Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery最新文献_第3页

Bilateral orbital inflammation in a pediatric patient with eosinophilic granulomatosis with polyangiitis. 儿童嗜酸性肉芽肿病合并多血管炎的双侧眼眶炎症。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-02-24 DOI: 10.1080/01676830.2024.2448813

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":"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.","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}

引用次数: 0

Oculoplastic complications in patients with adenoviral keratoconjunctivitis. 腺病毒性角膜结膜炎患者的眼成形性并发症。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-03-26 DOI: 10.1080/01676830.2025.2481935

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":"Purpose: 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.Methods: 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.Result: 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.Conclusions: Adenoviral conjunctivitis with even severe inflammation of the anterior segment rarely causes oculoplastic complications requiring surgical interventions.","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}

引用次数: 0

Ectopic orbital brain tissue with perineural cerebrospinal fluid leakage: a case report. 异位眶脑组织伴神经周围脑脊液漏1例。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-04-11 DOI: 10.1080/01676830.2025.2483351

James Diller Murphy, Almila Sarıgül Sezenöz, Federica Mingardo, Victor M Elner, Hakan Demirci

引用次数: 0

Retrograde circular intubation for the failed passage of a pigtail lacrimal probe in the management of non-specific inflammatory punctum occlusion. 非特异性炎症性泪点阻塞的治疗中，尾状泪道探头通过失败的逆行环形插管。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-02-27 DOI: 10.1080/01676830.2025.2469318

Hesham A Ibrahim, Heba Nabil Sabry

{"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":"Purpose: to describe the role of Retrograde Circular Intubation (RCI) technique in the management of non-specific inflammatory punctum occlusion (NIPO).Methods: 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).Results: 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.Conclusion: 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.","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}

引用次数: 0

A case presentation of a pressurized diesel injury to the orbit, face, and neck. 眼眶、面部及颈部受压柴油机损伤一例。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-02-28 DOI: 10.1080/01676830.2025.2465487

Amee D Azad, Lisa Y Lin, Carolina Chiou, Douglas Dembinski, Christopher D Dwyer, Dane Slentz, Natalie Wolkow

引用次数: 0

Adjunct botulinum toxin for cicatricial pemphigoid. 辅助肉毒杆菌毒素治疗瘢痕性类天疱疮。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-02-28 DOI: 10.1080/01676830.2025.2470988

Frank Mei, Liane O Dallalzadeh, Preston Choi, Munevver Duran, Jennifer H Cao, Phillip A Tenzel, Ronald Mancini

{"title":"Adjunct botulinum toxin for cicatricial pemphigoid.","authors":"Frank Mei, Liane O Dallalzadeh, Preston Choi, Munevver Duran, Jennifer H Cao, Phillip A Tenzel, Ronald Mancini","doi":"10.1080/01676830.2025.2470988","DOIUrl":"10.1080/01676830.2025.2470988","url":null,"abstract":"Cicatricial changes secondary to conjunctivitis associated with pemphigoid can include subconjunctival fibrosis, forniceal shortening, symblepharon with resultant entropion and trichiasis. This can ultimately lead to limbal stem cell deficiency and irreversible corneal keratopathy. Herein, we present a case series of three patients at a single academic institution between 2022 and 2024 that underwent botulinum toxin-A injection for lower eyelid cicatricial entropion as a temporizing treatment due to active cicatrizing conjunctivitis. All patients reported subjective improvement in ocular irritation following injection. All patients demonstrated improvement in their eyelid margin position with decreased orbicularis override and improved anterior trajectory of lashes. No patient experienced exacerbation of their pemphigoid and all patients opted for serial injections (mean of 4.3 treatments). This series demonstrates that botulinum toxin-A is an effective tool in the limited armamentum of treatment options for patients with cicatrizing entropion during phases of active cicatrizing conjunctivitis when more definitive conjunctival incisional surgeries are contraindicated.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"614-618"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524868","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

Nationwide orbital decompression volume, surgical approach, and subspecialty distribution patterns within the center for medicare and medicaid services population in the era of teprotumumab. teprotumumab时代的全国眼眶减压量、手术入路和医疗保险和医疗补助服务人群中心的亚专科分布模式

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-03-13 DOI: 10.1080/01676830.2025.2475844

Daniel B Azzam, Alicia Casella, Yi Ling Dai, M Reza Vagefi

{"title":"Nationwide orbital decompression volume, surgical approach, and subspecialty distribution patterns within the center for medicare and medicaid services population in the era of teprotumumab.","authors":"Daniel B Azzam, Alicia Casella, Yi Ling Dai, M Reza Vagefi","doi":"10.1080/01676830.2025.2475844","DOIUrl":"10.1080/01676830.2025.2475844","url":null,"abstract":"Purpose: To evaluate nationwide practice patterns in orbital decompression surgery for thyroid eye disease (TED) after approval of teprotumumab in January 2020.Methods: This retrospective study analyzed the Centers for Medicare and Medicaid Services (CMS) database before (2016-2019) and after teprotumumab approval (2020-2023). External (CPT codes 67414 and 67445) and endoscopic (CPT 31292 and 31293) approaches were included. Controls were cataract surgery (CPT 66984) and upper blepharoplasty (CPT 15822 and 15823). Main outcomes were orbital decompression volume, surgical approach, and subspecialty distribution.Results: In total 4,534 orbital decompressions were billed to CMS from 2016 to 2023. Nationwide orbital decompression volume significantly declined (-37%, p < 0.001) in the post-teprotumumab period, even when controlling relative to cataract surgery (p < 0.001) or upper blepharoplasty (p = 0.010). This was attributed to decreased external orbital decompressions (-41%, p < 0.001), while endoscopic approach was less impacted (-28%, p = 0.007). Specialty distribution trended away from oculofacial plastic surgeons (-10%) toward otolaryngologists (+18%) (p < 0.001). The proportion of endoscopic approach significantly grew (+13%, p < 0.001).Conclusions: A nationwide evolution in surgical patterns for TED was observed after teprotumumab approval. Notable trends included decreased orbital decompressions, otolaryngologists performing proportionately more decompressions, and increased endoscopic approaches.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"522-529"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626292","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

Bicanalicular canaliculitis. Bicanalicular canaliculitis。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-01-20 DOI: 10.1080/01676830.2025.2454357

Mohammad Javed Ali

引用次数: 0

Comment on the innovation of surgery for recurrent naso-orbital mucous cysts. 对复发性鼻眶粘液囊肿手术创新的评论。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-03-21 DOI: 10.1080/01676830.2025.2479743

Ran Xiong, Long Chen

引用次数: 0

Subperiosteal abscess of the orbit with multiple abscesses in the brain and body due to Chromobacterium violaceum sepsis in an infant: a case report and review of the literature. 婴儿因紫色杆菌脓毒症致眼眶骨膜下脓肿合并脑、体多发脓肿1例报告及文献复习。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-10-01 Epub Date: 2025-02-12 DOI: 10.1080/01676830.2025.2462623

Uprimporn Suthiwong, Patcharaporn Chandraparnik

{"title":"Subperiosteal abscess of the orbit with multiple abscesses in the brain and body due to Chromobacterium violaceum sepsis in an infant: a case report and review of the literature.","authors":"Uprimporn Suthiwong, Patcharaporn Chandraparnik","doi":"10.1080/01676830.2025.2462623","DOIUrl":"10.1080/01676830.2025.2462623","url":null,"abstract":"Chromobacterium violaceum is a rare pathogen known to cause severe, life-threatening infections in humans. Its typical clinical presentations include skin and soft tissue infections, fulminant septicemia, multiple visceral abscesses, and diarrhea. We report the case of a 2-month-old male infant who initially presented with acute fever and subsequently developed acute proptosis of the right eye, accompanied by a palpable mass in the right mastoid area. Computed tomography (CT) scans of the orbits, paranasal sinuses and brain revealed a subperiosteal abscess at the right sphenoid wing, right otomastoiditis, and multiple intracerebral abscesses. Moreover, ultrasonography of the whole abdomen showed multiple liver abscesses. Blood culture analysis confirmed the presence of Chromobacterium violaceum, while comprehensive testing for underlying immunodeficiency returned negative results. The patient's condition was effectively managed through timely surgical intervention, including lateral orbitotomy for pus drainage, combined with appropriate antibiotic treatment. After completing the prescribed course of prophylactic antibiotics, the patient remained free from disease recurrence and showed sustained clinical recovery.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"598-601"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400335","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