Ophthalmic Plastic and Reconstructive Surgery最新文献

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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 : 2024-07-19 DOI: 10.1097/IOP.0000000000002730
Jonathan Siktberg, Yash Vaishnav, Julia Berry, Reena Singh, Louise A Mawn
{"title":"Sclerosing Perineurioma of the Orbit.","authors":"Jonathan Siktberg, Yash Vaishnav, Julia Berry, Reena Singh, Louise A Mawn","doi":"10.1097/IOP.0000000000002730","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002730","url":null,"abstract":"<p><p>A 7-week-old boy presented to pediatric ophthalmology with a mass inferior to the medial canthus of the OS that was first noticed on day 3 of life. Crigler massages, warm compresses, and moxifloxacin HCl drops were administered without resolution of symptoms. Probing and irrigation for a presumed dacryocystocele were performed, but the nasolacrimal system was patent, and the mass persisted after the procedure. Oculoplastics was consulted for further evaluation and management. On exam, the tear lake was normal, there was no discharge to palpation of either lacrimal sac, and there was no erythema. An MRI was obtained that showed a mass with nonspecific features abutting the lacrimal sac. A gross total resection of the mass was performed, and it was sent for histopathologic evaluation. Pathology results yielded a diagnosis of sclerosing perineurioma, a rare soft tissue tumor previously unreported in the orbit.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724111","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
Spontaneous Resolution of Traumatic Secondary Acquired Lacrimal Duct Obstruction. 外伤性继发性泪道阻塞的自然缓解
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-18 DOI: 10.1097/IOP.0000000000002758
Anannya Abhyankar Joshi, Mohammad Javed Ali
{"title":"Spontaneous Resolution of Traumatic Secondary Acquired Lacrimal Duct Obstruction.","authors":"Anannya Abhyankar Joshi, Mohammad Javed Ali","doi":"10.1097/IOP.0000000000002758","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002758","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724113","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
Giant Conjunctival and Caruncular Papillomas Causing Functional and Cosmetic Morbidity. 巨型结膜和角膜乳头状瘤导致功能性和美容性疾病。
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI: 10.1097/IOP.0000000000002750
Janet Fan, Hila Goldberg, Tracy Lu, Bita Esmaeli
{"title":"Giant Conjunctival and Caruncular Papillomas Causing Functional and Cosmetic Morbidity.","authors":"Janet Fan, Hila Goldberg, Tracy Lu, Bita Esmaeli","doi":"10.1097/IOP.0000000000002750","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002750","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627277","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
Solitary Langerhans Cell Histiocytosis of the Palpebral Conjunctiva Presenting as Leukoplakia: Case and Review of Literature. 表现为白斑病的睑结膜孤立性朗格汉斯细胞组织细胞增生症:病例与文献综述。
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI: 10.1097/IOP.0000000000002713
Tal J Rubinstein, Adam J Bennett, Preeti H Parekh
{"title":"Solitary Langerhans Cell Histiocytosis of the Palpebral Conjunctiva Presenting as Leukoplakia: Case and Review of Literature.","authors":"Tal J Rubinstein, Adam J Bennett, Preeti H Parekh","doi":"10.1097/IOP.0000000000002713","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002713","url":null,"abstract":"<p><p>A 69-year-old male presented with a superior palpebral conjunctival white leukoplakic lesion. Excisional biopsy showed Langerhans cell histiocytosis. Positron emission tomography scanning revealed no lesions beyond this site. Native Langerhans cells are known to exist in the conjunctiva, yet only a few cases in the literature have described Langerhans cell histiocytosis of the conjunctiva, mostly in children. Conjunctival Langerhans cell histiocytosis has rarely been reported in an adult as leukoplakia. The authors advocate excisional biopsy for palpebral conjunctival Langerhans cell histiocytosis in older patients if the morbidity of closure is minimal, in addition to surveillance for multifocal disease.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620602","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
Pyoderma Gangrenosum: Uncommon Cause of Eyelid Swelling. 坏疽性脓皮病:眼睑肿胀的不常见原因
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI: 10.1097/IOP.0000000000002751
Isana Nakajima, Kengo Takeuchi, Tomoko Nakaizumi, Hideki Tsuji
{"title":"Pyoderma Gangrenosum: Uncommon Cause of Eyelid Swelling.","authors":"Isana Nakajima, Kengo Takeuchi, Tomoko Nakaizumi, Hideki Tsuji","doi":"10.1097/IOP.0000000000002751","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002751","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627280","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
Lateral Globe Exposure Associated With Graves Upper Eyelid Retraction: The Influence of the Superior Complex Enlargement and Proptosis. 与巴塞杜氏上眼睑后缩相关的眼球外侧暴露:上睑下垂和上睑下垂复合体扩大的影响
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI: 10.1097/IOP.0000000000002712
Juliana Guimarães, Denny M Garcia, Antonio Augusto V Cruz
{"title":"Lateral Globe Exposure Associated With Graves Upper Eyelid Retraction: The Influence of the Superior Complex Enlargement and Proptosis.","authors":"Juliana Guimarães, Denny M Garcia, Antonio Augusto V Cruz","doi":"10.1097/IOP.0000000000002712","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002712","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association of the lateral exposure of the globe with proptosis and the enlargement of the superior complex (SC) (levator palpebrae superioris muscle + superior rectus muscle) in patients with Graves upper eyelid retraction.</p><p><strong>Methods: </strong>Twenty-eight patients with upper lid retraction secondary to Graves orbitopathy and 28 controls matched by age and gender participated in the study. The variables exophthalmometry, margin-reflex distance 1, and upper lid fissure temporal and nasal areas were assessed. Coronal CT scans were evaluated for the measurement of the SC area. A 5% level of significance was assumed for analysis.</p><p><strong>Results: </strong>Abnormal temporal nasal area differences (T-N), defined as values above the superior limit of the control distribution (15.58mm2) were detected in 18 patients. Multiple regression analysis showed a significant correlation of abnormal temporo-nasal asymmetries with the SC area and the proptosis (T-N = -6.7 + 0.62* proptosis + 12.3 SC area, R2 = 0.37; p = 0.003).</p><p><strong>Conclusion: </strong>The etiology of the enhanced lateral globe exposure is not unifactorial. SC enlargement and, to a lesser extent, proptosis are important factors correlated to lateral globe exposure.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627278","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
Staged Excision Technique for Periocular Cutaneous Melanoma: Long-Term Outcomes of the Square Procedure. 眼周皮肤黑色素瘤分期切除技术:方形手术的长期疗效
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI: 10.1097/IOP.0000000000002710
Delaram Mirzania, Zhenyang Zhao, Madeline Weber, Rodney Ahdoot, Sarinee Juntipwong, Kelly Harms, Vinay K Aakalu, Denise S Kim, Hakan Demirci, Christine C Nelson
{"title":"Staged Excision Technique for Periocular Cutaneous Melanoma: Long-Term Outcomes of the Square Procedure.","authors":"Delaram Mirzania, Zhenyang Zhao, Madeline Weber, Rodney Ahdoot, Sarinee Juntipwong, Kelly Harms, Vinay K Aakalu, Denise S Kim, Hakan Demirci, Christine C Nelson","doi":"10.1097/IOP.0000000000002710","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002710","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the long-term outcome of the staged excision via the square procedure for the treatment of periocular thin cutaneous melanoma.</p><p><strong>Methods: </strong>A retrospective chart review of 95 periocular cutaneous melanoma-in-situ and microinvasive melanoma tumors that were treated with the square procedure between April 1, 1994 and December 31, 2018 at the University of Michigan. Demographic and clinical data were evaluated.</p><p><strong>Results: </strong>Of 95 cases, 19 (20%) were atypical junctional melanocytic proliferation with features of early melanoma-in-situ, 63 (66.3%) were melanoma-in-situ and 13 (13.7) were microinvasive melanoma with Breslow depth less than 1 mm. Tumor-free margins were achieved with a median margin of 10 mm (range 5-40 mm). Most cases (68.4%) required multiple excision stages. Surgical revision was necessary in 17.9% of cases and was associated with larger defect size. Local recurrence was noted in 8 patients (8.4%) at a median of 42 months postreconstruction. No tumor characteristics were found to predict recurrence.</p><p><strong>Conclusions: </strong>The square procedure for periocular melanoma offers an 8.4% recurrence rate, consistent with literature reports on similar staged excision approaches. The staged excision provides an excellent option for comprehensive margin review and tumor control with acceptable cosmetic results after reconstruction.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620603","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
Peri-levator Betamethasone Versus Triamcinolone Injection in Management of Thyroid Eye Disease-related Upper Eyelid Retraction Without Proptosis. 在治疗与甲状腺眼病相关的上眼睑后缩(无突眼)时,提升管周围注射倍他米松与注射曲安奈德。
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI: 10.1097/IOP.0000000000002662
Rawda A Awad, Ahmed A Abo-Ghadir, Mohamed Shehata Hussien, Ahmad A Awad, Salma M Kedwany, Abd El-Nasser A Mohammad
{"title":"Peri-levator Betamethasone Versus Triamcinolone Injection in Management of Thyroid Eye Disease-related Upper Eyelid Retraction Without Proptosis.","authors":"Rawda A Awad, Ahmed A Abo-Ghadir, Mohamed Shehata Hussien, Ahmad A Awad, Salma M Kedwany, Abd El-Nasser A Mohammad","doi":"10.1097/IOP.0000000000002662","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002662","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the efficacy of peri-levator injection of both betamethasone and triamcinolone in the management of thyroid eye disease-related upper eyelid retraction without proptosis.</p><p><strong>Methods: </strong>This prospective, double-blind, randomized clinical trial was conducted at Assiut University Hospital, Upper Egypt in the period between December 2021 and October 2023. The study included 47 patients (56 eyes) and was divided into 2 groups. In group A, 1 ml betamethasone was injected into the peri-levator area, while in group B, 1 ml triamcinolone was injected. The injection was repeated every month for up to 5 injections if there was an improvement in margin reflex distance 1 (MRD1). The injection was stopped if MRD1 reached the normal value or if 2 successive injections caused no improvement in MRD1. The postinjection outcome was divided into: 1) effective if MRD1 reached the normal ≤4.5 mm; 2) partially effective if MRD1 was improved but did not reach the normal; and 3) ineffective if there was no improvement in MRD1. The follow up ranged from 6 to 20 months.</p><p><strong>Results: </strong>In group A, the injection was effective in 26 eyes (92.9%) and partially effective in 2 eyes (7.1%). In group B, the injection was effective in 17 eyes (60.7%), partially effective in 6 eyes (21.4%), and ineffective in 5 eyes (17.9%). The mean number of injections was significantly lower in group A than in group B: 1.61 ± 0.50 versus 2.36 ± 1.16.</p><p><strong>Conclusions: </strong>This study results suggest that betamethasone is more effective with a smaller number of injections than triamcinolone in the management of thyroid eye disease-related upper eyelid retraction.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627279","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
Adult-onset Conjunctival Xanthogranuloma. 成人发病的结膜黄疽瘤。
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI: 10.1097/IOP.0000000000002749
Isana Nakajima, Kengo Takeuchi, Tomoko Nakaizumi, Hideki Tsuji
{"title":"Adult-onset Conjunctival Xanthogranuloma.","authors":"Isana Nakajima, Kengo Takeuchi, Tomoko Nakaizumi, Hideki Tsuji","doi":"10.1097/IOP.0000000000002749","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002749","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620601","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
Supernumerary Punctum With its Own Distinct Canaliculus. 具有自己独特瓣窦的赘生皮孔。
IF 1.2 4区 医学
Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-10 DOI: 10.1097/IOP.0000000000002734
Prerna Sinha, Mohammad Javed Ali
{"title":"Supernumerary Punctum With its Own Distinct Canaliculus.","authors":"Prerna Sinha, Mohammad Javed Ali","doi":"10.1097/IOP.0000000000002734","DOIUrl":"https://doi.org/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":"2024-07-10","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}
引用次数: 0
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