Ophthalmic Plastic and Reconstructive Surgery最新文献_第5页

The Effect of Supine Versus Upright Positioning on Eyelid Height in the Nonsurgical Patient. 仰卧位与直立位对非手术患者眼睑高度的影响

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-03-21 DOI: 10.1097/IOP.0000000000002665

Garrison P Wier, Alex T Legocki, Phillip M A Radke, Bryan S Sires

{"title":"The Effect of Supine Versus Upright Positioning on Eyelid Height in the Nonsurgical Patient.","authors":"Garrison P Wier, Alex T Legocki, Phillip M A Radke, Bryan S Sires","doi":"10.1097/IOP.0000000000002665","DOIUrl":"10.1097/IOP.0000000000002665","url":null,"abstract":"Purpose: To directly compare margin-reflex distance 1, margin-reflex distance 2, and palpebral fissure in the upright versus supine positions in nonsurgical patients.Methods: A total of 43 patients (31 female, 12 male, and age range 26-96) were enrolled. Photos were taken in the clinic in the upright and supine position with a ruler placed vertically in the same plane as the eyelid, and the above computer-analyzed measurements were obtained.Results: Among the 86 eyes observed, the average upright margin-reflex distance 1 was 2.97 mm (95% confidence interval [CI], 2.70-3.24), while the average supine margin-reflex distance 1 was 2.38 mm (95% CI, 2.13-2.63). These differences were statistically significant ( p < 0.001). Similarly, statistically significant differences were seen with margin-reflex distance 2 ( p < 0.001), where upright measurements averaged 5.57 mm (95% CI, 5.33-5.81), and supine measurements averaged 5.01 mm (95% CI, 4.73-5.28). Finally, palpebral fissure showed similar significance ( p < 0.001). Upright measurements averaged 8.54 mm (95% CI, 8.19-8.90), while supine measurements averaged 7.38 mm (95% CI, 7.00-7.76).Conclusions: Supine positioning provides a decrease in margin-reflex distance 1, margin-reflex distance 2, and palpebral fissure when compared with upright positioning in nonsurgical patients. This contradicts a previous study on intraoperative patients when lidocaine with epinephrine was used. This study helps us better understand the normal physiologic response to position changes with regard to eyelid height in the nonsurgical patient. As such, this study may function as a control for future studies comparing anesthetic/surgical parameter effects on intra- and post-operative eyelid heights.","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":"140294119","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

Presentation of Spontaneous Orbital Hemorrhage. 自发性眼眶出血的表现。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-03 DOI: 10.1097/IOP.0000000000002685

Kaveh Vahdani, Aruna Dharmasena, Geoffrey E Rose

{"title":"Presentation of Spontaneous Orbital Hemorrhage.","authors":"Kaveh Vahdani, Aruna Dharmasena, Geoffrey E Rose","doi":"10.1097/IOP.0000000000002685","DOIUrl":"10.1097/IOP.0000000000002685","url":null,"abstract":"Purpose: To evaluate the presenting features of patients with nontraumatic orbital hemorrhage (NTOH) based on etiopathological factors.Methods: A retrospective case-note review for demographics and presenting features of patients with nontraumatic orbital hemorrhage. Patients were categorized into 3 groups: group I with known systemic vascular disease, group II with known or newly revealed orbital vascular anomalies, and group III with no known underlying vasculopathy.Results: One hundred and seventeen patients (68 female; 58%), with 37 (32%) in group I, 47 (40%) in group II, and 33 (28%) in group III. The average age at presentation was 70.9, 30.1, and 49.9 years, respectively, but the incidence peaked in the first decade for patients with underlying local vascular anomalies and in the eighth for those without. Of the group I patients with known cardiovascular disease, 43% were on antithrombotic agents. The most common presenting symptoms were orbital pain (59%), proptosis (56%), and diplopia (45%), while 13% had associated nausea or vomiting. Ipsilateral optic neuropathy occurred in 14% of cases, higher in group II (22%), along with nonaxial globe displacement (25%), reduced eye movements (47%), optic disc swelling (10%), and choroidal folds (9%). Imaging in patients without evident vascular anomalies showed that hemorrhages commonly occurred in the inferotemporal quadrant (32%), with about half of these having a \"beached whale\" configuration (46%).Conclusion: Nontraumatic orbital hemorrhages affect all ages, typically presenting with acute proptosis or pain (over half), various degrees of visual impairment, and reduced motility. About half of those without vascular anomalies had cardiovascular risk factors, imaging often revealing an inferotemporal mass with a \"beached whale\" appearance.","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":"140899324","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

Acellular Fish Skin Grafts for Treatment of Periocular Skin Defects. 细胞鱼皮移植治疗眼周皮肤缺损。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-31 DOI: 10.1097/IOP.0000000000002699

Diane Wang, Janice Maliakkal, Omar Sadat, Vlad Codrea, John Nguyen

{"title":"Acellular Fish Skin Grafts for Treatment of Periocular Skin Defects.","authors":"Diane Wang, Janice Maliakkal, Omar Sadat, Vlad Codrea, John Nguyen","doi":"10.1097/IOP.0000000000002699","DOIUrl":"10.1097/IOP.0000000000002699","url":null,"abstract":"Purpose: To describe the outcomes of acellular fish skin grafts for repair of periocular anterior lamella skin defects after Mohs surgery for skin cancers.Methods: Following the institutional review board approval, the authors conducted a retrospective chart review of patients treated with acellular fish skin grafts between January 2022 and December 2023. Indication was to repair defects after Mohs excision of basal cell carcinoma and squamous cell carcinoma. Demographics, smoking and diabetes status, diagnosis, defect location, graft size, and complications were evaluated. Outcomes were analyzed using the scar cosmesis assessment and rating scale.Results: Six patients (3 females and 3 males) with a mean age of 60.8 (range 44-80) had Mohs surgery for basal cell carcinoma (4) and squamous cell carcinoma (2). Location of defects included eyebrow (3 cases), lateral nasal wall (1 case), lower eyelid (1 case), and medial lower eyelid/nasal wall (1 case). Defect size ranged from 8 × 10 mm to 30 × 40 mm. Two patients had more than 1 application of xenograft. One patient developed a mild cicatricial ectropion. No other postoperative complications were seen, and all had good wound healing and cosmetically acceptable results.Conclusions: In this pilot study, acellular fish skin xenografts are shown to be promising skin graft substitutes in patients with Mohs defects and decrease the need for autologous skin harvesting or allogenic skin donation.","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/PMC11527377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180257","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}

引用次数: 0

3D Computed Tomography-Dacryocystography Features and Management of Intrasaccal Granuloma. 膀胱内肉芽肿的三维计算机断层扫描-泪囊造影特征与处理。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI: 10.1097/IOP.0000000000002693

Ayushi Agarwal, Mohammad Javed Ali

引用次数: 0

Sclerosing Perineurioma of the Orbit. 眼眶硬化性周围瘤

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-07-19 DOI: 10.1097/IOP.0000000000002730

Jonathan Siktberg, Yash Vaishnav, Julia Berry, Reena Singh, Louise A Mawn

引用次数: 0

Numerical Aberrations of the Extraocular Muscles and the Levator Palpebrae Superioris: An Anatomical and Clinical Insight. 眼外肌和上睑提肌的数字畸变：解剖学和临床启示。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-10-10 DOI: 10.1097/IOP.0000000000002807

Hatem A Tawfik, Omar Amro El Houssieny, Jonathan J Dutton

{"title":"Numerical Aberrations of the Extraocular Muscles and the Levator Palpebrae Superioris: An Anatomical and Clinical Insight.","authors":"Hatem A Tawfik, Omar Amro El Houssieny, Jonathan J Dutton","doi":"10.1097/IOP.0000000000002807","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002807","url":null,"abstract":"Purpose: To comprehensively review the literature about numerical aberrations of the orbital muscles of ocular motility (here referred to as extraocular muscles [EOMs]) and the levator palpebrae superioris (LPS).Methods: The authors summarize the embryologic bases and the possible etiopathogenetic causes of numerical aberrations of the EOMs and the LPS and organize these lesions into several broad categories. The clinical and radiologic diagnostic challenges are discussed.Results: Numerical aberrations of the EOMs include: 1) the complete absence of EOMs, 2) duplication of an entire EOM, 3) the presence of muscle bands that connect 2 EOMs, and 4) minor morphological variations such as bifid muscles (partial splitting of the muscle). Some cases may defy categorization into any of the above or may resemble atavistic remnants of the retractor bulbi muscle. Broadly speaking, numerical aberrations of the LPS generally fall into the same categories although the LPS has several peculiar numerical anomalies of its own.Conclusions: Although numerical EOM and LPS variations are relatively rare and of little clinical significance, raising awareness about their presence is a fundamental clinical keystone not just for the strabismus surgeon but for the orbital surgeon as well. During orbital surgery, this may spare the surgeon from pursuing an orbital witch hunt for these benign innocuous accessory orbital structures that were accidentally discovered by the radiologist and misinterpreted as sinister etiologies. For the strabismus surgeon, the failure to identify them may result in an unfavorable surgical outcome if these structures are missed because of a lack of awareness despite being responsible for generating complex strabismus patterns or having a restrictive potential of their own.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471636","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

Microscopic Anatomy of Orbital Septum. 眼眶隔膜的显微解剖。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-10-09 DOI: 10.1097/IOP.0000000000002805

Stefano Gouigoux, Aric Vaidya, Munekazu Naito, Yasuhiro Takahashi, Hirohiko Kakizaki

{"title":"Microscopic Anatomy of Orbital Septum.","authors":"Stefano Gouigoux, Aric Vaidya, Munekazu Naito, Yasuhiro Takahashi, Hirohiko Kakizaki","doi":"10.1097/IOP.0000000000002805","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002805","url":null,"abstract":"Purpose: To study the microscopic anatomy of the orbital septum and evaluate its relationships with the adjoined structures.Methods: Histological evaluation of 11 upper eyelids (5 right, 6 left) from 10 Japanese cadavers (age range: 36-94-year-old, average: 71.1) was performed. The specimens were fixed in 10% formalin and stained with Elastica Van Gieson. Specimens were microscopically analyzed using different magnifications (20×, 40×, and 100×).Results: The orbital septum was the single fibrous layer in all the specimens, anteriorly separated from the retro-orbicularis fat pad capsule and posteriorly from the preaponeurotic fat pad capsule. At the junction of the orbital septum with the levator aponeurosis, the orbital septum proceeded towards the tarsal plate, and the preaponeurotic fat pad capsule reflected posteriorly.Conclusions: The orbital septum is constituted of a single layer of fibrous tissue anteriorly separated from the retro-orbicularis fat pad capsule and posteriorly from the preaponeurotic fat pad capsule by the corresponding virtual spaces.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392139","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

Lymphatic Channel Distribution in Comparison With Blood Vessels in the Upper Eyelid. 上眼睑淋巴管分布与血管的比较

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-10-09 DOI: 10.1097/IOP.0000000000002799

Hirohiko Kakizaki, Jose Miguel Ambat, Jonnah Kristina Teope, Munekazu Naito, Yasuhiro Takahashi

引用次数: 0

Optic Nerve Sheath Fenestration: A Retrospective Review of Its Safety, Efficacy, and Impact on Optical Coherence Tomography. 视神经鞘开窗术：光学相干断层扫描的安全性、有效性及其影响的回顾性研究。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-10-08 DOI: 10.1097/IOP.0000000000002792

Lalita Gupta, Paras Vora, Max Benningfield, Emily A Altman, Padmaja Sudhakar, Peter J Timoney

{"title":"Optic Nerve Sheath Fenestration: A Retrospective Review of Its Safety, Efficacy, and Impact on Optical Coherence Tomography.","authors":"Lalita Gupta, Paras Vora, Max Benningfield, Emily A Altman, Padmaja Sudhakar, Peter J Timoney","doi":"10.1097/IOP.0000000000002792","DOIUrl":"10.1097/IOP.0000000000002792","url":null,"abstract":"Purpose: This study aimed to evaluate the safety and efficacy of optic nerve sheath fenestration using visual acuity, perimetry, and optical coherence tomography.Methods: A retrospective review of patients who underwent an optic nerve sheath fenestration at an academic center between 2016 and 2021 was performed with institutional review board approval. Outcome measures included visual acuity, perimetric mean deviation, optic disc edema grade, improvement in symptoms, and intraoperative and postoperative complications. Optical coherence tomography data collected included macular ganglion cell volume and thickness, as well as retinal nerve fiber layer thickness. Preoperative baseline data and 1-, 6-, and 12-month postoperative data were collected. Repeated measures with a mixed-effects model were used for continuous data, and linear regression analyses were performed.Results: A total of 55 patients (86 eyes) underwent optic nerve sheath fenestration, via a medial transconjunctival approach by the same orbital surgeon. After 12-month follow-up, visual acuity (P < 0.05), perimetric mean deviation (P < 0.05), and optic disc edema (P < 0.001) improved in the operative eye. Retinal nerve fiber layer thickness decreased from a mean of 165 to 92 µm (P < 0.001). Macular ganglion cell volume was found to have a small decrease from baseline and correlated well with visual acuity, contrast sensitivity testing, and perimetric mean deviation (P < 0.001).Conclusions: Optic nerve sheath fenestration performed via a medial transconjunctival approach is a safe and effective method to preserve vision in patients with papilledema, particularly in cases of fulminant or progressive idiopathic intracranial hypertension. Quantitative measurements of the macular ganglion cell layer can serve as a useful adjunct to other diagnostic testing.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392153","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

Is Orbital Lobe of the Lacrimal Gland Dispensable? Tear Volume, Ocular Surface, and MRI Volumetric Analysis. 泪腺眶叶是否可有可无？泪液量、眼表和 MRI 容量分析。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-09-27 DOI: 10.1097/IOP.0000000000002815

Swati Singh, Mohammad Javed Ali

{"title":"Is Orbital Lobe of the Lacrimal Gland Dispensable? Tear Volume, Ocular Surface, and MRI Volumetric Analysis.","authors":"Swati Singh, Mohammad Javed Ali","doi":"10.1097/IOP.0000000000002815","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002815","url":null,"abstract":"Purpose: To investigate the effects of lacrimal gland reduction surgeries on the tear volume and ocular surface.Methods: This is a cohort study of patients post 2 lacrimal gland reduction surgeries: partial orbital lobe dacryoadenectomy for refractory epiphora (4 patients, mean age: 31 ± 13.6 years, 3 males) and complete orbital lobe dacryoadenectomy for lacrimal gland pleomorphic adenoma (15 patients, mean age: 41 ± 12 years, 7 females). Changes in Schirmer I, ocular surface staining, symptomatology, and lacrimal gland volumetrics (MRI) were assessed before and after the surgical procedure.Results: The median Schirmer value reduction following partial orbital lobe dacryoadenectomy was 5 mm at a mean follow-up of 18 ± 4.9 months. None of them developed dry eye disease or positive ocular staining. The gland volume was reduced by 45.9% to 53.5% in 3 patients and 13.3% in 1 patient. The epiphora improved moderately in 93% of patients. Of 15 patients with lacrimal gland pleomorphic adenoma excision, the median reduction in Schirmer I was 4 mm at a mean follow-up of 12.8 months.Conclusion: Partial or complete removal of the orbital lobe of the lacrimal gland does not induce dry eye disease in otherwise healthy individuals. However, gland volume does not recover following partial reduction, and it seems unlikely that the lacrimal gland regenerates following partial removal.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351335","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