{"title":"Antisepsis for Blepharoplasty: Povidone-Iodine, Chlorhexidine, or Octenidine?","authors":"Piotr Kanclerz, Beata Brzezińska","doi":"10.1097/IOP.0000000000002780","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002780","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576730","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}
Niloufar Bineshfar, Kevin D Clauss, Charissa Tan, Sander R Dubovy, David T Tse
{"title":"Optic Nerve Amyloid Deposition Disguised as Optic Nerve Sheath Meningioma.","authors":"Niloufar Bineshfar, Kevin D Clauss, Charissa Tan, Sander R Dubovy, David T Tse","doi":"10.1097/IOP.0000000000002720","DOIUrl":"10.1097/IOP.0000000000002720","url":null,"abstract":"<p><p>Localized orbital amyloidosis is a rare clinical entity. Periocular and orbital amyloid deposits are mainly located at the lacrimal apparatus, eyelid, conjunctiva, ocular adnexa, extraocular muscles, and levator palpebrae muscle. In this article, the authors report an unusual case of optic nerve amyloid deposition in an 82-year-old African American woman who presented with vertical diplopia. MRI revealed an enhancing mass from the optic nerve sheath, and CT showed foci of calcifications suggestive of optic nerve meningioma. However, an incisional biopsy demonstrated lymphoproliferative disease with focal optic nerve sheath amyloid deposition confirmed by histologic Congo red staining and immunohistochemistry.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sruthi Rethy Sreekumar, Saumya Jakati, Mohammad Javed Ali
{"title":"Surgical Challenges in the Management of Respiratory Epithelial Cyst Involving the Lacrimal Sac.","authors":"Sruthi Rethy Sreekumar, Saumya Jakati, Mohammad Javed Ali","doi":"10.1097/IOP.0000000000002757","DOIUrl":"10.1097/IOP.0000000000002757","url":null,"abstract":"<p><p>Respiratory epithelial cysts are uncommon lesions that can be congenital or acquired cystic malformations. Beyond the respiratory system, the location of the respiratory epithelial cyst has been described in the central nervous system, orbits, and the maxillofacial region. The common etiology is believed to be sequestration or entrapment of the epithelial cells of the paranasal sinus. To the best of the authors' knowledge, there are no prior reports on respiratory epithelial cyst involving the lacrimal sac. The present case reports the computed tomography-dacryocystography and endoscopic features and surgical challenges in the management of one such exceptionally rare case.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000483","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}
Roque Lima de Souza, Tomas Teixeira-Pinto, Monise Tadin Reis, Leonardo Lando
{"title":"Tarsal Sebaceoma Presenting as a Papillomatous Lesion.","authors":"Roque Lima de Souza, Tomas Teixeira-Pinto, Monise Tadin Reis, Leonardo Lando","doi":"10.1097/IOP.0000000000002721","DOIUrl":"10.1097/IOP.0000000000002721","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982896","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}
{"title":"Thickness of the Orbital Septum in Comparison to Periorbita and Periosteum.","authors":"Hirohiko Kakizaki, Aric Vaidya, Munekazu Naito, Yasuhiro Takahashi","doi":"10.1097/IOP.0000000000002795","DOIUrl":"10.1097/IOP.0000000000002795","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the thickness of the orbital septum in comparison to that of the periorbita and the periosteum of the frontal bone.</p><p><strong>Methods: </strong>Histological evaluation of 11 tissues around the upper arcus marginalis, including the orbital septum, periorbita, and periosteum of the frontal bone (5 right, 6 left) from 11 Japanese cadavers (age range: 63-91-year-old, average: 77.1, male: 5 cases and female: 6 cases) was performed. The specimens were fixed in 10% formalin and stained with Masson's trichrome. The thickness was measured at the 2 mm points from the center of the merging area of these 3 tissues (arcus marginalis). Statistical analyses in 3 groups were performed first with a one-way ANOVA and then with Tukey's multiple comparison test. Differences in ages or sexes were compared with the Mann-Whitney U test. The significance level was set at 0.05.</p><p><strong>Results: </strong>The orbital septum showed similar thickness with the periosteum of the frontal bone ( p = 0.784), but was thicker than the periorbita ( p = 0.021). The periosteum of the frontal bone was found to be thicker than the periorbita ( p = 0.004). Differences between ages ( p = 0.315) or sexes ( p = 0.126) did not show statistical significance.</p><p><strong>Conclusion: </strong>The thickness of the orbital septum was similar to the periosteum of the frontal bone, but was thicker than the periorbita at the 2 mm points from the center of the arcus marginalis. These showed some variation in each case, though. Ages or sexes did not influence the septum thickness after 60 years of age.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392154","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}
{"title":"Supernumerary Punctum With Its Own Distinct Canaliculus.","authors":"Prerna Sinha, Mohammad Javed Ali","doi":"10.1097/IOP.0000000000002734","DOIUrl":"10.1097/IOP.0000000000002734","url":null,"abstract":"<p><p>Supernumerary punctum is a rare congenital lacrimal drainage disorder that occurs secondary to the development of multiple epithelial buds from the proximal end of the lacrimal cord during embryogenesis. Their location is usually along the canalicular tract, medial conjunctival fornix, or caruncle. Supernumerary puncta have been reported in several lacrimal drainage and systemic disorders. Anterior segment optical coherence tomography is being increasingly employed to study their characteristics. The normal punctum and the supernumerary punctum on the same eyelid are usually reported to have a common horizontal canaliculus. The present case demonstrates the presence of 3 canaliculi in 1 eye: 1 upper and 2 individual lower canaliculi arising from the normal and the supernumerary punctum.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564007","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}
Jing Li, Runzi Yang, Rui Liu, Nan Wang, Hong Zhang, Qihan Guo, Jianmin Ma
{"title":"Orbital Oncocytic Carcinoma: A Comprehensive Case Series and Literature Review.","authors":"Jing Li, Runzi Yang, Rui Liu, Nan Wang, Hong Zhang, Qihan Guo, Jianmin Ma","doi":"10.1097/IOP.0000000000002671","DOIUrl":"10.1097/IOP.0000000000002671","url":null,"abstract":"<p><strong>Purpose: </strong>This case series and literature review evaluated the baseline variables, clinical symptoms, pathological characteristics, and prognosis of patients with orbital oncocytic carcinoma.</p><p><strong>Methods: </strong>This retrospective case series collected the medical histories and other related data from 13 patients pathologically diagnosed with oncocytic carcinoma.</p><p><strong>Results: </strong>The average age of patients with orbital oncocytic carcinoma was 64.8 years, with a significantly higher rate of males than females. Furthermore, unilateral disease was more common than bilateral disease. All patients had surrounding tissue invasion, most commonly to extraocular muscles (69.2%) and bones (53.8%). The clinical manifestations were proptosis (30.8%), swelling of the lesion area (23.1%), vision loss (23.1%), diplopia (23.1%), periocular mass (23.1%), tears (15.4%), eye pain (7.7%), ptosis (7.7%), and visual field loss (7.7%). Microscopic examination revealed many large eosinophilic cells. There were obvious nuclei and abundant mitotic figures. The cancer cells expressed cytokeratin, but not P63 or S-100. The follow-up duration was 2-53 months, and the metastasis rate was 16.7%. The patients exhibited a good prognosis. The main treatment methods included surgical resection, surgery combined with radiotherapy, and the enucleation of ocular contents.</p><p><strong>Conclusions: </strong>Orbital oncocytic carcinoma has the immunohistochemical characteristics of eosinophilic tumor cells, with expression of cytokeratin but not P63 or S-100. The prognosis is favorable. Surgical resection, surgery combined with radiotherapy, and enucleation of intraocular material are effective treatment options. Nevertheless, long-term follow-up and close observation for metastases are required.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724110","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}
{"title":"Massive Orbital Abscess After Orbital Wall Fracture.","authors":"Darren A Chen, Lisa Y Lin, Michael K Yoon","doi":"10.1097/IOP.0000000000002725","DOIUrl":"10.1097/IOP.0000000000002725","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082236","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}
Nishita T Sheth, Jessica L Houk, Irene T Lee, Christopher R Dermarkarian
{"title":"The Utility of Dynamic CT Imaging With Pre- and Post-Valsalva Maneuvers for Confirmation of Suspected Orbital Varices.","authors":"Nishita T Sheth, Jessica L Houk, Irene T Lee, Christopher R Dermarkarian","doi":"10.1097/IOP.0000000000002694","DOIUrl":"10.1097/IOP.0000000000002694","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971556","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}
Yukihiro Imagawa, Kate Angelli J Lucero, Doo-Sik Kong, Kyung In Woo
{"title":"Lateral Rectus Muscle Entrapment in Complex Orbital Fracture in a Child.","authors":"Yukihiro Imagawa, Kate Angelli J Lucero, Doo-Sik Kong, Kyung In Woo","doi":"10.1097/IOP.0000000000002723","DOIUrl":"10.1097/IOP.0000000000002723","url":null,"abstract":"<p><p>A 6-year-old boy presented with a lateral rectus muscle entrapment in a complex orbital fracture sustained during bicycle riding. He was diagnosed with a skull-base fracture with pneumocephalus and zygomatic and inferior orbital wall fractures at another hospital. The zygomatic fracture and pneumocephalus were treated conservatively. Although a detailed ocular motility examination could not be performed due to pain and inability to open the eyelid, the inferior wall fracture was surgically repaired. Postoperatively, persistent extraocular movement limitation prompted a referral to the authors' clinic. Orbital CT imaging demonstrated a fracture at the greater wing of the sphenoid with a hypoattenuated area in the adjacent middle cranial fossa. Orbital MRI taken thereafter revealed lateral rectus and orbital fat prolapse into the middle cranial fossa, indicating entrapment of these structures through the lateral wall fracture. The incarcerated lateral rectus was released using an endoscopic transorbital approach via an upper lid crease, resulting in the recovery of extraocular movement.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082233","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}