Alexis Kassotis, Allison Coombs, Nahill Matari, Angela Lignelli, Michael Kazim
{"title":"Reply Re: \"The Algorithmic Role of Critical Radiographic Features in the Treatment of Angioinvasive Fungal Sinusitis\".","authors":"Alexis Kassotis, Allison Coombs, Nahill Matari, Angela Lignelli, Michael Kazim","doi":"10.1097/IOP.0000000000002961","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002961","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":"41 3","pages":"353"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064233","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}
Marisa Novaes de Figueiredo Rassi, Bruna Veronese de Almeida, Roberto Murillo Limongi
{"title":"Lateral Brow-Eyelid Contour After Traditional Blepharoplasty Versus Blepharoplasty With Brassiere Sutures Using Three-Dimensional Imaging.","authors":"Marisa Novaes de Figueiredo Rassi, Bruna Veronese de Almeida, Roberto Murillo Limongi","doi":"10.1097/IOP.0000000000002801","DOIUrl":"10.1097/IOP.0000000000002801","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to compare the lateral brow-eyelid contour following traditional blepharoplasty versus blepharoplasty with brassiere sutures using 3D imaging.</p><p><strong>Methods: </strong>This prospective, randomized, comparative, parallel-group trial involved 56 female patients with dermatochalasis. Patients with an odd number of letters in their first names underwent traditional upper blepharoplasty (group A), while the rest underwent blepharoplasty with orbicularis oculi muscle fixation (group B). All procedures were performed by a single surgeon. Postoperative 3D photographs were standardized in a three-quarter view and analyzed using textured overlays.</p><p><strong>Results: </strong>In traditional blepharoplasty, 64.5% of patients exhibited flatter eyelid contours with shorter lower convexity. In contrast, the brassiere suture group showed increased convexity above and below the eyelid crease and increased tarsal platform show in 60% of patients.</p><p><strong>Conclusion: </strong>The authors recommend preserving and repositioning fat in upper blepharoplasty for its safety and aesthetic benefits.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"269-272"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877070","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}
Priscilla April O Lao, Usma Chatha, Aaron Fay, Ryan Heffelfinger, Jurij R Bilyk
{"title":"Orbital Intraosseous Abscess After Lateral Bony Orbital Decompression.","authors":"Priscilla April O Lao, Usma Chatha, Aaron Fay, Ryan Heffelfinger, Jurij R Bilyk","doi":"10.1097/IOP.0000000000002849","DOIUrl":"10.1097/IOP.0000000000002849","url":null,"abstract":"<p><p>A 66-year-old woman status post bony lateral orbital decompression for thyroid eye disease presented with recurrent episodes of left lateral canthal edema and erythema, despite repeated courses of oral antibiotics, titanium hardware removal, and repeated exploratory orbitotomies with debridement and curettage. MRI later revealed an intraosseous fluid collection in the left greater sphenoid wing. Another exploratory orbitotomy was performed and an intraosseous abscess was identified. The purulent fluid was sent for culture, and the area was debrided and irrigated thoroughly with bacitracin solution. Cultures grew Staphylococcus epidermidis . The patient was treated with a 6-week course of intravenous antibiotics and has remained symptom free for 3 years.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"e85-e87"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864941","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}
Robert J Thomson, Carisa E Bohnak, Edward J Wladis
{"title":"Value of Platelet-to-Lymphocyte and Monocyte-to-Lymphocyte Ratios in Differentiating Idiopathic Orbital Inflammation From Orbital Infectious Disease.","authors":"Robert J Thomson, Carisa E Bohnak, Edward J Wladis","doi":"10.1097/IOP.0000000000002829","DOIUrl":"10.1097/IOP.0000000000002829","url":null,"abstract":"<p><strong>Purpose: </strong>Monocyte-lymphocyte ratio (MLR) and platelet-lymphocyte ratio (PLR) are emerging biomarkers; they have not been widely utilized in orbital disease. This study investigated the role of these ratios in distinguishing orbital inflammation from infection.</p><p><strong>Methods: </strong>A retrospective review of medical records was conducted to identify adult patients who presented acutely to a single emergency department at an academic medical center and were diagnosed with serologically and biopsy-proven idiopathic orbital inflammation (IOI, n = 9), orbital cellulitis (OC, n = 14), or necrotizing fasciitis (NF, n = 12). MLR and PLR were calculated from the first blood draw on presentation to the emergency department. Statistical analysis was performed via the Mann-Whitney test with a dedicated computerized software package (GraphPad Prism, La Jolla, CA) with p values <0.05 considered statistically significant.</p><p><strong>Results: </strong>Mean PLRs were 194.90 (SD = 118.01), 304.21 (SD = 341.39), and 203.38 (SD = 196.32) for IOI, NF, and OC, respectively. Mean MLRs were 0.40 (SD = 0.24), 1.74 (SD = 2.41), and 0.75 (SD = 0.40) for IOI, NF, and OC, respectively. MLR was significantly lower in the IOI group compared to the NF group ( p = 0.018) and OC group ( p = 0.020). Differences in MLR between OC and NF groups were not statistically significant ( p = 0.43).</p><p><strong>Conclusion: </strong>While MLR showed no significant difference between different infectious etiologies, it was significantly higher in infectious processes than in IOI, distinguishing inflammation from infection. MLR could be a valuable addition to the diagnostic toolkit for triaging patients in the emergency department and initiating prompt, focused therapy.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"303-305"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801927","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}
Brittany A Simmons, Anna C Kupcha, Louise A Mawn, Erin M Shriver
{"title":"Re: \"The Algorithmic Role of Critical Radiographic Features in the Treatment of Angioinvasive Fungal Sinusitis\".","authors":"Brittany A Simmons, Anna C Kupcha, Louise A Mawn, Erin M Shriver","doi":"10.1097/IOP.0000000000002960","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002960","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":"41 3","pages":"352-353"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992945","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":"Re: \"The Utility of Preoperative Phenylephrine Testing in Müller Muscle Conjunctival Resection Surgery for Involutional Ptosis\".","authors":"Allen M Putterman, Steve Fagien","doi":"10.1097/IOP.0000000000002962","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002962","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":"41 3","pages":"353-355"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040664","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}
Brian C Tse, Hua Wang, Galina Dvoriantchikova, Daniel Pelaez, David T Tse
{"title":"Systemic Hypothermia in the Acute Management of Traumatic Optic Neuropathy in a Murine Animal Model.","authors":"Brian C Tse, Hua Wang, Galina Dvoriantchikova, Daniel Pelaez, David T Tse","doi":"10.1097/IOP.0000000000002821","DOIUrl":"10.1097/IOP.0000000000002821","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effects of systemic hypothermia on retinal ganglion cell survival and visual outcomes after optic nerve trauma in a sonication-inducted traumatic optic neuropathy murine animal model.</p><p><strong>Methods: </strong>Twenty mice underwent sonication-inducted traumatic optic neuropathy. Afterward, 10 mice were placed on a warming pad set to 36°C, and 10 mice were placed on a table. General anesthesia was maintained for 3 hours with subcutaneous injections of ketamine. The rectal temperature was measured every 15 minutes. Pattern electroretinograms were obtained at 2, 4, and 6 weeks. Mice were sacrificed at 6 weeks, and retinal ganglion cell counts were performed.</p><p><strong>Results: </strong>The hypothermia group had an average rectal temperature of 23.1°C; the control group was 33.3°C. At 6 weeks, the hypothermia group had larger a-wave amplitudes (18.19 µV) than the control group (12.75 µV) ( p < 0.05). At 6 weeks, retinal ganglion cell density over the entire retina was significantly higher in the hypothermia group versus the control ( p < 0.0001).</p><p><strong>Conclusions: </strong>The hypothermia treatment group had significantly higher retinal ganglion cell density and pattern electroretinogram a-wave amplitudes 6 weeks after injury than the control group. Systemic hypothermia may have a neuroprotective effect when initiated immediately after sonication-inducted traumatic optic neuropathy.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"293-298"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12088910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801925","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}
Brian C Tse, Hua Wang, Galina Dvoriantchikova, Daniel Pelaez, David T Tse
{"title":"Systemic Hypothermia in the Acute Management of Traumatic Optic Neuropathy in a Murine Animal Model: Erratum.","authors":"Brian C Tse, Hua Wang, Galina Dvoriantchikova, Daniel Pelaez, David T Tse","doi":"10.1097/IOP.0000000000002977","DOIUrl":"10.1097/IOP.0000000000002977","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":"41 3","pages":"364"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034295","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}
Sugi Panneerselvam, Victoria A Marks, Tejus Pradeep, Thomas E Johnson
{"title":"Oculoplastic Operative Considerations for Kabuki Syndrome: A Case Report and Review of the Literature.","authors":"Sugi Panneerselvam, Victoria A Marks, Tejus Pradeep, Thomas E Johnson","doi":"10.1097/IOP.0000000000002871","DOIUrl":"10.1097/IOP.0000000000002871","url":null,"abstract":"<p><p>Kabuki syndrome is a rare genetic disease with multisystemic effects including ocular manifestations. The authors report a patient with known Kabuki syndrome who presented with bilateral euryblepharon, bilateral ptosis, OD hypotropia, and blue sclera. A bilateral lateral tarsal strip procedure was performed followed by a left frontalis sling with a silicone implant and a right external levator advancement with success. Two hours after the case conclusion, the patient developed a right upper eyelid hematoma. The hematoma was emergently expressed, and the wound was cauterized and sutured. On careful review of prior labs, the patient may have had chronic immune thrombocytopenia, a known comorbidity of Kabuki syndrome. This report not only describes a novel pathogenic variant in KMT2D causing Kabuki syndrome, but also details the surgical approaches to congenital ptosis, underscores the bleeding risk in patients with Kabuki syndrome, and reviews the approach to perioperative hematoma management.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"e104-e106"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882566","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":"Surgery as Process: Do Little Things Matter?","authors":"Russell S Gonnering","doi":"10.1097/IOP.0000000000002853","DOIUrl":"10.1097/IOP.0000000000002853","url":null,"abstract":"<p><p>Using the techniques of cognitive task analysis and process mining may allow an increased understanding of both the action and decision components of a surgical procedure. Prior research has demonstrated that these are not intuitive and seemingly small, insignificant elements may have a large impact on success. This increased understanding may allow a more effective transfer of skills by facilitating the transfer of explicit knowledge into tacit knowledge.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"344-345"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801923","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}