{"title":"A case of bilateral orbital haemorrhages following periocular acupuncture.","authors":"Amelia E Davidson, Haya Al-Ani, Richard Hart","doi":"10.1080/01676830.2025.2479745","DOIUrl":"10.1080/01676830.2025.2479745","url":null,"abstract":"<p><p>Acupuncture has been practised for more than 2500 years in the Western Pacific Region and has become an important component of complementary medicine. Acupuncture technique involves the insertion of fine needles into the body at specific points to affect functional changes in internal organ systems. Periocular acupuncture is increasingly used to treat ophthalmologic and non-ophthalmologic conditions. Although there are reported benefits, there is a lack of high-quality evidence supporting its efficacy. There are also increasing reports of complications, including orbital haemorrhage, globe perforation, retinal detachment and endophthalmitis. Here, we present a case of bilateral orbital haemorrhages from periocular acupuncture, highlighting the potential dangers of this practice.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"633-637"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674528","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":"Effects on perfusion by stretching and rotation of forehead skin flaps, as measured by laser speckle contrast imaging.","authors":"Kajsa Tenland, Magdalena Naumovska, Magne Stridh, Rafi Sheikh, Aboma Merdasa, Johanna Vennström Berggren","doi":"10.1080/01676830.2025.2496275","DOIUrl":"10.1080/01676830.2025.2496275","url":null,"abstract":"<p><strong>Purpose: </strong>Flaps are used for repair of defects after tumor excision and often need stretching and rotating to cover the defects. Manipulation of flaps may affect blood perfusion, which is crucial for healing. The aim was to examine the impact on perfusion by stretching and rotating forehead skin flaps.</p><p><strong>Methods: </strong>Blood perfusion was monitored using laser speckle contrast imaging in 19 flaps, raised as part of a direct brow lift. Perfusion was measured before and after stretching (1 and 2 N), and after 90° rotation.</p><p><strong>Results: </strong>Perfusion decreased along the flap, reaching a minimum plateau at 13 mm (IQR: 9 mm to 19 mm) from the base. Stretching with 1 N resulted in significant reduction of this distance to 9 mm (IQR: 8 mm to 12 mm, <i>p</i> < 0.01). Rotation (90°) did not significantly affect the perfusion. However, stretching the already rotated flap by 1 N reduced the distance to the minimum plateau to 10 mm (7-13 mm, <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Perfusion in forehead skin flaps was significantly reduced when stretched. Rotation of flaps did not affect the perfusion. The effects of stretching may be taken into consideration when performing surgery in the periocular area, particularly in cases with impaired microvascular circulation.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"555-560"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991792","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}
Carter W Lim, Jessica Chan, Kristopher Kowal, Elaine Ni Mhurchu, David J A Plemel
{"title":"Ocular neurolymphomatosis: a case report and systematic review of ocular cranial nerve neurolymphomatosis.","authors":"Carter W Lim, Jessica Chan, Kristopher Kowal, Elaine Ni Mhurchu, David J A Plemel","doi":"10.1080/01676830.2025.2505501","DOIUrl":"10.1080/01676830.2025.2505501","url":null,"abstract":"<p><p>Neurolymphomatosis is a rare manifestation of lymphoma. Neurolymphomatosis involving ocular cranial nerves of II, III, IV, and VI remains a poorly characterized disease entity. The authors report a case of cranial nerve III neurolymphomatosis with simultaneous extraocular muscle infiltration which initially mimicked myasthenia gravis with fluctuating diplopia and ptosis. To the authors' best knowledge, this represents the first report where neurolymphomatosis masquerades as myasthenia gravis and is the second case documenting coinciding cranial nerve with extraocular muscle involvement. The case is presented alongside a systematic review of neurolymphomatosis affecting cranial nerves II, III, IV, VI, including its pathological distribution, modality of diagnosis, treatments, and outcomes.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"674-679"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111268","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":"Spontaneous subperiosteal orbital hemorrhage secondary to valsalva.","authors":"Charlotte L Marous, Edward J Wladis","doi":"10.1080/01676830.2024.2306954","DOIUrl":"10.1080/01676830.2024.2306954","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"688"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547178","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}
Carolina Chiou, Edith R Reshef, Daniel Liebman, Adam A Dmytriw, Justin E Vranic, Robert W Regenhardt, Aman B Patel, Christopher Stapleton, Natalie Wolkow
{"title":"A trans-orbital pencil in the left carotid artery of a 40-year-old man: clinical and radiographic images.","authors":"Carolina Chiou, Edith R Reshef, Daniel Liebman, Adam A Dmytriw, Justin E Vranic, Robert W Regenhardt, Aman B Patel, Christopher Stapleton, Natalie Wolkow","doi":"10.1080/01676830.2022.2068153","DOIUrl":"10.1080/01676830.2022.2068153","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":"1 1","pages":"681"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44029036","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":"Response to comments on \"ChatGPT and frequently asked patient questions for upper eyelid blepharoplasty surgery\".","authors":"Michelle M Maeng, Phillip A Tenzel","doi":"10.1080/01676830.2025.2458674","DOIUrl":"10.1080/01676830.2025.2458674","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"654-655"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190902","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}
Emma M Hartness, Arnulfo Garza Reyes, Rupin N Parikh, Nicholas J Lepa, Leili Rahimi, Erin M Shriver
{"title":"A clinical challenge: delayed diagnosis of autoimmune polyglandular syndrome type II in a patient with thyroid eye disease.","authors":"Emma M Hartness, Arnulfo Garza Reyes, Rupin N Parikh, Nicholas J Lepa, Leili Rahimi, Erin M Shriver","doi":"10.1080/01676830.2024.2433120","DOIUrl":"10.1080/01676830.2024.2433120","url":null,"abstract":"<p><p>A 35-year-old woman with thyroid eye disease (TED) was found to have autoimmune polyglandular syndrome type II (APS-II) 1 year after developing symptoms of this rare syndrome, during which she underwent 8 emergency department visits before receiving a targeted endocrinology workup. Thyroid disease is the second most common autoimmune syndrome associated with APS-II after primary adrenal insufficiency. Identification of this syndrome is critical as it can be life-threatening if left untreated. Additionally, if associated hypothyroidism is treated with levothyroxine, adrenal crisis can occur. The patient described symptoms, some of which overlapped with those of TED, and a significant delay in diagnosis occurred. Discussion of this patient's course highlights the importance of ophthalmologists keeping APS-II in mind when seeing patients with thyroid eye disease.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"584-587"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956626","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}
Mohammad Aloufi, Asma Alhazmi, Rawan AlThaqib, Hamad Alsulaiman
{"title":"Centurion Syndrome: anatomy, clinical manifestations, and management - a systematic review.","authors":"Mohammad Aloufi, Asma Alhazmi, Rawan AlThaqib, Hamad Alsulaiman","doi":"10.1080/01676830.2025.2500053","DOIUrl":"10.1080/01676830.2025.2500053","url":null,"abstract":"<p><strong>Purpose: </strong>To review the anatomical and clinical findings of Centurion Syndrome and explore possible surgical management options.</p><p><strong>Methods: </strong>A systematic review of the literature on Centurion Syndrome was conducted. Studies that met clinical and anatomical criteria for Centurion Syndrome, written in English and published in peer-reviewed journals, were included.</p><p><strong>Results: </strong>Out of 53 identified cases, approximately 46 underwent anterior medial canthal tendon (MCT) release with or without posterior fixation, or in combination with other procedures, and achieved total resolution of symptoms over varying follow-up periods. These findings underscore the significance of the anterior limb's position in the pathogenesis of the syndrome and the necessity of surgically correcting it.</p><p><strong>Conclusion: </strong>Anterior MCT release, with or without posterior fixation, is a commonly employed procedure to address punctal malposition in Centurion Syndrome. Additional interventions are often selected based on punctal and lid-globe status following tendon release.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"670-673"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081390","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}
Niloufar Bineshfar, Chloe Shields, Natalia Davila, Sugi Panneerselvam, Tejus Pradeep, Marissa K Shoji, Wendy W Lee
{"title":"Evaluating large language models in answering patient questions about eye removal surgeries.","authors":"Niloufar Bineshfar, Chloe Shields, Natalia Davila, Sugi Panneerselvam, Tejus Pradeep, Marissa K Shoji, Wendy W Lee","doi":"10.1080/01676830.2025.2559735","DOIUrl":"https://doi.org/10.1080/01676830.2025.2559735","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the performance of ChatGPT-4 and Gemini, two large language models (LLMs), in addressing frequently asked questions (FAQs) about eye removal surgeries.</p><p><strong>Methods: </strong>A set of 24 FAQs related to enucleation and evisceration was identified through a Google search and categorized into preoperative, procedural, and postoperative topics. Each question was submitted three times to ChatGPT-4o and Gemini, and responses were evaluated for consistency, accuracy, appropriateness, and potential harm. Readability was assessed using Flesch Reading Ease and Flesch-Kincaid Grade Level scores.</p><p><strong>Results: </strong>Gemini exhibited higher response consistency compared to ChatGPT (<i>p</i> = 0.043), while ChatGPT produced longer responses (mean length: 169.3 vs. 109.9 words; <i>p</i> < 0.001). Gemini's responses were more readable, with a higher Flesch Reading Ease score (39.0 vs. 31.3, <i>p</i> = 0.001) and lower Flesch-Kincaid Grade Level (11.6 vs. 14.0, <i>p</i> < 0.001). Both LLMs demonstrated comparable accuracy and low potential for harm, with 79.2% of Gemini responses and 77.1% of ChatGPT responses rated as completely correct. The sources cited by Gemini included academic institutions (91.7%) and medical practices (8.3%), while ChatGPT exclusively referenced academic sources.</p><p><strong>Conclusions: </strong>ChatGPT and Gemini showed comparable accuracy and low harm potential when addressing patient questions about eye removal surgeries. Gemini provided more consistent and readable responses, but both LLMs exceeded the recommended readability levels for patient education. These findings highlight the potential of LLMs to assist in patient communication and clinical education while underscoring the need for careful oversight in their implementation.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201371","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}
Amitouj S Sidhu, Shiran Madgar, Juan Ortiz, Nicholas Stewart, Krishna Tumuluri
{"title":"Pilomatrix carcinoma in the lower eyelid: case report.","authors":"Amitouj S Sidhu, Shiran Madgar, Juan Ortiz, Nicholas Stewart, Krishna Tumuluri","doi":"10.1080/01676830.2025.2564183","DOIUrl":"https://doi.org/10.1080/01676830.2025.2564183","url":null,"abstract":"<p><p>Pilomatrix carcinoma is a rare, low-grade malignant tumour of the hair follicle matrix, often misdiagnosed due to its histologic similarity to other more common basaloid epithelioid tumours. While it predominantly affects the head and neck region, periorbital involvement is exceptionally rare, with only five reported cases. We present a novel case of pilomatrix carcinoma in the right lower eyelid, representing the sixth documented periorbital occurrence. An 85-year-old male presented with a painless, rapidly enlarging mass on the right lower eyelid, accompanied by red discoloration and ectropion. Examination revealed a firm, nodular medial lower lid margin lesion measuring 3 × 2 × 4 mm. An excision of the lesion with lid reconstruction was performed, and histopathology confirmed the lesion as pilomatrix carcinoma with clear margins. This case highlights the importance of considering pilomatrix carcinoma in atypical periorbital lesions.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"1-4"},"PeriodicalIF":0.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151077","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}