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

Re: "The Granulomas of Orbital Sarcoidosis Often Show Foci of Necrosis: A Retrospective Observational Study". 回复：“眼眶结节病肉芽肿常表现为坏死灶：一项回顾性观察研究”。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002968

Kaveh Vahdani, Geoffrey E Rose

引用次数: 0

Reply Re: "The Utility of Preoperative Phenylephrine Testing in Müller Muscle Conjunctival Resection Surgery for Involutional Ptosis". 回复：“术前苯肾上腺素检测在<s:1>勒肌结膜切除术治疗对偶性上睑下垂中的应用”

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002963

Persiana S Saffari, Daniel B Rootman

引用次数: 0

Reply Re: "The Granulomas of Orbital Sarcoidosis Often Show Foci of Necrosis: A Retrospective Observational Study". 回复：“眼眶结节病肉芽肿常表现为坏死灶：回顾性观察研究”。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002969

Hursuong Vongsachang, Natalie Wolkow, Anna M Stagner

引用次数: 0

Postoperative Outcomes of Enucleation Without Closure of the Conjunctiva. 无结膜闭合的眼球摘除术的术后结果。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-10-09 DOI: 10.1097/IOP.0000000000002798

Tom Kornhauser, Muhammad Z Chauhan, John D Pemberton

{"title":"Postoperative Outcomes of Enucleation Without Closure of the Conjunctiva.","authors":"Tom Kornhauser, Muhammad Z Chauhan, John D Pemberton","doi":"10.1097/IOP.0000000000002798","DOIUrl":"10.1097/IOP.0000000000002798","url":null,"abstract":"Purpose: To evaluate the long-term outcomes of enucleation without conjunctival closure in a large patient cohort.Methods: A retrospective chart review was conducted from January 2011 to January 2024, examining 144 eyes of 143 patients who underwent enucleation without conjunctival closure by a single oculoplastic surgeon. Data collected included patient demographics, indications for surgery, implant types, and complications.Results: This study included 144 eyes from 143 patients undergoing enucleation without conjunctival closure. Patients had a mean age of 46.47 years (SD: 19.76; range: 4-92 years), with a mean follow-up of 14.66 months (range: 2-142 months). Indications for enucleation included blind painful eyes for a variety of reasons (e.g., endophthalmitis, end-stage glaucoma, irreparable corneal graft failure, irreparable corneal melt, and intraocular tumors, etc.) which was the most common reason in our practice (72.92%). Porous polyethylene spheres (86.11%) and polymethyl methacrylate spheres (13.89%) were the primary implants used, with no observed implant complications. Three cases (2.08%) developed conjunctival cysts post-trauma.Conclusions: Enucleation without conjunctival closure in an otherwise normal eye with no evidence of severe conjunctival shrinkage appears to be a safe and effective procedure with a low complication rate comparable to traditional techniques involving suture-based conjunctival approximation. Meticulous closure of Tenon's capsule may be sufficient to prevent implant-related complications. This approach could potentially reduce surgical time and simplify the enucleation procedure without compromising patient outcomes.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"266-268"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903413","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

A Cost Analysis of Enucleation and Evisceration Surgeries for Treatment of Blind, Painful Eyes. 眼盲、眼痛的剜除手术成本分析。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-10 DOI: 10.1097/IOP.0000000000002836

Darren A Chen, Amee D Azad, Lisa Y Lin, Michael K Yoon

{"title":"A Cost Analysis of Enucleation and Evisceration Surgeries for Treatment of Blind, Painful Eyes.","authors":"Darren A Chen, Amee D Azad, Lisa Y Lin, Michael K Yoon","doi":"10.1097/IOP.0000000000002836","DOIUrl":"10.1097/IOP.0000000000002836","url":null,"abstract":"Purpose: The purpose of this study is to assess the surgical costs of enucleations and eviscerations and their relation to current reimbursement rates using time-driven activity-based costing.Methods: This is a retrospective study of patients undergoing enucleation and evisceration surgeries with attachment of muscles (Current Procedural Terminology 65105 and 65093) for a diagnosis of blind, painful eye, from January 1, 2019, to December 31, 2023, at a single, tertiary level, teaching hospital. A time-driven activity-based cost analysis for day of surgery was performed. Operative reports, perioperative times, and supply costs were extracted from the electronic medical record, and average reimbursement fees were taken from Center for Medicare and Medicaid Services data.Results: In the 5-year study span, 110 patients underwent enucleation and 52 underwent evisceration for a primary indication of blind, painful eye by 10 different surgeons. The average operating room time and surgical time for enucleation was approximately 9 minutes longer compared with evisceration ( p < 0.01). Both surgeries on average resulted in a negative margin with enucleations costing on average $624 more than eviscerations. The breakeven total operating room time for enucleation and evisceration surgery was approximately 86.3 and 83.1 minutes, respectively. From the sample, approximately 79% of enucleation and 60% of evisceration surgeries resulted in a net negative margin.Conclusions: On average, the cost of enucleation and evisceration surgeries exceeded the reimbursement amount set by the Center for Medicare and Medicaid Services. Compared with enucleation, evisceration was more time and cost-effective by only a modest margin.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"315-319"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801617","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

Bleb Reformation After Lateral Cantholysis in a Case of Prostaglandin-associated Periorbitopathy. 前列腺素相关性眶周病1例外眦松解后的泡重构。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-19 DOI: 10.1097/IOP.0000000000002851

Akira Sugano, Hidenori Mito, Tomoko Ide, Shunsuke Nakakura, Jose Miguel Ambat, Yasuhiro Takahashi

引用次数: 0

Reply Re: "Treatment of Thyroid Eye Disease-Associated Ophthalmopathy and Myopathy With Intraorbital Injection of 5-Fluorouracil and Triamcinolone Acetonide". 回复：“5-氟尿嘧啶和曲安奈德眶内注射治疗甲状腺眼病相关性眼病和肌病”。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002955

Louise A Mawn, James J Law, Anna Kupcha

引用次数: 0

Dacryoadenitis and Sjögren-like Symptoms Caused by Nivolumab. 尼武单抗引起的泪腺炎和Sjögren-like症状。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-27 DOI: 10.1097/IOP.0000000000002856

Isana Nakajima, Koji Yoshino, Misayo Miyake, Kengo Takeuchi, Hideki Tsuji

引用次数: 0

Graded Eyelid Crease Approach to the Superior Orbital Apex: An Anatomical Study. 眶上穹窿的分级眼睑皱襞入路：解剖学研究。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-11-19 DOI: 10.1097/IOP.0000000000002812

Jessica Y Tong, Jeffrey Sung, WengOnn Chan, Alkis J Psaltis, Dinesh Selva

{"title":"Graded Eyelid Crease Approach to the Superior Orbital Apex: An Anatomical Study.","authors":"Jessica Y Tong, Jeffrey Sung, WengOnn Chan, Alkis J Psaltis, Dinesh Selva","doi":"10.1097/IOP.0000000000002812","DOIUrl":"10.1097/IOP.0000000000002812","url":null,"abstract":"Purpose: To describe a graded eyelid crease approach to access the superior orbital apex, and to quantify the working space enabled with the sequential release of structures along the superior orbital rim.Methods: Cadaveric dissection study of 7 cadaver heads (14 orbits). This technique involved a subperiosteal approach to the superior orbital apex. This was performed by sequential dissection from 1) the supraorbital neurovascular bundle (SNB) to the zygomaticofrontal suture, 2) extension of this plane to the Whitnall's tubercle, 3a) dissection around the SNB up to the trochlea while preserving the SNB, or 3b) release and division of the SNB, and finally 4) subperiosteal release of the trochlea. Measurements were taken between each landmark (mean ± 1 SD). With each step, a silicone mold was created of the subperiosteal cavity with maximal orbital retraction, which was maintained within 10 mm from the superior orbital rim. The length (mm), width (mm), height (mm), and weight (g) of the mold were quantified.Results: The mean distance from SNB to the zygomaticofrontal suture is 27.0 ± 2.9 mm; zygomaticofrontal suture to Whitnall's tubercle 8.9 ± 3.1 mm, and SNB to trochlea 4.6 ± 2.7 mm. There was a linear increase in the length, width, and height of the silicone mold with each progressive step. The largest gains in height and weight of the silicone mold were noted progressing from step 2 to 3a.Conclusion: Quantitative analysis of the transorbital approach to the superior orbital apex demonstrates that dissection around the SNB provides a wider surgical corridor of access.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"280-284"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668490","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

Bilateral Congenital Lacrimal Gland Agenesis: A New Finding in Harel-Yoon Syndrome With Heterozygous ATAD3A Deletion. 双侧先天性泪腺发育不全：Harel-Yoon综合征伴杂合ATAD3A缺失的新发现。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002809

Bolajoko Abidemi Adewara, Swati Singh

引用次数: 0