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

Orbital and ocular adnexal histiocytic tumors; a multidisciplinary literature review. 眼眶和眼附件组织细胞瘤；多学科文献综述。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-04 DOI: 10.1080/01676830.2025.2483975

Seyed Mohammad Malakooti Shijani, Mohsen Bahmani Kashkouli, Mercia J Bezerra Gondim, Peter J Timoney, Adrianna H Masters, Guneet Sarai, Christopher J Compton, Jeremy D Clark

{"title":"Orbital and ocular adnexal histiocytic tumors; a multidisciplinary literature review.","authors":"Seyed Mohammad Malakooti Shijani, Mohsen Bahmani Kashkouli, Mercia J Bezerra Gondim, Peter J Timoney, Adrianna H Masters, Guneet Sarai, Christopher J Compton, Jeremy D Clark","doi":"10.1080/01676830.2025.2483975","DOIUrl":"https://doi.org/10.1080/01676830.2025.2483975","url":null,"abstract":"Purpose: To review and update the clinical presentation, pathology, treatment strategies, and follow-up of the orbital and ocular adnexal histiocytic tumors.Methods: The review included the publications in English literature up to January 2024.Results: Out of 263 screened publications, 73 studies on Langerhans cell histiocytosis (LCH), juvenile and adult onset xanthogranuloma (JXG, AOXG), Erdheim-Chester disease (ECD), Rosai-Dorfman disease (RDD), and histiocytic sarcoma (HS) were included. Diagnosis is based on histological characteristics and markers on immunohistochemical staining. Treatment options vary depending on the type of histiocytic tumors, number of lesions, number of involved organs, and presence of vital organ involvement such as central nervous system. Surgery is the first diagnostic step for all and serves as the primary treatment for LCH and XG. Systemic chemotherapy is the primary treatment for EDC, RDD, and HS and the treatment of choice for the patients with multifocal or multi-organ involvement as well as recurrent or refractory lesions, regardless of the type of histiocytic tumor. Radiotherapy is an adjunctive primary treatment for the patients with HS. It is reserved for recurrent or refractory lesions in the other types. Targeted therapy is currently in progress and may replace the systemic chemotherapy in patients with LCH, XG, and EDC.Conclusion: Surgical debulking is diagnostic in all and therapeutic in LCH, JXG, and AOXG. All recurrent, refractory, multifocal, and multi-organ tumors require additional systemic chemotherapy with or without radiotherapy. Follow-up imaging every 3 to 6 months for the first 2 years and then annually is recommended.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"1-13"},"PeriodicalIF":0.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781516","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

Refractory sphenoid wing osteomyelitis as a complication of orbital decompression. 眼眶减压术并发难治性蝶骨翼骨髓炎

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-06-07 DOI: 10.1080/01676830.2024.2363239

Timothy Meade, Brian Sindelar, Daniel E Rubinstein

引用次数: 0

Checkpoint inhibitor-related myasthenia-myocarditis-myositis overlap syndrome in the orbit. 与检查点抑制剂相关的眼肌症-心肌炎-肌炎重叠综合征。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-05-26 DOI: 10.1080/01676830.2024.2351519

Benjamin Jinsung Park, Aaron W Warning, Sruti S Akella

引用次数: 0

Orbital Kimura disease: maintenance therapy using mycophenolate mofetil. 眼眶木村病：使用霉酚酸酯进行维持治疗。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-05-30 DOI: 10.1080/01676830.2024.2358061

Matthew Fenech, Ayodeji Ajanaku, Austin McCormick, Sarah E Coupland, Yamini Krishna, Ziyaad Sultan, Nima Ghadiri

{"title":"Orbital Kimura disease: maintenance therapy using mycophenolate mofetil.","authors":"Matthew Fenech, Ayodeji Ajanaku, Austin McCormick, Sarah E Coupland, Yamini Krishna, Ziyaad Sultan, Nima Ghadiri","doi":"10.1080/01676830.2024.2358061","DOIUrl":"10.1080/01676830.2024.2358061","url":null,"abstract":"Kimura disease (KD) is a rare, chronic, inflammatory condition, predominantly found in male patients of Asian ethnicity. It typically presents between 50-60 years of age and usually with bilateral disease. Angiolymphoid hyperplasia with eosinophilia (ALHE) remains the main differential diagnosis, although histological analysis is essential in differentiating from other similarly presenting pathologies. In this case, we present an atypical case of unilateral orbital KD in a middle-aged, Caucasian, male gentleman and no evidence of regional lymphadenopathy along with a literature review of orbital KD and the differential diagnoses, histological features and management modalities available, adding to the sparse literature on the topic. At present, no recognised diagnostic criteria for KD are available, with histopathological analysis through incisional or excisional biopsy being the primary diagnostic method. Complete surgical excision with or without corticosteroid management remains the most common treatment modality although management is shifting to steroid-sparing immunomodulatory therapy. To the best of our knowledge, this is the first case to describe maintenance therapy of KD using mycophenolate mofetil.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"215-222"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181002","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

The effect of blepharoplasty or blepharoplasty combined with ptosis or eyebrow surgery to quality of life and use of medication related to headache or eyelid skin disease. 眼睑整形术或眼睑整形术联合上睑下垂或眉毛手术对生活质量的影响，以及与头痛或眼睑皮肤病有关的药物使用情况。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-08-28 DOI: 10.1080/01676830.2024.2393418

Tiina Leivo

{"title":"The effect of blepharoplasty or blepharoplasty combined with ptosis or eyebrow surgery to quality of life and use of medication related to headache or eyelid skin disease.","authors":"Tiina Leivo","doi":"10.1080/01676830.2024.2393418","DOIUrl":"10.1080/01676830.2024.2393418","url":null,"abstract":"Purpose: The aim of this study is to evaluate the effect of blepharoplasty, ptosis or eyebrow surgery to quality of life and use of medication related to headache or eyelid skin disease.Methods: A longitudinal, prospective study including 90 consecutive patients who underwent blepharoplasty, ptosis, eyebrow or combined surgery. The quality of life related to headache was evaluated by HIT6™ and to eyelid skin disease by Skindex-Mini SDM. Use of medication was measured by number of days per week medication was used for headache or eyelid skin disease.Results: Preoperatively 46 (51%) had headache, 4 (4%) eyelid skin and 2 (2%) headache and eyelid skin symptoms. The median HIT-6 difference was -21 (range -36-0; p < .0001) and the median SDM difference was -13 (range = -15 to -1; p = .036). The median difference in medication days/week related to headache was -1 (range -4-0; p < .0001) and to eyelid skin disease -1.5 (range -3 to -1; p = .034).Conclusions: This study shows that after upper eyelid blepharoplasty, ptosis or brow ptosis surgery, headache or eyelid skin disease-related quality of life measures are significantly improved, and the use of headache or eyelid skin-related medication is significantly less.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"150-153"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082180","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

Trends in orbital cellulitis severity and management: 2016 through 2022. 眼眶蜂窝织炎严重程度和管理趋势：2016 年至 2022 年。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-09-17 DOI: 10.1080/01676830.2024.2397027

Alison B Gibbons, Ramy Elsafy, Ashley Campbell, Emily Li

{"title":"Trends in orbital cellulitis severity and management: 2016 through 2022.","authors":"Alison B Gibbons, Ramy Elsafy, Ashley Campbell, Emily Li","doi":"10.1080/01676830.2024.2397027","DOIUrl":"10.1080/01676830.2024.2397027","url":null,"abstract":"Purpose: To characterize trends in orbital cellulitis (OC) severity and management from 2016 through 2022, including assessment of effects from the COVID-19 pandemic.Methods: A retrospective chart review was conducted at a tertiary care center using an electronic medical record search of OC from January 1 2016 to January 1 2023. Radiography was used to categorize patients into three cohorts - OC without abscess, OC with subperiosteal abscess (SPA), and OC with orbital abscess (OA). Infection cohort and age group [pediatric (<9 years old), adolescent (9-18 years), adult (>18 years)] were compared across years. Subgroup analysis was performed in the SPA cohort. Comparisons were made between the time periods prior to and after the start of the COVID-19 pandemic.Results: From 2016-2022, there were 247 (67.3%) cases of OC, 103 (28.1%) SPA, and 17 (4.6%) OA. The year 2022 incurred higher rates of SPA and OA (p = 0.035), pediatric infections (p = 0.008), and co-morbid sinusitis (p = 0.005) compared to all preceding years. Rates were similar from 2016 through 2021. Within the SPA cohort, rates of surgical intervention and outcomes were similar across all years. Rate of abscess formation was significantly higher during the COVID-19 pandemic compared to the pre-pandemic era (p = 0.033).Conclusion: The severity of OC leading up to the COVID-19 pandemic appeared steady. After pandemic onset, a delayed increase in abscess formation, predominantly affecting pediatric patients and correlating with a greater rate of sinusitis, was observed in 2022.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"163-170"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298571","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

Recalcitrant postoperative bleeding after ectropion repair in the setting of undiagnosed chronic disseminated intravascular coagulation. 未确诊的慢性弥散性血管内凝血导致的外翻修复术后顽固性出血。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-04-03 DOI: 10.1080/01676830.2024.2331695

Tatiana R Rosenblatt, Lisa Y Lin, Carolina A Chiou, Nahyoung Grace Lee, Gunsagar S Gulati, Pavan K Bendapudi, Natalie Wolkow

{"title":"Recalcitrant postoperative bleeding after ectropion repair in the setting of undiagnosed chronic disseminated intravascular coagulation.","authors":"Tatiana R Rosenblatt, Lisa Y Lin, Carolina A Chiou, Nahyoung Grace Lee, Gunsagar S Gulati, Pavan K Bendapudi, Natalie Wolkow","doi":"10.1080/01676830.2024.2331695","DOIUrl":"10.1080/01676830.2024.2331695","url":null,"abstract":"Disseminated intravascular coagulation (DIC) is characterized by abnormal activation of the coagulation cascade, which leads to simultaneous hypercoagulation and excessive bleeding. While it typically occurs in systemic diseases, such as infection, inflammation, obstetric complications, and malignancy, it can rarely manifest postoperatively. This case report describes a patient who presented with prolonged, refractory bleeding after ectropion repair via a lateral tarsal strip procedure. Due to the inability to control the patient's bleeding with conservative measures followed by surgical exploration and electrocautery, the patient underwent a hematologic work-up. Laboratory studies were consistent with DIC, attributed to his large burden of endovascular stents. He was treated with anticoagulation using apixaban in addition to tranexamic acid to achieve lasting hemostasis. This case highlights the importance of thorough preoperative assessments, even for minor surgical procedures, and systemic workup for atypical postoperative bleeding.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"196-199"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854182","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 case of extraocular muscle pyomyositis in an elderly patient with diabetes mellitus. 一名老年糖尿病患者的眼外肌脓肌炎病例。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-06-24 DOI: 10.1080/01676830.2024.2370055

Jose Miguel Ambat, Mayari Ito, Tatsuro Yokoyama, Yasuhiro Takahashi

引用次数: 0

Valsalva-associated orbital compartment syndrome in the setting of frontoethmoidal mucocele and orbital cellulitis. 前牙状粘液瘤和眼眶蜂窝织炎引起的瓦尔萨尔瓦相关眼眶隔室综合征。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-05-30 DOI: 10.1080/01676830.2024.2355641

Chad Y Lewis, Rupin N Parikh, Arnulfo Garza Reyes, Matthew R Hoffman, Erin M Shriver

{"title":"Valsalva-associated orbital compartment syndrome in the setting of frontoethmoidal mucocele and orbital cellulitis.","authors":"Chad Y Lewis, Rupin N Parikh, Arnulfo Garza Reyes, Matthew R Hoffman, Erin M Shriver","doi":"10.1080/01676830.2024.2355641","DOIUrl":"10.1080/01676830.2024.2355641","url":null,"abstract":"Valsalva-associated orbital compartment syndrome in the setting of orbital cellulitis, mucocele, or subperiosteal abscess has not been previously reported. A previously healthy girl presented with orbital cellulitis complicated by a subperiosteal abscess and frontoethmoidal mucocele. On the day of her planned orbitotomy and endoscopic sinus surgery, she developed a Valsalva-associated retrobulbar hemorrhage and elevated intraocular pressure after crying during a blood glucose fingerstick. An urgent canthotomy and cantholysis in addition to the planned endoscopic sinus procedure was performed. She did well post-operatively with normal vision at follow-up. Based on these experiences, there should be a consideration to implement heightened vigilance to prevent or minimize Valsalva maneuvers in orbital cellulitis patients with subperiosteal abscesses or mucoceles extending into the orbit. While it remains unclear whether and to what degree these patients may be at an increased risk of developing retrobulbar hemorrhage leading to orbital compartment syndrome, we hope that this novel report aids in providing another consideration with the goal of preventing vision loss.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"211-214"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180965","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

Intraosseous venous malformation of the frontal bone with extension into the frontal sinus and orbit. 额骨骨内静脉畸形，并延伸至额窦和眼眶。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-08-19 DOI: 10.1080/01676830.2024.2363218

Julie M Shabto, Allison Coombs, Shanlee Stevens, Arjun Adapa, Jonathan B Overdevest, Brett Youngerman, Michael Kazim

引用次数: 0