Wrinkles.","authors":"Rahaf J Altwijri, Mostafa M Diab, Abdullah I Almater, Adel H Alsuhaibani","doi":"10.1097/IOP.0000000000003293","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003293","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the outcomes of a conservative lateral orbicularis oculi myomectomy performed during upper blepharoplasty, with or without concomitant browlift, for the correction of crow's feet rhytides.</p><p><strong>Methods: </strong>This retrospective case series included patients aged ≥18 years who underwent a 1.5 × 1.5 cm conservative lateral orbicularis oculi myomectomy performed by a single surgeon between May 2023 and May 2025. Crow's feet severity was evaluated preoperatively and at final follow-up using the Carruthers Crow's Feet Grading Scale by a masked reviewer. Patient-reported outcomes were assessed using an electronic questionnaire. Only patients with at least 6 months of follow-up and complete satisfaction questionnaire data were included.</p><p><strong>Results: </strong>A total of 407 patients were included; 282 (69.3%) underwent upper blepharoplasty with concomitant endoscopic browlift, and 125 (30.7%) underwent upper blepharoplasty alone. Significant improvement in crow's feet severity was observed, with median Carruthers Crow's Feet Grading Scale scores improving from 2 to 1 at rest and from 3 to 2 during smiling (both p < 0.001), corresponding to large effect sizes (r = 0.52 and 0.70, respectively). Patients who underwent concomitant browlift demonstrated greater improvement, particularly during smiling (mean reduction, -1.36 vs. -0.88 grades). Overall satisfaction was high (95.3%) and was greater in the combined group (97.9% vs. 89.6%, p < 0.001). Adverse effects were uncommon and predominantly transient.</p><p><strong>Conclusions: </strong>Conservative lateral orbicularis oculi myomectomy performed during upper blepharoplasty, with or without concomitant browlift, provides significant improvement in crow's feet severity, high patient satisfaction, and a favorable safety profile. Concomitant browlift may further enhance aesthetic outcomes.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications of Cerebrospinal Fluid Leak During Endonasal Dacryocystorhinostomy: Case Series and Review of Literature. 鼻内泪囊鼻腔造瘘术中脑脊液漏的并发症:病例分析及文献复习。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-23 DOI: 10.1097/IOP.0000000000003292
Simerdip Kaur, Samir Mohapatra, Hesham Saleh, Andre Litwin, Raman Malhotra
{"title":"Complications of Cerebrospinal Fluid Leak During Endonasal Dacryocystorhinostomy: Case Series and Review of Literature.","authors":"Simerdip Kaur, Samir Mohapatra, Hesham Saleh, Andre Litwin, Raman Malhotra","doi":"10.1097/IOP.0000000000003292","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003292","url":null,"abstract":"<p><p>Cerebrospinal fluid (CSF) leak during endonasal dacryocystorhinostomy is a rare, life-threatening, and underreported complication. We present 3 cases of 2 males and 1 female with an age range of 48 to 79 years. All cases involved patients with narrow nasal passages and were performed by early career surgeons. No intraoperative complications were noted in 2 cases, while severe epistaxis occurred in 1 case during superior osteotomy. All patients developed a headache within the first 48 hours, and cerebrospinal fluid rhinorrhea occurred in 1 case. Two patients developed bacterial meningitis and required intubation and ventilatory support, with 1 fatality. Imaging revealed pneumocephalus in all cases and a transverse venous sinus thrombosis in one. A break in the fovea ethmoidalis was identified in all cases, located posterior to the lacrimal sac. These defects were either at the vertical insertion of the middle turbinate or in association with an extended osteotomy superoposteriorly to the sac.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peripartum Decompensation of an Orbital Vascular Malformation Managed With Urgent Postpartum Surgical Decompression. 围生期眼眶血管畸形失代偿与紧急产后手术减压。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-23 DOI: 10.1097/IOP.0000000000003290
Malcolm M Kates, Gerald J Harris
{"title":"Peripartum Decompensation of an Orbital Vascular Malformation Managed With Urgent Postpartum Surgical Decompression.","authors":"Malcolm M Kates, Gerald J Harris","doi":"10.1097/IOP.0000000000003290","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003290","url":null,"abstract":"<p><p>A 36-year-old woman at 36 weeks gestation presented with 5 months of pain on upgaze and 2 months of progressive vision loss in the right eye. Examination revealed 20/200 acuity, a relative afferent pupillary defect, proptosis, motility restriction, disc edema, and visual field loss. Noncontrast MRI showed a lobulated superolateral orbital apex mass, with differential diagnosis including an orbital vascular malformation enlarged by gestational hypervolemia versus a hormonally sensitive meningioma. Given severe vision loss and advanced gestational age, induced delivery was performed. Postpartum imaging and rapid partial visual recovery favored a vascular etiology. Because spontaneous resolution could not be reliably timed to prevent permanent damage, endoscopic transethmoidal posterior medial wall decompression was performed, restoring vision to 20/20-1 with subsequent lesion regression and normalization of examination findings by 4 months postpartum. Coordinated obstetric-ophthalmic management achieved excellent maternal and fetal outcomes.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characterizing Eyelid Growth and Development in Neonatal Intensive Care Unit Infants: A Photographic Analysis. 特征性的眼睑生长和发育在新生儿重症监护病房的婴儿:摄影分析。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-23 DOI: 10.1097/IOP.0000000000003294
Gabriel Gomide, Mia O'Connell, Alexis Kassotis, Lora R Dagi Glass
{"title":"Characterizing Eyelid Growth and Development in Neonatal Intensive Care Unit Infants: A Photographic Analysis.","authors":"Gabriel Gomide, Mia O'Connell, Alexis Kassotis, Lora R Dagi Glass","doi":"10.1097/IOP.0000000000003294","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003294","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to characterize the final stages of eyelid development by assessing infants in the neonatal intensive care unit during a developmental period corresponding to the final weeks of gestation.</p><p><strong>Methods: </strong>Infants admitted to the neonatal intensive care unit were photographed on a weekly basis to generate a neonatal eyelid photo atlas. Morphological features of horizontal palpebral fissure, upper eyelid-to-brow, and medial and lateral intercanthal distances were measured, and the presence of vascularity and skin tones were recorded for each photograph.</p><p><strong>Results: </strong>Ninety-five photographs were obtained from a series of 19 subjects. For each of the anthropomorphic features, growth rates were determined using mixed-effects linear regression analysis. Growth rates for all features were well-described using linear growth. There were no correlations between gestational age and the presence of vascular features, although they were observed less frequently in darker skin tones.</p><p><strong>Conclusions: </strong>While infant populations are subject to variation in eyelid features, the authors report visualized changes in eyelid structures ex utero with measurement of eyelid features. Features demonstrated linear growth rates, and serial photographs offer a route for the longitudinal assessment of eyelid development in the final weeks of gestation.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Orbital Leiomyosarcoma With Intracranial Extension. 眼眶平滑肌肉瘤伴颅内扩张。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-22 DOI: 10.1097/IOP.0000000000003295
David M Qi, Codrin E Iacob, Roman Shinder
{"title":"Orbital Leiomyosarcoma With Intracranial Extension.","authors":"David M Qi, Codrin E Iacob, Roman Shinder","doi":"10.1097/IOP.0000000000003295","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003295","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Orbital Volume and Body Mass Index. 眼眶体积与身体质量指数的关系。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-11 DOI: 10.1097/IOP.0000000000003288
Maria D Garcia, Jackson F Bloch, Laurence J Eckel, Elizabeth A Bradley
{"title":"Association Between Orbital Volume and Body Mass Index.","authors":"Maria D Garcia, Jackson F Bloch, Laurence J Eckel, Elizabeth A Bradley","doi":"10.1097/IOP.0000000000003288","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003288","url":null,"abstract":"<p><strong>Purpose: </strong>Obesity is a major public health concern, and fat comprises a substantial portion of the orbital volume. We aimed to evaluate the relationship between body mass index (BMI) and orbital fat volume, and to assess whether BMI is associated with radiographic proptosis.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of 99 orbits from patients who underwent orbital CT imaging between January 1 and December 31, 2018. Patients with systemic diseases affecting the orbits were excluded. When applicable, only the healthy orbit was analyzed. Subjects were evenly stratified into normal-weight, overweight, and obese groups by BMI. Using Visage Imaging Software, orbital structure volumes were measured. Orbital fat volume was calculated by subtracting extraocular muscle, globe, and optic nerve volumes from the total orbital volume. Multivariable linear regression, adjusted for age, gender, and race, assessed associations between BMI and orbital measurements.</p><p><strong>Results: </strong>Among individuals with BMI 17 to 25, total orbital volume increased by 1.20 cm3 and orbital fat volume by 1.05 cm3 per unit BMI. For BMI >25, both increased at a flatter slope. Obese patients had nearly double the orbital fat volume of normal-weight patients (10.7 vs. 5.4 cm3, p < 0.001). Radiographic proptosis trended higher in obese patients by 1.7 mm (p = 0.114). Males had larger orbital structures and greater mean proptosis than females.</p><p><strong>Conclusions: </strong>Total orbital and fat volumes increased with BMI, particularly in the normal-to-overweight range. These findings support the need to update normative proptosis data and suggest weight loss may aid in managing mild symptomatic proptosis.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply re: Lash Lamination as a Nonsurgical Approach to Lash Ptosis. 回复:睫毛层压作为非手术治疗睫毛下垂的方法。
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-11 DOI: 10.1097/IOP.0000000000003282
Shon B Shmushkevich, Sarah A Avila
{"title":"Reply re: Lash Lamination as a Nonsurgical Approach to Lash Ptosis.","authors":"Shon B Shmushkevich, Sarah A Avila","doi":"10.1097/IOP.0000000000003282","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003282","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adjunctive Orbital Radiation Therapy with Teprotumumab in Recalcitrant Thyroid Eye Disease: A Case Report. 用Teprotumumab辅助眼眶放射治疗顽固性甲状腺眼病1例
IF 1.6 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2026-09-11 DOI: 10.1097/IOP.0000000000003287
Mannat Kaur, Sugi P Lazarus, Hannah W Cropp, Sara T Wester
{"title":"Adjunctive Orbital Radiation Therapy with Teprotumumab in Recalcitrant Thyroid Eye Disease: A Case Report.","authors":"Mannat Kaur, Sugi P Lazarus, Hannah W Cropp, Sara T Wester","doi":"10.1097/IOP.0000000000003287","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003287","url":null,"abstract":"<p><p>Teprotumumab has demonstrated significant efficacy in active, moderate-to-severe thyroid eye disease; however, concerns remain regarding the durability of response, especially in high-risk patients with recalcitrant disease and risk of compressive optic neuropathy. Orbital radiation therapy has historically been shown to reduce the risk of vision loss from compressive optic neuropathy in muscle-predominant phenotypes, but its role in the biologic era remains unclear. We report a patient with recalcitrant, muscle-predominant thyroid eye disease with radiographic apical crowding who experienced repeated disease reactivations despite multiple courses of teprotumumab and immunomodulatory therapies. Following orbital radiation therapy, the patient demonstrated sustained orbital disease stabilization and resolution of compressive optic neuropathy despite recurrence of severe pretibial myxedema and elevated thyroid-stimulating antibodies. This case suggests that adjunctive orbital radiation therapy with teprotumumab may provide durable orbital disease control despite ongoing systemic reactivations and lower the risk of compressive optic neuropathy in high-risk recalcitrant thyroid eye disease, supporting its continued role as a disease-modifying adjunct in select patients.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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