Saudi Journal of Ophthalmology最新文献

Junction of lacrimal canaliculus to sac: Common or separated? 泪小管与泪囊的连接处：共处还是分离处？

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-06-25 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_63_25

Kan Ishijima, Jonnah K Teope, Yasuhiro Takahashi, Hirohiko Kakizaki

{"title":"Junction of lacrimal canaliculus to sac: Common or separated?","authors":"Kan Ishijima, Jonnah K Teope, Yasuhiro Takahashi, Hirohiko Kakizaki","doi":"10.4103/sjopt.sjopt_63_25","DOIUrl":"10.4103/sjopt.sjopt_63_25","url":null,"abstract":"Purpose: This study aimed to determine whether the upper and lower canaliculi continue to the lacrimal sac through a common opening or separately.Methods: This retrospective cross-sectional study included the medical records of all patients who underwent external dacrycystorhinostomy or lacrimal intubation between April 1, 2024, and August 31, 2024. The canalicular opening into the lacrimal sac was examined by inserting a probe into the upper and lower puncta, and following its course into the sac using a microscope or canalicular endoscope.Results: Sixty-three lacrimal systems from 45 Japanese patients were included in the study. In 25 lacrimal systems (39.68%), the canaliculi shared a common opening into the lacrimal sac. In 38 lacrimal systems (60.32%), the upper and lower canaliculi opened separately into the lacrimal sac. One out of 18 bilateral cases (5.56%) showed a common opening on one side and separate openings on the other.Conclusion: Separate junction of the upper and lower canaliculi to the lacrimal sac was shown in 60.32% of the cases, a prevalence higher than previously reported. Both common and separated canalicular openings may be present in different sides of the same individual.","PeriodicalId":46810,"journal":{"name":"Saudi Journal of Ophthalmology","volume":"39 2","pages":"155-157"},"PeriodicalIF":0.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where is the orbit? Definition of orbital septum attachment sites. 轨道在哪里？眶隔附着部位的定义。

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-06-25 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_58_25

Muhammad Abumanhal, Osama Alsheikh, Deepak P Edward, Hirohiko Kakizaki

{"title":"Where is the orbit? Definition of orbital septum attachment sites.","authors":"Muhammad Abumanhal, Osama Alsheikh, Deepak P Edward, Hirohiko Kakizaki","doi":"10.4103/sjopt.sjopt_58_25","DOIUrl":"10.4103/sjopt.sjopt_58_25","url":null,"abstract":"The orbit is defined as the space posterior to the orbital septum. While the orbital septum's attachment to the bone and soft tissues in the superior and inferior regions has been well documented, its attachment in the medial and lateral canthal areas remains controversial. Consequently, the definition of the orbit in these regions is uncertain. In this study, we aim to precisely define the orbital area.Superior area: The orbital septum originates from the arcus marginalis and attaches to the levator aponeurosis several millimeters above the upper tarsal plate.Inferior area: It similarly arises from the arcus marginalis nasally but extends beyond the orbital margin temporally, reaching the anterior surface of the maxillary bone. The space between the orbital septum and the maxillary bone is called the recess of Eisler. The orbital septum's attachment to the lower eyelid retractors is located several millimeters below the lower tarsal plate.Medial canthal area: The orbital septum originates from the anterior lacrimal crest, not the posterior lacrimal crest. In relation to the medial canthal tendon, it faces the posterior surface of this tendon.Lateral canthal area: The orbital septum originates from the arcus marginalis and attaches to the levator aponeurosis and lower eyelid retractors around the temporal palpebral commissure. It does not attach directly to the orbital tubercle; instead, a space filled with orbital fat exists between the orbital septum and the levator aponeurosis-lower eyelid retractors.","PeriodicalId":46810,"journal":{"name":"Saudi Journal of Ophthalmology","volume":"39 2","pages":"125-127"},"PeriodicalIF":0.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Learning from the past to understand the present and create the future. 从过去学习，了解现在，创造未来。

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-06-25 eCollection Date: 2025-04-01 DOI: 10.4103/SJOPT.SJOPT_170_25

Mohammad J Ali

引用次数: 0

Refining transcutaneous lower blepharoplasty: Key steps for minimizing complications. 改进经皮下睑成形术：减少并发症的关键步骤。

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-06-25 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_89_25

Rana Alhumaemydi, Mostafa M Diab, Adel H AlSuhaibani

{"title":"Refining transcutaneous lower blepharoplasty: Key steps for minimizing complications.","authors":"Rana Alhumaemydi, Mostafa M Diab, Adel H AlSuhaibani","doi":"10.4103/sjopt.sjopt_89_25","DOIUrl":"10.4103/sjopt.sjopt_89_25","url":null,"abstract":"Purpose: Lower blepharoplasty carries the risk of significant, long-lasting complications if not performed correctly. The aim of this study is to explore the outcomes, patient satisfaction, and complications of transcutaneous lower blepharoplasty, with a particular focus on key aspects of the surgical technique that enhance favorable results and minimize adverse effects.Methods: A retrospective chart review of a primary lower transcutaneous blepharoplasty series conducted over a 2-year period was performed. Patients with a history of prior eyelid surgery were excluded. Preoperative demographic and morphological data, surgical techniques, the need for additional procedures, and complications were evaluated from patient charts and standardized photographs taken before and after surgery by an independent observer.Results: A total of 265 patients underwent successful transcutaneous lower eyelid blepharoplasty (LLB), yielding satisfactory outcomes with high patient satisfaction during a median follow-up of 120 days. Increased scleral show occurred in 3 patients (1%), of those two underwent lower lid retractor release with lateral canthal support. Early intralamellar scarring requiring repeated 5-fluorouracil injections occurred in 5 patients (1.9%). No other complications were noted. No patients were dissatisfied with the final outcome.Conclusion: Transcutaneous LLB, which incorporates component steps including controlled skin resection, preservation of orbicularis muscle innervation, preseptal orbicularis suspension, and canthal support (when necessary), has demonstrated improved outcomes with exceptionally low complication and revision rates.","PeriodicalId":46810,"journal":{"name":"Saudi Journal of Ophthalmology","volume":"39 2","pages":"143-147"},"PeriodicalIF":0.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Necrotizing orbital infections: A comprehensive review. 坏死性眼眶感染：综合综述。

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-06-25 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_87_25

Farzad Pakdel, Mohammadreza Salehi, Ilad Alavi Darazam, Faeze Salahshour, Hossein Khalili, Maryam Shafaati, Mahforouzalsadat Marashi, Hasti K Sarvestani, Parinaz S Mahmoudi, Davin C Ashraf, Hadi Koohi, Keyhan Mohammadi, Niloofar Pirmarzdashti, Ali Ahmadi

{"title":"Necrotizing orbital infections: A comprehensive review.","authors":"Farzad Pakdel, Mohammadreza Salehi, Ilad Alavi Darazam, Faeze Salahshour, Hossein Khalili, Maryam Shafaati, Mahforouzalsadat Marashi, Hasti K Sarvestani, Parinaz S Mahmoudi, Davin C Ashraf, Hadi Koohi, Keyhan Mohammadi, Niloofar Pirmarzdashti, Ali Ahmadi","doi":"10.4103/sjopt.sjopt_87_25","DOIUrl":"10.4103/sjopt.sjopt_87_25","url":null,"abstract":"Necrotizing orbital infections (NOIs) are critical, rapidly progressive conditions linked to significant morbidity and mortality, particularly in immunocompromised patients. Infections caused by bacterial, fungal, or viral pathogens can lead to tissue ischemia, necrosis, and serious consequences, including vision loss, intracranial extension, sepsis, and death. Bacterial infections, especially those induced by Group A Streptococcus and methicillin-resistant Staphylococcus aureus, are more prevalent, although invasive fungal infections such as mucormycosis and aspergillosis frequently occur in immunocompromised individuals. Viral infections, although rare, can also induce NOIs, particularly in persons infected with viruses from the Herpesviridae family. Early diagnosis is essential and depends on appropriate and timely clinical evaluations, imaging, and microbiological analysis. Management often entails a combination of broad-spectrum antibiotics, antifungal or antiviral medications, and surgical procedures, including meticulous debridement and abscess drainage. The prognosis is contingent upon prompt and proper treatment, and any delay in proper intervention may lead to higher serious morbidity or mortality. This review provides a comprehensive overview of the etiopathogenesis, clinical manifestations, diagnostic methods, and evidence-based treatment regimens for necrotizing orbital and periorbital infections, highlighting the necessity of a multidisciplinary approach to enhance patient outcomes.","PeriodicalId":46810,"journal":{"name":"Saudi Journal of Ophthalmology","volume":"39 2","pages":"128-140"},"PeriodicalIF":0.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Canalicular opening into the lacrimal sac: How common is the common canalicular opening? 泪囊小管开口：泪囊小管开口有多普遍？

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-06-25 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_94_25

Mohammad J Ali, Nandini Bothra

引用次数: 0

Mantle cell lymphoma of the lacrimal drainage system: A rare case and review of literature. 泪道引流系统套细胞淋巴瘤：一例罕见病例及文献复习。

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-05-23 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_66_25

Nandini Bothra, Mohammad J Ali

引用次数: 0

Impact of orbital decompression on severe hypertropia in patients with thyroid eye disease. 眼窝减压术对甲状腺眼病患者重度斜视的影响。

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Saudi Journal of Ophthalmology Pub Date : 2025-05-21 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_346_24

Rayan Alrebdi, Adel H Alsuhaibani

引用次数: 0

Local anesthesia in upper eyelid surgery - Some considerations. 局部麻醉在上眼睑手术-一些注意事项。

IF 0.6

Saudi Journal of Ophthalmology Pub Date : 2025-05-21 eCollection Date: 2025-04-01 DOI: 10.4103/sjopt.sjopt_59_25

Samata Sharma, Jose M Ambat, Hirohiko Kakizaki

{"title":"Local anesthesia in upper eyelid surgery - Some considerations.","authors":"Samata Sharma, Jose M Ambat, Hirohiko Kakizaki","doi":"10.4103/sjopt.sjopt_59_25","DOIUrl":"10.4103/sjopt.sjopt_59_25","url":null,"abstract":"Local anesthesia injection into the upper eyelid is usually performed with the needle in the horizontal position, perpendicular to the vertically oriented subcutaneous vascular layer. This sometimes results in extensive eyelid ecchymosis and edema, causing prolonged downtime. The purpose of this article is to present an alternative way of infiltrating local anesthesia into the upper eyelids, taking into account the anatomic orientation of the subcutaneous vascular layer. The authors present how infiltration is done with the needle oriented parallel to the vertically oriented blood vessels underneath the skin. Inadvertent injury to the subcutaneous vascular layer was avoided with parallel alignment of the needle. After a certain volume of anesthesia injection into the central portion, it is extended with a glass bar or a cotton swab to infiltrate the whole eyelid. In case of insufficient infiltration to the medial or lateral edge, one more injection is added in the same manner. This reduced intraoperative bleeding, postoperative ecchymosis, and hematoma formation. When magnification is needed during surgery, placing a drop of clear liquid over the blood vessel gives an enlarged view and makes injection of local anesthesia easier. The authors recommend orienting the needle parallel to the vertical subcutaneous vascular layer with droplet magnification to minimize the chance of injury and bleeding and to decrease the incidence of postoperative swelling.","PeriodicalId":46810,"journal":{"name":"Saudi Journal of Ophthalmology","volume":"39 2","pages":"141-142"},"PeriodicalIF":0.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Through the eyes of an ocular immunologist: The interdisciplinary ophthalmology-rheumatology approach. 通过眼免疫学家的眼睛：跨学科眼科风湿病学方法。

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Saudi Journal of Ophthalmology Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.4103/sjopt.sjopt_81_25

Emanuele Ragusa, Carlo Salvarani, Luca Cimino

引用次数: 0