Modupe O Adetunji, Nishita T Sheth, Irene T Lee, Emily T Smith, Jessica L Houk, Julie A Woodward, Thomas J Cummings, Christopher R Dermarkarian
{"title":"Hybrid neurofibroma-schwannoma of the orbit: a case report and review of the literature.","authors":"Modupe O Adetunji, Nishita T Sheth, Irene T Lee, Emily T Smith, Jessica L Houk, Julie A Woodward, Thomas J Cummings, Christopher R Dermarkarian","doi":"10.1080/01676830.2025.2475828","DOIUrl":"10.1080/01676830.2025.2475828","url":null,"abstract":"<p><p>Hybrid peripheral nerve sheath tumor is a rare tumor subtype that infrequently occurs within the orbit. A 50-year-old male presented with a 6-year history of worsening left-sided proptosis and hypoglobus. Magnetic resonance imaging of the orbits revealed a left superior extraconal, muti-lobulated orbital lesion with extension into the left orbital apex originating from the left frontal nerve. The patient underwent surgical resection of the mass via a left orbito-cranial approach. Histopathologic examination was positive for orbital hybrid neurofibroma-schwannoma. Postoperatively, the patient had improvement in proptosis, resolution of symptoms, and improved cosmesis. This case represents the eleventh reported occurrence of orbital hybrid neurofibroma-schwannoma.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"619-624"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651451","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":"A very rare case: superior rectus intramuscular orbital adnexal lipoma.","authors":"Shruthi Tara V, Rajesh Prabhu V, Pallavi M P, Rishikesh Balvalli","doi":"10.1080/01676830.2025.2483337","DOIUrl":"10.1080/01676830.2025.2483337","url":null,"abstract":"<p><p>Lipomas are common benign mesenchymal tumors, often found in the subcutaneous plane. Deeper lipomas situated in intramuscular or retroperitoneal locations are seen less frequently. Orbital lipomas are sporadic, with an incidence varying from 0% to 11%, whereas extraocular muscle lipoma is rare and accounts for only 0.6%. Despite their infiltrative nature and tendency to recur locally, intramuscular lipomas do not have malignant potential. A review of literature revealed only four cases of extraocular muscle lipomas worldwide. Through this paper, we report an indolent case of superior rectus lipoma and its presentation, appearance, histopathology, differential diagnosis, and management.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"643-648"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044761","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":"Increased severity of ocular and oculofacial injuries in major league baseball after implementation of a pitch clock.","authors":"Sean Teebagy, Grayson Armstrong, Kevin Heinze","doi":"10.1080/01676830.2025.2496764","DOIUrl":"10.1080/01676830.2025.2496764","url":null,"abstract":"<p><strong>Purpose: </strong>Ocular and oculofacial injuries in baseball can lead to significant morbidity, particularly from high-velocity impacts. In 2023, Major League Baseball (MLB) introduced a pitch clock to accelerate the pace of play. This study evaluates whether these rule changes influenced the frequency and severity of oculofacial injuries among MLB players.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on MLB players who sustained ocular and oculofacial trauma resulting in missed games between the 2019 and 2024 seasons. Injuries were categorized anatomically and assessed for association with pitching. Injury severity was measured by the number of days missed. Statistical comparisons between pre-rule (2019-2022) and post-rule (2023-2024) periods were performed using Mann-Whitney U, Chi-square, and Kruskal-Wallis tests.</p><p><strong>Results: </strong>Fifty-six injuries were analyzed. Injury frequency did not significantly change between the pre-rule (8.25 injuries/season, SD ± 2.95) and post-rule periods (11.5 injuries/season, SD ± 1.50; <i>p</i> = .481). Pitching-related injury severity increased significantly, with time missed rising from 3.25 days/injury (SD ± 4.89) pre-rule to 34.64 days/injury (SD ± 73.10; <i>p</i> = 0.001). Periorbital injury severity also increased from 3.31 days/injury (SD ± 5.09) pre-rule to 42.40 days/injury (SD ± 84.98; <i>p</i> = 0.005).</p><p><strong>Conclusion: </strong>While the frequency of oculofacial injuries remained stable, the severity of pitching-related injuries significantly increased following the rule change. Reduced recovery time between plays may contribute to higher-impact trauma. Further investigation and enhanced protective measures are warranted to mitigate potential safety risks.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"561-566"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051079","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}
Cameron Yang, Derrick Wang, Lynn Schoenfield, Sruti S Akella
{"title":"No stone unturned: a novel presentation of conjunctival basal cell carcinoma.","authors":"Cameron Yang, Derrick Wang, Lynn Schoenfield, Sruti S Akella","doi":"10.1080/01676830.2023.2291803","DOIUrl":"10.1080/01676830.2023.2291803","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"687"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807966","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":"Primary conjunctival amyloidosis presenting as upper lid ectropion.","authors":"Janhavi Desai, Md Shahid Alam","doi":"10.1080/01676830.2023.2283178","DOIUrl":"10.1080/01676830.2023.2283178","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"686"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463653","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}
Mikayla J Baker, Alisha Kamboj, Amanda C Maltry, Raymond G Areaux, Andrew R Harrison, Ali Mokhtarzadeh
{"title":"Bilateral orbital inflammation in a pediatric patient with eosinophilic granulomatosis with polyangiitis.","authors":"Mikayla J Baker, Alisha Kamboj, Amanda C Maltry, Raymond G Areaux, Andrew R Harrison, Ali Mokhtarzadeh","doi":"10.1080/01676830.2024.2448813","DOIUrl":"10.1080/01676830.2024.2448813","url":null,"abstract":"<p><p>A 5-year-old female presented to the ophthalmology clinic with one month of left upper eyelid ptosis and three months of intermittent wheezing and coughing. MRI of the brain and orbits revealed infiltrative enhancement involving both orbits, including the retro-maxillary space, maxillary sinus walls, greater wing of the sphenoid, and possibly the left cavernous sinus. She experienced acute respiratory decompensation in the setting of pansinusitis and tree-in-bud nodular pulmonary opacifications. Laboratory workup revealed anemia, thrombocytosis, and elevated inflammatory markers. An orbitotomy with biopsy demonstrated an eosinophil-rich granulomatous infiltrate, consistent with eosinophilic granulomatosis with polyangiitis (EGPA), previously known as Churg-Strauss syndrome. The patient was placed on high-dose steroids and mepolizumab. To our knowledge, this patient represents the youngest case of EGPA with orbital involvement. Further, this case illustrates the importance of prompt orbital biopsy to provide a timely, unified diagnosis, enabling specialists to initiate appropriate disease management to reduce morbidity and mortality.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"588-591"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484249","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}
Niko J Viskari, Minna H Vesaluoma, Juho O Wedenoja, Marita S Uusitalo
{"title":"Oculoplastic complications in patients with adenoviral keratoconjunctivitis.","authors":"Niko J Viskari, Minna H Vesaluoma, Juho O Wedenoja, Marita S Uusitalo","doi":"10.1080/01676830.2025.2481935","DOIUrl":"10.1080/01676830.2025.2481935","url":null,"abstract":"<p><strong>Purpose: </strong>Adenoviruses and other viral superficial eye infections may cause long-lasting complications, including conjunctival scarring, synechiae, and lacrimal system obstructions. However, their incidence is not established. Here, we set out to assess possible oculoplastic complications and need for surgical procedures in patients with adenoviral conjunctivitis.</p><p><strong>Methods: </strong>This Finnish register-based retrospective study includes patients with adenoviral conjunctivitis treated at Helsinki University Hospital eye clinic, Finland, during adenoviral outbreak in the winter 2017-2018. Of these identified 168 patients, with median age of 43 years (range 0-83 years), 92 were female and 76 were male. 134 patients presented with a bilateral and 34 with a unilateral disease. Viral cell cultures revealed adenovirus serotypes 4 and 8. The medical records were reviewed in 2021-2022 to assess any oculoplastic complications and related surgical procedures.</p><p><strong>Result: </strong>After adenoviral infection, two patients presented with chronic tearing and were diagnosed with canalicular obstruction. One was primarily treated with silicone tube intubation. The canalicular obstruction of the other patient was released by lacrimal irrigation only, after which the patient remained symptom free. No other oculoplastic complications were found.</p><p><strong>Conclusions: </strong>Adenoviral conjunctivitis with even severe inflammation of the anterior segment rarely causes oculoplastic complications requiring surgical interventions.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"530-534"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711515","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}
James Diller Murphy, Almila Sarıgül Sezenöz, Federica Mingardo, Victor M Elner, Hakan Demirci
{"title":"Ectopic orbital brain tissue with perineural cerebrospinal fluid leakage: a case report.","authors":"James Diller Murphy, Almila Sarıgül Sezenöz, Federica Mingardo, Victor M Elner, Hakan Demirci","doi":"10.1080/01676830.2025.2483351","DOIUrl":"10.1080/01676830.2025.2483351","url":null,"abstract":"<p><p>A newborn girl presented with perinatal left periorbital swelling and was treated with antibiotics for 7 days, without improvement. At 9-days-old, ophthalmic examination showed an inferomedial soft, palpable, mobile mass with prominent dilated overlying conjunctival vessels and a morning glory optic disc anomaly of the left eye. Magnetic resonance imaging (MRI) revealed a complex, multilobulated mass displacing the globe superolaterally. Subtotal excision revealed benign ectopic brain tissue. Subsequently, swelling and proptosis recurred. Computed tomography (CT) with cisternogram showed cerebrospinal fluid (CSF) leakage from the optic nerve sheath into the mass. The mass was successfully excised resulting in a satisfactory outcome. This case highlights an association between ectopic brain tissue and CSF leakage, which may be found using CT cisternogram for diagnosis and surgical planning.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"649-653"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006557","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":"Retrograde circular intubation for the failed passage of a pigtail lacrimal probe in the management of non-specific inflammatory punctum occlusion.","authors":"Hesham A Ibrahim, Heba Nabil Sabry","doi":"10.1080/01676830.2025.2469318","DOIUrl":"10.1080/01676830.2025.2469318","url":null,"abstract":"<p><strong>Purpose: </strong>to describe the role of Retrograde Circular Intubation (RCI) technique in the management of non-specific inflammatory punctum occlusion (NIPO).</p><p><strong>Methods: </strong>patients with NIPO who failed conservative treatment underwent 3-snip mini rectangular punctoplasty with adjunctive use of circular canalicular intubation. When the use of the pigtail lacrimal probe was not safely possible, circular intubation was accomplished by the RCI technique. A loop of 6/0 polypropylene suture was introduced into the upper lacrimal drainage system in a retrograde manner from the nose by pulling its two ends up from the puncta with 2/0 polypropylene sutures. The latter were placed between the punctum and the nose by a canulated probe or a Ritleng lacrimal probe (https://youtu.be/n31NKdWIUJM).</p><p><strong>Results: </strong>Thirty-two patients (64 eyes) underwent circular intubation as an adjunct to the 3-snip mini rectangular punctoplasty. In 9 eyes (14%) the pigtail lacrimal probe couldn't pass safely across the upper lacrimal drainage system. Circular tube insertion was still possible with the RCI technique. Circular tubes were removed after two months. Over two years of follow-up, 27 patients (84%) maintained a patent punctum.</p><p><strong>Conclusion: </strong>NIPO not responding to conservative measures can be managed surgically under an umbrella of medications. Circular canalicular intubation with its excellent stability and low morbidity is a valuable adjunctive to the 3-snip mini rectangular punctoplasty. When the passage of the pigtail lacrimal probe fails, circular tubes can be inserted with the RCI technique.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"607-613"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516978","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}
Amee D Azad, Lisa Y Lin, Carolina Chiou, Douglas Dembinski, Christopher D Dwyer, Dane Slentz, Natalie Wolkow
{"title":"A case presentation of a pressurized diesel injury to the orbit, face, and neck.","authors":"Amee D Azad, Lisa Y Lin, Carolina Chiou, Douglas Dembinski, Christopher D Dwyer, Dane Slentz, Natalie Wolkow","doi":"10.1080/01676830.2025.2465487","DOIUrl":"10.1080/01676830.2025.2465487","url":null,"abstract":"<p><p>High-pressure diesel soft tissue injuries are uncommon, especially in the orbit. These injuries can initially have a deceivingly benign clinical appearance and may radiographically mimic soft tissue emphysema but can rapidly progress with vision-threatening outcomes; cases of complete vision loss and loss of eye have been reported. Early diagnosis and intervention are essential to minimize chemical injury to soft tissues and vital structures. We present a case of a severe injury from compressed diesel to the orbit, face, and neck requiring multidisciplinary management, serial debridements, high-dose corticosteroids, and staged reconstruction with an excellent visual outcome.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"602-606"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524932","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}