Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery最新文献

Tomographic ultrasound imaging of the anophthalmic socket for future 3D printing of ocular prostheses. 未来3D打印眼假体的眼窝层析超声成像。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-11-29 DOI: 10.1080/01676830.2024.2432419

Linn Engqvist, Ulf Dahlstrand, Olof Neumann, Dyonne Hartong, Jelmer Remmers, Magdalena Naumovska, Rafi Sheikh, Aboma Merdasa, Malin Malmsjö

{"title":"Tomographic ultrasound imaging of the anophthalmic socket for future 3D printing of ocular prostheses.","authors":"Linn Engqvist, Ulf Dahlstrand, Olof Neumann, Dyonne Hartong, Jelmer Remmers, Magdalena Naumovska, Rafi Sheikh, Aboma Merdasa, Malin Malmsjö","doi":"10.1080/01676830.2024.2432419","DOIUrl":"10.1080/01676830.2024.2432419","url":null,"abstract":"Purpose: There is a need for a simple, non-invasive, and easily accessible 3D imaging technique for the anophthalmic socket to create imaging data for future 3D printing of prostheses. This study aimed to investigate the feasibility of using a novel handheld tomographic ultrasound for 3D mapping of the anophthalmic socket.Methods: Ten anophthalmic sockets were scanned using a tomographic ultrasound system and the results were compared to CT scanned impression molds from the same sockets.Results: The tomographic ultrasound provided detailed 3D maps of the anophthalmic sockets. The mean difference between the ultrasound-mapped socket and the CT-scanned imprints was within clinically acceptable limits for most patients. Specifically, the minimum separation distance was less than 3 mm in most cases. In three patients, larger deviations were noted as a result of uneven socket surfaces, indicating the need for further refinement in these cases.Conclusions: Tomographic ultrasound shows promise for 3D imaging of the posterior surface of the anophthalmic socket and may, in the future, support 3D printing of prostheses. However, further refinement is needed to make the technique clinically applicable.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"281-288"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752006","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}

引用次数: 0

Primary orbital apocrine adenocarcinoma: case report and literature review. 原发性眼眶内分泌腺癌：病例报告和文献综述。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-29 DOI: 10.1080/01676830.2024.2382276

Thomas Muecke, Khizar Rana, Sandy Patel, Craig L James, James Slattery, Dinesh Selva

引用次数: 0

Primary conjunctival basal cell carcinoma treated with plaque brachytherapy: a rare case report. 用斑块近距离放射治疗原发性结膜基底细胞癌：一例罕见病例报告。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-08-07 DOI: 10.1080/01676830.2024.2387094

Adwaita Nag, Hatem Krema, Zaid Saeed Kamil, Beiki-Ardakani Akbar, Normand Laperriere

{"title":"Primary conjunctival basal cell carcinoma treated with plaque brachytherapy: a rare case report.","authors":"Adwaita Nag, Hatem Krema, Zaid Saeed Kamil, Beiki-Ardakani Akbar, Normand Laperriere","doi":"10.1080/01676830.2024.2387094","DOIUrl":"10.1080/01676830.2024.2387094","url":null,"abstract":"Primary basal cell carcinoma (BCC) of the conjunctiva is a rare tumor with only six cases reported in literature. We present the case of an 81-year-old male complaining of a slow-growing lesion in his right eye for the past 3 years. The lesion in the temporal bulbar conjunctiva was gelatinous and firmly adherent to sclera. Ultrasound biomicroscopy revealed apparent scleral thinning without invasion. Our provisional diagnosis was ocular surface squamous neoplasia; however, incisional biopsy for histopathological diagnosis revealed that it was a BCC. Due to scleral adhesion and thinning, the lesion was not amenable for surgical resection. Plaque brachytherapy was used to successfully treat the lesion. To the best of our knowledge, this is the first report of brachytherapy administration for treatment of this rare cancer. Previously reported cases were all nodular or pedunculated and treated with surgical excision. For flat, adherent, or invasive lesions, plaque brachytherapy is an effective primary treatment modality.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"340-342"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898648","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}

引用次数: 0

Factors that affect eyelid show and their importance in upper eyelid blepharoplasty: a systematic review. 影响眼睑显示的因素及其在上眼睑重睑术中的重要性：系统综述。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-09-05 DOI: 10.1080/01676830.2024.2398115

Ioannis-Nikolaos Chalkias, Evangelos Lokovitis, Gabriele Quaranta, Mohammed Kamal, Tristan McMullan

{"title":"Factors that affect eyelid show and their importance in upper eyelid blepharoplasty: a systematic review.","authors":"Ioannis-Nikolaos Chalkias, Evangelos Lokovitis, Gabriele Quaranta, Mohammed Kamal, Tristan McMullan","doi":"10.1080/01676830.2024.2398115","DOIUrl":"10.1080/01676830.2024.2398115","url":null,"abstract":"An understanding of the complexity of the surgical anatomy of the upper eyelid and the surrounding structures is mandatory when trying to minimize complications and achieve excellent cosmetic results during eyelid surgery. Postoperative upper eyelid asymmetry is one of the most common causes of patients' dissatisfaction, and several parameters should be taken into consideration when performing cosmetic blepharoplasties and ptosis surgery. Tarsal platform show and brow fat span are two of the most important variables pertaining to the perception of beauty and youthfulness that every oculoplastic and facial plastic surgeon should address when performing such surgery. The aim of this review paper is to provide a detailed anatomy of the upper eyelid and the surrounding structures, to highlight all the relevant factors that contribute to the perception of beauty and the changes that occur to the aging face and to address the preoperative factors that need to be carefully examined before performing upper eyelid surgery.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"363-372"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141409","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}

引用次数: 0

A "tuck" in time saves nine. 时间上的“节衣缩食”可以节省九分。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2023-10-14 DOI: 10.1080/01676830.2023.2261122

Prabrisha Banerjee, Varsha Backiavathy

引用次数: 0

Frontalis muscle flap eyelid reanimation technique in adults with severe ptosis or apraxia of eyelid opening. 重度上睑下垂或眼睑张开障碍成人的额肌瓣重睑术。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-29 DOI: 10.1080/01676830.2024.2381240

Jane Z Spadaro, Nikita Patel, Alon Kahana

{"title":"Frontalis muscle flap eyelid reanimation technique in adults with severe ptosis or apraxia of eyelid opening.","authors":"Jane Z Spadaro, Nikita Patel, Alon Kahana","doi":"10.1080/01676830.2024.2381240","DOIUrl":"10.1080/01676830.2024.2381240","url":null,"abstract":"Purpose: Assessment of the frontalis muscle flap eyelid reanimation surgical technique for adults with severe ptosis and apraxia of eyelid opening.Methods: A retrospective case series of 30 eyes with severe ptosis or apraxia of eyelid opening. Outcomes were assessed for margin to reflex distance 1 (MRD1), lagophthalmos, complications, and need for subsequent surgical intervention. A paired t-test was used to compare preoperative and postoperative scores of a quality-of-life questionnaire.Results: Thirty eyes of 19 patients underwent surgery, 16 (53%) with combined frontalis + levator-Muller muscle flap and 14 (46%) with frontalis muscle flap alone. There were 14 female and 5 male patients, with an average age of 55 years (range, 18-76). Mean preoperative MRD1 was -0.6 mm (range, -5 to 2) with mean levator excursion of 7.1 mm. Seventeen eyes had a myogenic etiology, five had a paralytic etiology, six had blepharospasm with apraxia of lid opening, and two had a neurodegenerative etiology. Nineteen eyes (63%) had previously undergone ptosis repair. Mean postoperative MRD1 was 2.5 mm (range, 0.5 to 5) at mean follow-up of 63.3 days. There were no serious surgical complications; minor complications included ocular surface keratopathy and one patient who required surgical revision. Results of the QOL questionnaire indicated significant improvement in vision-related symptoms postoperatively (p = 0.02).Conclusions: Use of the frontalis muscle flap eyelid reanimation technique, with or without a levator-Muller retractor muscle flap, was very effective in this case series and provided good upper eyelid position with acceptable corneal protection and high patient satisfaction.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"306-313"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789413","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}

引用次数: 0

At a glance: catalogue of systemic associations of congenital lacrimal drainage anomalies. 一目了然：先天性泪道引流异常的系统关联目录。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-08-07 DOI: 10.1080/01676830.2024.2388711

Mohammad Javed Ali

引用次数: 0

Endoscopic dacryocystorhinostomy outcomes in pediatric patients with nasolacrimal duct obstruction. 鼻泪管阻塞儿科患者的内窥镜泪囊鼻腔吻合术疗效。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-10-30 DOI: 10.1080/01676830.2024.2420720

Aaron T Zhao, William R Katowitz

{"title":"Endoscopic dacryocystorhinostomy outcomes in pediatric patients with nasolacrimal duct obstruction.","authors":"Aaron T Zhao, William R Katowitz","doi":"10.1080/01676830.2024.2420720","DOIUrl":"10.1080/01676830.2024.2420720","url":null,"abstract":"Purpose: To determine the risk factors impacting the surgical success of endonasal dacryocystorhinostomy (eDCR) in pediatric patients.Methods: This is a retrospective interventional case series of patients 18 years and younger treated over a 16-year period via eDCR for nasolacrimal duct obstruction (NLDO). Data were extracted on surgical outcomes, follow-up duration, and comorbidities (i.e. punctal agenesis, trisomy 21, dacryocystitis). Functional success was defined as the resolution of NLDO symptoms postoperatively.Results: Of 356 cases in 281 patients (median age: 3.32 years), 78.9% of cases in 79.0% of patients achieved functional success after initial eDCR. The median follow-up duration without tearing symptoms as observed by an ophthalmologist and non-ophthalmology trained clinician was 11.0 months and 62.1 months, respectively. Patients with punctal agenesis and those requiring bilateral surgery had significantly higher rates of failure (p = .01; p < .001, respectively). Age at operation was not significantly associated with failure (p = .30). Excluding cases of trisomy 21 and punctal agenesis, functional success was achieved in 82.7% of 295 cases.Conclusions: Endonasal DCR is effective in resolving NLDO symptoms in pediatric patients, with success rates comparable to the adult population and to an external approach. Despite a higher reoperation rate in patients with trisomy 21 and punctal agenesis, trisomy 21 and age at operation were not significant risk factors for failure.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"267-273"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548282","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}

引用次数: 0

ChatGPT and frequently asked patient questions for upper eyelid blepharoplasty surgery. 对患者进行上眼睑整形手术的常见问题进行了探讨。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-12-13 DOI: 10.1080/01676830.2024.2435930

Arjun Watane, Brittany M Perzia, Madison E Weiss, Andrea A Tooley, Emily Li, Larissa A Habib, Phillip A Tenzel, Michelle M Maeng

{"title":"ChatGPT and frequently asked patient questions for upper eyelid blepharoplasty surgery.","authors":"Arjun Watane, Brittany M Perzia, Madison E Weiss, Andrea A Tooley, Emily Li, Larissa A Habib, Phillip A Tenzel, Michelle M Maeng","doi":"10.1080/01676830.2024.2435930","DOIUrl":"10.1080/01676830.2024.2435930","url":null,"abstract":"Purpose: Online health information seekers may access information produced by artificial intelligence language models such as ChatGPT (OpenAI). The medical field may pose a significant challenge for incorporating these applications given the training and experience needed to master clinical reasoning. The objective was to evaluate the performance of ChatGPT responses compared to human oculofacial plastic surgeon (OPS) responses to FAQs about an upper eyelid blepharoplasty procedure.Methods: A cross-sectional survey was conducted. Three OPS trained by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and three ChatGPT instances each answered 6 frequently asked questions (FAQs) about an upper eyelid blepharoplasty procedure. Two blinded ASOPRS-trained OPS evaluated each response for their accuracy, comprehensiveness, and personal answer similarity based on a Likert scale (1=strongly disagree; 5=strongly agree).Results: ChatGPT achieved a mean Likert scale score of 3.8 (SD 0.9) in accuracy, 3.6 (SD 1.1) in comprehensiveness, and 3.2 (SD 1.1) in personal answer similarity. In comparison, OPS achieved a mean score of 3.6 (SD 1.2) in accuracy (p = .72), 3.0 (SD 1.1) in comprehensiveness (p = .03), and 2.9 (SD 1.1) in personal answer similarity (p = .66).Conclusions: ChatGPT was non-inferior to OPS in answering upper eyelid blepharoplasty FAQs. Compared to OPS, ChatGPT achieved better comprehensiveness ratings and non-inferior accuracy and personal answer similarity ratings. This study poses the potential for ChatGPT to serve as an adjunct to OPS for patient education but not a replacement. However, safeguards to protect patients from possible harm must be implemented.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"295-298"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819327","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}

引用次数: 0

Trainee experience in virtual reality simulation in orbital surgery. 学员在眼眶手术虚拟现实模拟中的体验。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-06-01 Epub Date: 2024-11-19 DOI: 10.1080/01676830.2024.2427016

Sudarshan Srivatsan, Daniel K Lee, Ann Q Tran, Sruti S Akella, Vinay Aakalu, Pete Setabutr

{"title":"Trainee experience in virtual reality simulation in orbital surgery.","authors":"Sudarshan Srivatsan, Daniel K Lee, Ann Q Tran, Sruti S Akella, Vinay Aakalu, Pete Setabutr","doi":"10.1080/01676830.2024.2427016","DOIUrl":"10.1080/01676830.2024.2427016","url":null,"abstract":"Purpose: To demonstrate the role of Virtual Reality (VR) in orbital surgery as an educational tool for surgical trainees.Methods: A single-center prospective study was conducted from February 2021 to April 2023. Pre-operative magnetic resonance imaging and computed tomography scans were used to create patient-specific VR models of the orbit using ImmersiveTouch Software. Accuracy of the models was qualitatively assessed by an attending oculofacial surgeon. Surveys regarding understanding of the surgical plan were distributed to trainees before the VR simulation, after its use, and following surgery.Results: VR models were made for 28 cases, and 52 surveys were completed by residents in ophthalmology, otolaryngology, plastic surgery, and by oculofacial fellows. The VR models for 93% of the cases were rated as accurate by the attending physician. Assigned trainee tasks included measurement of an orbital fracture (n = 1, 1.9%), measurement of orbital tumors (n = 12, 23.1%), and drilling of the orbital bone to simulate an orbital decompression (n = 10, 19.2%). The tumor measurements made by trainees using the VR system were not significantly different than those recorded by the radiologists (p > 0.05). Early trainees (i.e. residents and the first year oculofacial fellow) noted significant improvement in their understanding of the pathology relative to important anatomical landmarks within the orbit after utilizing the VR models prior to surgery (p < 0.001).Conclusions: Patient-specific VR models accurately simulate orbital pathology and may improve trainees' understanding of orbital anatomy early in their careers.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"274-280"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677313","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}

引用次数: 0