Ophthalmic Plastic & Reconstructive Surgery最新文献

{"title":"Renal Medullary Carcinoma With Metastasis to the Temporal Fossa and Orbit.","authors":"Ritah Chumdermpadetsuk, Andrea A. Tooley, Kyle J. Godfrey, Brian D. Krawitz, N. Feldstein, M. Kazim","doi":"10.1097/IOP.0000000000001478","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001478","url":null,"abstract":"A 22-year-old Hispanic man with sickle cell trait presented with blurred vision, double vision, and pain with OD movement. MRI demonstrated an extra-axial mass centered around the temporal bone with extension into the middle cranial fossa and lateral aspect of the extra-conal right orbit, and mass effect on the lateral rectus muscle. Biopsy of the lesion was consistent with renal medullary carcinoma. CT chest/abdomen/pelvis confirmed a primary tumor in the right kidney. No additional metastases were found. Renal medullary carcinoma is a rare, highly aggressive malignancy, which almost exclusively affects young men of African descent with sickle cell trait or sickle cell disease. The authors present the second confirmed case of renal medullary carcinoma metastatic to the orbit, with ocular symptoms prior the typical presenting symptoms of flank pain and hematuria.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80323585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nontraumatic Orbital Subperiosteal Hematoma in a Case of Bernard-Soulier Syndrome With Bilateral Pansinusitis.","authors":"Abdullah Ali, Hend E Alsafran, Hamad A Alomairah, Abdulaziz A Almazdi, R. Behbehani","doi":"10.1097/IOP.0000000000001463","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001463","url":null,"abstract":"Orbital subperiosteal hemorrhages are usually due to trauma. However, nontraumatic subperiosteal hemorrhages have also been rarely reported. Here, the authors present a 13-year-old boy with Bernard-Soulier syndrome who presented with right orbital subperiosteal hemorrhage causing optic neuropathy which was surgically drained with full visual recovery.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75725980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capillary Hemangioma Presenting as a Scleral Vascular Lesion in a Child.","authors":"Yasmin S. Bradfield, C. Burkat, D. Albert, Heather A D Potter","doi":"10.1097/IOP.0000000000001443","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001443","url":null,"abstract":"A 7-year-old healthy girl presented for an evaluation of a left vascular scleral mass. The lesion appeared spontaneously with no history of trauma, coagulopathy, or topical medication use. It was nontender, enlarging, and did not extend intraocularly. Her OS vision was 20/20, and the remainder of her eye examination was normal. Evaluation of the ocular mass included B-scan ultrasound, ultrasound biomicroscopy, anterior segment optical coherence tomography (OCT), and orbital MRI. The anterior segment OCT demonstrated vessels within the mass with no defined capsule. The orbital MRI confirmed a lesion isolated to the scleral layers of the globe, with low blood flow. The patient had a partial response to oral propranolol. Because the lesion vessels began to extend into her corneal endothelium, there was a concern for malignancy. A biopsy confirmed a benign intrascleral capillary hemangioma. Discontinuation of the propranolol demonstrated stability of the lesion 6 months later.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88719302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Use of Porcine Urinary Bladder Matrix in the Exenterated Socket.","authors":"Caroline W. Wilson, M. T. Fisher, Nitin A. Pagedar, Gretchen Kass, W. Terry, E. Shriver","doi":"10.1097/IOP.0000000000001453","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001453","url":null,"abstract":"The aim of exenteration reconstruction is to stabilize the postsurgical wound bed to promote expeditious healing particularly in patients who are undergoing adjuvant radiation and/or chemotherapy. Porcine urinary bladder matrix has previously been used successfully as a wound-healing scaffold in treatment of burns and in acute, chronic, and surgical wounds, but the use of these products has not previously been reported in the exenterated orbit. The authors present a case of the novel use of porcine urinary bladder matrix in a pediatric patient who underwent exenteration for recurrent embryonal rhabdomyosarcoma, subsequent split-thickness skin grafting, and adjuvant radiation.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73811931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adenosquamous Carcinoma Arising in Bulbar Conjunctiva.","authors":"S. Kase, S. Ishida","doi":"10.1097/IOP.0000000000001433","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001433","url":null,"abstract":"Adenosquamous carcinoma is a highly aggressive tumor, which can rarely arise from the ocular surface. The authors herein report a patient who presented with a 5 mm mass on the temporal conjunctiva that was clinically diagnosed as squamous cell carcinoma. The lesion was surgically resected with cryopexy to the conjunctival wound edges. Histopathology and immunoractivity confirmed the diagnosis of adenosquamous carcinoma. Following topical interferon alpha 2b for 3 months, there has been no recurrence or distant metastsis during a follow-up of 12 months.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"AES-11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84520776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: \"A Prospective Randomized Comparative Clinical Trial to Analyze Pain and Surgical Outcomes Between Frontal Nerve Blocks and Subconjunctival Anesthesia for Conjunctival Mullerectomy Resection\".","authors":"A. Putterman","doi":"10.1097/IOP.0000000000001389","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001389","url":null,"abstract":"To the Editor: I read with great interest the article of Zatezalo et al. in a recent issue of the journal. The authors performed a randomized trial on 33 patients undergoing conjunctival Müller’s muscle resection and concluded that there was no statistically significant difference in pain scores or surgical outcomes in patients receiving frontal nerve block compared with those receiving subconjunctival injection. The authors should be congratulated for performing a well-designed study in an important topic (e.g., acute pain) in patients undergoing surgical procedures. The current emphasis on the need to reduce the use of opioids makes the topic very relevant in perioperative medicine. Although the study of Zatezalo et al. was well conducted, there are several questions regarding the study that need to be clarified to further confirm the validity of the results. First, it is unclear if the authors standardized the intraoperative and postoperative analgesic regimens as this can significantly affect the study results. Second, the authors did not detect a difference on pain scores, but it does not mean that they were able to prove noninferiority given the small sample size. Last, the authors evaluated multiple outcomes at different times, but they did not adjust their analysis to avoid Type I errors. I would welcome comments by the authors as this would provide further support of their findings of this important clinical trial.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77800802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply re: \"A Prospective Randomized Comparative Clinical Trial to Analyze Pain and Surgical Outcomes Between Frontal Nerve Blocks and Subconjunctival Anesthesia for Conjunctival Mullerectomy Resection\".","authors":"C. Zatezalo, M. Tavakoli, J. ayala-haedo, M. Ko, Apostolos G Anagnostopoulos, Elizabeth A. Vanner, Wendy W. Lee","doi":"10.1097/iop.0000000000001388","DOIUrl":"https://doi.org/10.1097/iop.0000000000001388","url":null,"abstract":"","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88825299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply Re: \"Accuracy of Simple Quantitative Assessment of Orbital Resiliency\".","authors":"Kristen E. Dunbar, M. Kazim","doi":"10.1097/IOP.0000000000001371","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001371","url":null,"abstract":"1. Dunbar KE, Abascal C, Pandit SA, et al. A simple quantitative measure of orbital compliance. Ophthalmic Plast Reconstr Surg 2018;34:560–1. 2. Francis IC, Loughhead JA. Bell’s phenomenon. A study of 508 patients. Aust J Ophthalmol 1984;12:15–21. 3. Braley AE. Malignant exophthalmos. Am J Ophthalmol 1953;36: 1286–90. 4. Ghabrial R, Francis IC, Fulcher GR. Transient retinal arterial compromise in Graves’ orbitopathy. Eye (Lond) 1998;12(pt 3a): 477–9. 5. Frueh BR, Musch DC, Grill R, et al. Orbital compliance in Graves’ eye disease. Ophthalmology 1985;92:657–65. 6. Langenhan F. Instrumentelle Messung der Zurückdrängbarkeit des Augapfels in die Augenhöhle. Z Augenheilkd 1910;24:417–23. 7. Nanda T, Dunbar KE, Campbell AA, et al. Greater proptosis is not associated with improved compressive optic neuropathy in thyroid eye disease. Ophthalmic Plast Reconstr Surg 2018;34(4S suppl 1): 72–4.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85348613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply re: \"Frontalis Muscle Flap Versus Maximum Anterior Levator Resection as the First Option for Patients With Severe Congenital Ptosis\".","authors":"R. Medel, L. Vasquez, J. C. Sánchez España","doi":"10.1097/IOP.0000000000001367","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001367","url":null,"abstract":"To the Editor: I thank Dr. Putterman for his comments on our recent publication. For me it is a pride that he has read our work and took the time to make suggestions, which I appreciate and respect. As he commented, we have a relatively large percentage of reoperations, about 50% of 24 patients treated with super maximum resection/Whitnall sling. Keep in mind that this reoperation result is after a follow up of 10 years, and as we understand Dr. Putterman’s fantastic work, of 8 patients in the group of super maximum resection associating a Tarsectomy (T) (Table 4, group I), only 1 patient required reoperation according his criteria. But based on our criteria, 4 patients would have required reoperation (2.5, 2.5, 3, 2 mm of postoperative ptosis), which means half of the patients of the entire group (just like our 50% of revision surgery in our work). Nevertheless, we could not see the evolution in time of the patients in Dr. Putterman’s study, and to have a good comparison of both techniques/groups, it would be interesting to have similar follow-up times. Another difference in our study is that all 71 cases were operated on with an age younger than 2 years old. In Dr. Putterman’s work, we only can find 2 cases younger than 2 years old and these were included in the non-Tarsectomy group (Table 4, group II). I want to thank Dr. Putterman for the recommendation to perform a Tarsectomy associated with super maximum resection. This is a valuable contribution to the ptosis surgeon community. The aim of our study was just to evaluate the reoperation rate of a new technique (frontalis muscle flap) with a wellknown technique (super maximum resection) under the same conditions (same surgeon, same reoperation criteria) and in a homogenous age group of patients. I believe the technique we developed for frontalis muscle flap, in appropriate hands, is safer with less morbidity, less complications, and less reoperation rates than any other technique for patients with severe congenital ptosis having very poor levator muscle function. I appreciate again the cordial suggestion and wish to thank Dr. Putterman for his invaluable contributions to ptosis surgery. I am willing to respond to any new concerns regarding this issue. Ramón Medel, MD. Luz María Vasquez, M.D. Juan Carlos Sánchez España, M.D., Ph.D.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81595772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: \"Accuracy of Simple Quantitative Assessment of Orbital Resiliency\".","authors":"Brendon W. H. Lee, Melvin L. H. Ling, I. Francis","doi":"10.1097/IOP.0000000000001370","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001370","url":null,"abstract":"1. Medel R, Vasquez L, Wolley Dod C. Early frontalis flap surgery as first option to correct congenital ptosis with poor levator function. Orbit 2014;33:164–8. 2. Vasquez LM, Alonso T, Medel R. Direct frontalis flap with and without levator pulley for correction of severe ptosis with poor levator function in the same patient. Orbit 2012;31:102–6. 3. Medel R, Alonso T, Giralt J, et al. Frontalis muscle flap advancement with a pulley in the levator aponeurosis in patients with complete ptosis and deep-set eyes. Ophthalmic Plast Reconstr Surg 2006;22: 441–4. 4. Medel Jiménez R, Sánchez España JC, Visa Nassarre J, et al. Transcaruncular rectus tendon fixation to the orbit and frontalis flap for complete third nerve palsy. Orbit 2018;15:1–6.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79272011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}