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

{"title":"Two's a pair - kissing canaliculops!","authors":"Chhavi Gupta, Anureet Kaur, Mainak Raychaudhuri, Sima Das","doi":"10.1080/01676830.2025.2543390","DOIUrl":"https://doi.org/10.1080/01676830.2025.2543390","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"1"},"PeriodicalIF":0.8,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822837","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":"Bilateral upper lid symblepharon following posterior approach ptosis surgery.","authors":"James O Robbins, Irene T Lee, Julie A Woodward, Kourtney H Houser, Amol A Sura, Christopher R Dermarkarian","doi":"10.1080/01676830.2025.2539176","DOIUrl":"https://doi.org/10.1080/01676830.2025.2539176","url":null,"abstract":"<p><p>An unusual case of bilateral upper eyelid symblepharon after routine ptosis repair uncovered occult Sjogren's syndrome, underscoring the need for thorough pre-surgical evaluation in all patients and systemic workups for post-operative cicatrization.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790406","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":"Snooker cue tip retention within a sub-Tenon's traumatic inclusion cyst for 19 years: a case report and review of the literature.","authors":"Ioannis-Nikolaos Chalkias, Hardeep Singh Mudhar, Yun Wong","doi":"10.1080/01676830.2025.2541371","DOIUrl":"https://doi.org/10.1080/01676830.2025.2541371","url":null,"abstract":"<p><p>A 69-year-old man presented to eye casualty for increasing binocular diplopia and a superonasal orbital mass. In 2006, he had an accidental injury to the right eye with a pool cue under the right upper lid. Facial X-ray showed no fractures, and the patient was discharged. Five years later, he developed a cystic lesion at the site of the injury which was excised. In 2023, the mass reappeared causing double vision but was initially ignored. On examination, there was a solid lesion under the right upper lid causing hypoglobus and restriction to elevation. Intraoperatively, the mass was firmly attached to the globe and was extending to the intraconal space. While trying to mobilize it, it ruptured with release of mucopurulent material. Inside the lesion, there was the tip of a snooker cue. Histopathology confirmed the presence of a traumatic conjunctival inclusion cyst.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790407","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":"Large congenital myopericytoma of the lower eyelid.","authors":"Barbara Salomão A Cunha, Larissa O Cassini Marques, Fernando Chahud, Antonio Augusto V Cruz","doi":"10.1080/01676830.2024.2403457","DOIUrl":"10.1080/01676830.2024.2403457","url":null,"abstract":"<p><p>Congenital fibrous soft tissue tumors in the eyelids are exceptionally rare, with only seven cases of neonatal myofibromas reported. Myopericytoma, a variant with pericytic differentiation, has not previously been described in neonatal eyelid tumors. This report details a case of a massive congenital myopericytoma in a newborn's lower eyelid. The lesion had a broad area of adhesion to the anterior lamella of the lid. After resection, when the child was 11 days old, the resulting defect was successfully reconstructed with a V-Y type perforator-based flap.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"426-429"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366940","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":"Janus kinase inhibitors and their use in non-infectious orbital inflammatory disorders: new treatment possibilities? A case series.","authors":"Nina Vidic Krhlikar, Matija Tomsic, Polona Jaki Mekjavic, Pia Klobucar, Janez Bregar, Katarina Surlan Popovic, Natasa Valentincic","doi":"10.1080/01676830.2024.2430356","DOIUrl":"10.1080/01676830.2024.2430356","url":null,"abstract":"<p><p>We present a patient with isolated autoimmune anterior scleritis and a patient with nonspecific orbital inflammation (NSOI). Both patients were treated with systemic corticosteroids during multiple recurrences, with the addition of various disease-modifying antirheumatic drugs (DMARDs), including biologics, in the case of scleritis, resulting in complications and local adverse events. Both patients were subsequently effectively managed using Janus kinase inhibitors (JAK-i), specifically baricitinib and tofacitinib without relapses of inflammation during the follow-up of more than one year. Only a slight transient increase in liver enzymes was reported in a patient with scleritis and no serious side effects.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"465-469"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869722","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":"Synchronous anaplastic large T-cell lymphoma of the eyelid.","authors":"Md Shahid Alam, Ruchi Pherwani, Subramanian Krishnakumar","doi":"10.1080/01676830.2024.2303765","DOIUrl":"10.1080/01676830.2024.2303765","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"488"},"PeriodicalIF":0.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492308","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":"Adult and pediatric orbital rhabdomyosarcoma: comparison of characteristics and outcomes.","authors":"Marissa K Shoji, Benjamin I Meyer, Nina Diklich, Sugi Panneerselvam, Matthew Camacho, Kevin D Clauss, Thomas E Johnson, David T Tse, Brian C Tse","doi":"10.1080/01676830.2024.2445702","DOIUrl":"10.1080/01676830.2024.2445702","url":null,"abstract":"<p><strong>Introduction: </strong>Rhabdomyosarcoma (RMS) is a common pediatric orbital malignancy but is extremely rare in adults. This study assesses clinical and radiographic features, management, and outcomes in adult orbital RMS patients with comparison to pediatric patients.</p><p><strong>Methods: </strong>A retrospective chart review from 2000-2023 at Bascom Palmer Eye Institute was conducted evaluating patients aged 0 to 100-years-old with biopsy-confirmed orbital RMS. Medical records were reviewed for demographics, clinical features, imaging, histopathology, management, and outcomes. Statistical analysis was conducted with Mann-U Whitney and chi-squared testing.</p><p><strong>Results: </strong>Twenty-four patients were included, 15 children (mean age 6.4 ± 4.4 years) and 9 adults (35.7 ± 12.4 years). Patients in both groups presented with eyelid edema followed by proptosis with similar symptom duration (<i>p</i> = 0.31). Lesions were frequently located medially and inferiorly in both groups. At presentation, adults had significantly more metastatic disease in addition to bone, extraocular muscle, intracranial, and parameningeal involvement. The most common pediatric RMS subtype was embryonal (80%), whereas most adults were alveolar (77.8%, <i>p</i> = 0.001). Treatment in both groups frequently included chemoradiation. Both groups demonstrated similar local recurrence (<i>p</i> = 0.72), overall survival (<i>p</i> = 0.86), and ophthalmologic sequelae (<i>p</i> = 0.45), although pediatric follow-up duration was notably longer.</p><p><strong>Conclusions: </strong>To our knowledge, this study is the largest report of adult orbital RMS from a single institution, highlights key comparisons in features and outcomes between adult and pediatric orbital RMS, and provides an updated literature review. While pediatric and adult orbital RMS clinical presentations are similar, adult disease more often demonstrates aggressive features, including alveolar subtype, local structure involvement, and lower disease-free survival.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"395-406"},"PeriodicalIF":0.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962347","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":"The swinging upper eyelid approach for large encapsulated intraconal masses presenting superolateral to the optic nerve (U-Swing).","authors":"Hesham A Ibrahim, Moataz Montasser, Heba Nabil Sabry","doi":"10.1080/01676830.2024.2420740","DOIUrl":"10.1080/01676830.2024.2420740","url":null,"abstract":"<p><strong>Purpose: </strong>To describe an upper eyelid swinging approach (U-Swing) that is suitable for the surgical excision of a large benign encapsulated lesions located in the intraconal space superolateral to the optic nerve.</p><p><strong>Methods: </strong>This is a retrospective case series. The study included a review of five patients' records who had large encapsulated intraconal masses, superolateral to the optic nerve, and who underwent surgical excision with the U-Swing approach in the authors' institute over the last 10 years. This approach entailed a planned upper temporal fornix-based conjunctival flap and a lateral canthotomy. Preoperative radiological investigations, pre- and post-operative vision testing, and photographs were presented with at least 6 months follow-up.</p><p><strong>Results: </strong>All patients within the 1st postoperative month had minimal postoperative edema, minimal conjunctival redness, no visible conjunctival or skin scar, normal pupil size and pupil reaction, full extra ocular motility, recovered upper eyelid position and excursion.</p><p><strong>Conclusions: </strong>The U-Swing approach provides a horizontally expandable surgical window that allows safe removal of a large, encapsulated intraconal mass, superolateral to the optic nerve with low morbidity and rapid recovery.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"443-449"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570029","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":"Orbital inflammatory disease as a presenting feature of suspected Lyme neuroborreliosis: case report.","authors":"Stuti M Tanya, Merve Kulbay, Raheem Remtulla, Sheetal Pundir, Bryan Arthurs, Christian El-Hadad","doi":"10.1080/01676830.2024.2427017","DOIUrl":"10.1080/01676830.2024.2427017","url":null,"abstract":"<p><p>Orbital inflammatory disease (OID) is an inflammatory condition of the orbital and periorbital region. This case reports suspected Lyme neuroborreliosis underlying an initial presentation of OID in a 37-year-old male. Myositis was confirmed by computed tomography (CT) imaging. Cranial neuritis of the third, fifth, and seventh cranial nerves was evidenced by magnetic resonance imaging (MRI). Serology was positive for <i>Borrelia burgdorferi</i> IgM, but did not seroconvert to positive IgG. Thus, the rare diagnosis of orbital myositis as a presenting feature of suspected Lyme neuroborreliosis was established.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"450-453"},"PeriodicalIF":0.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630401","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":"Buccal fat pedicle flap with a delayed tarsoconjunctival flap for lower eyelid retraction: a new surgical methodology.","authors":"Harkaran S Rana, Aaron T Liddell, Amol H Patadia, Jake E Dertinger, Robert G Fante, Brian J Willoughby","doi":"10.1080/01676830.2024.2412789","DOIUrl":"10.1080/01676830.2024.2412789","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this retrospective case review is to present a novel surgical technique used in the treatment of recalcitrant lower eyelid retraction.</p><p><strong>Methods: </strong>This study was performed as a retrospective case review of 4 patients who have failed standard conservative surgical interventions for lower eyelid retraction repair. 3 patients developed lower eyelid retraction following surgical intervention for orbital trauma and 1 patient developed lower eyelid retraction in the setting of granulomatosis with polyangiitis. The surgical technique was identical in each patient and performed by an oculofacial plastic surgeon, sometimes together with an oral and maxillofacial surgeon. Follow-up results for all patients were assessed at 1 week, 1 month, and 3 months.</p><p><strong>Results: </strong>All four patients demonstrated initial improvement in lower eyelid position, fullness, and height. A common finding was mild lateral postoperative entropion, which was easily overcome with an upper eyelid tarsoconjunctival flap. There were no surgical complications sustained in any of the cases.</p><p><strong>Conclusions: </strong>This retrospective case review provides a novel surgical option for the correction of recalcitrant lower eyelid retraction. The excellent vascularity provided by this flap, location, and easy access support its use. A prospective study comparing alternative solutions would be useful in comparing the buccal fat pad vascularized pedicle to alternative methods used to correct refractory and cicatricial lower eyelid retraction.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"420-425"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477624","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}