MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Orbit' source. Wed, 08 Feb 2012 23:31:45 +0100 http://www.medworm.com/index.php?rid=5665147&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22296230%26dopt%3DAbstract Authors: Zuberbuhler B, Carifi G, Leatherbarrow B Abstract A previously healthy 23-month-old girl was admitted for the management of an acute unilateral dacryocystitis following accidental contact with dog faeces. No periocular trauma was reported. Microbiological investigation showed a multiresistant strain of Pantoea species to be the responsible pathogen. The infection responded to a course of oral Clindamycin and Ciprofloxacin, in combination with Chloramphenicol eye drops. This is the first report of an acute dacryocystitis sustained by this microorganism. PMID: 22296230 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5665147 Wed, 01 Feb 2012 05:00:00 +0100 5665147 http://www.medworm.com/index.php?rid=5665146&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22296231%26dopt%3DAbstract Conclusions: Postoperative infection after external DCR without the use of systemic antibiotics is uncommon. Assuming that oral antibiotics are 80% effective at treating postoperative infection, for routine prophylaxis, the number needed to treat to prevent one infection would be 104. Taking the upper confidence limit of 6.6%, the lower limit of the number needed to treat would be 19. The one case of infection was treated successfully with oral antibiotics and resolved with a successful outcome. These results suggest that the routine use of systemic antibiotic prophylaxis in external DCR may not be justified. PMID: 22296231 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5665146 Wed, 01 Feb 2012 05:00:00 +0100 5665146 http://www.medworm.com/index.php?rid=5665148&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22276923%26dopt%3DAbstract Conclusions: Our study establishes that calcification of the trochlea is common in the general population with a prevalence of 13%. Calcification of the trochlea should be considered in the differential diagnosis of hyperintense densities in the superomedial orbit, especially in cases of trauma where it can be confused with a foreign body. PMID: 22276923 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5665148 Wed, 25 Jan 2012 05:00:00 +0100 5665148 http://www.medworm.com/index.php?rid=5609502&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22242566%26dopt%3DAbstract We report a 38-year-old man who presented with a 7-year history of a mass in the right medial canthal region. He had several episodes of dacryocystitis, epiphora and bloody discharge. A cystic lesion was defined on MRI. Lacrimal sac excision was performed and a dark red mass was extirpated. External dacryocystorhinostomy and bicanalicular silicone tube intubation was performed. The polypoid lesion was diagnosed as an inflammatory polyp. Benign and malignant tumors of the lacrimal sac may have similar clinical findings on presentation. Preoperative ancillary testing may help us to have an idea of the nature of the lesion but histopathological examination is still the gold standard. Ophthalmologists should remember this similarity and be careful especially while performing endoscopic or lase... Orbit journals http://www.medworm.com/rss/comments.php?id=5609502 Fri, 13 Jan 2012 05:00:00 +0100 5609502 http://www.medworm.com/index.php?rid=5520490&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22150244%26dopt%3DAbstract Conclusion: Large angle incomitant divergent squints present a particularly difficult surgical challenge. We advocate a combined bi-rectus fixation approach to hold the globe in the primary position. PMID: 22150244 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520490 Fri, 09 Dec 2011 05:00:00 +0100 5520490 http://www.medworm.com/index.php?rid=5520489&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22150291%26dopt%3DAbstract Conclusion: We report a high success rate for periocular skin grafts without the use of a bolstered dressing. The use of a bolster increases operating time, postoperative care and is possibly less acceptable to the patient. We suggest that that in most cases the use of a bolster is not necessary for periocular skin grafts. PMID: 22150291 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520489 Fri, 09 Dec 2011 05:00:00 +0100 5520489 http://www.medworm.com/index.php?rid=5520491&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22145964%26dopt%3DAbstract We report the first case of nodular fasciitis involving the periorbital region of a child from the Indian subcontinent. PMID: 22145964 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520491 Tue, 06 Dec 2011 05:00:00 +0100 5520491 http://www.medworm.com/index.php?rid=5520504&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132796%26dopt%3DAbstract We report a 5-year-old girl, who presented with proptosis due to an orbital capillary hemangioma. After 8 months of treatment with oral propranolol at a dose of 2 mg/kg/day, the mass reduced significantly in size and regrowth was not observed within 20 months of follow-up. PMID: 22132796 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520504 Thu, 01 Dec 2011 05:00:00 +0100 5520504 http://www.medworm.com/index.php?rid=5520503&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132822%26dopt%3DAbstract Conclusions: Direct sling of the upper tarsus to the frontalis muscle without creation of flap is an effective procedure for correction of ptosis in patients with weak levator function. Minimal dissection and preservation of the orbicularis oculi prevents lagophthalmus and its consequences. PMID: 22132822 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520503 Thu, 01 Dec 2011 05:00:00 +0100 5520503 http://www.medworm.com/index.php?rid=5520502&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132842%26dopt%3DAbstract Conclusion: The transposed cheek flap is a useful technique in the reconstruction of lower lid lesions involving the lateral canthus. The majority of patients had a good cosmetic result and required no further intervention. The most frequent complications were bulky lids and ectropion. PMID: 22132842 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520502 Thu, 01 Dec 2011 05:00:00 +0100 5520502 http://www.medworm.com/index.php?rid=5520501&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132843%26dopt%3DAbstract Conclusions: This technique of deep lateral wall orbital decompression developed by Mr. Rose is a safe and effective procedure for patients with mild to moderate proptosis. It carries a low risk of morbidity and avoids complications associated with decompressing the floor and medial wall, including new onset of motility disorders. PMID: 22132843 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520501 Thu, 01 Dec 2011 05:00:00 +0100 5520501 http://www.medworm.com/index.php?rid=5520500&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132844%26dopt%3DAbstract Conclusions: We believe orbital radiotherapy has a definite role to play in the treatment of active thyroid eye disease. The majority of our patients experienced a reduction in their clinical activity scores after orbital radiotherapy and this was irrespective of the severity of thyroid eye disease. PMID: 22132844 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520500 Thu, 01 Dec 2011 05:00:00 +0100 5520500 http://www.medworm.com/index.php?rid=5520499&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132845%26dopt%3DAbstract Conclusions: The described surgical approach produces reasonably predictable and stable outcome for upper eyelid lowering in patients with thyroid eye disease. PMID: 22132845 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520499 Thu, 01 Dec 2011 05:00:00 +0100 5520499 http://www.medworm.com/index.php?rid=5520498&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132846%26dopt%3DAbstract Authors: Lelli GJ, Yang GC Abstract A 67-year-old man presented with a 6-month history of a malignant appearing left lacrimal gland mass. Fine needle aspiration biopsy was performed in the office, diagnosing the mass as large cell carcinoma (LCCA) of the lacrimal gland. This represents the second reported case of LCCA of the lacrimal gland and details the potential for FNA biopsy to successfully yield the diagnosis. LCCA of the lacrimal gland is rare, but should be considered in cases of malignant lacrimal gland neoplasms. PMID: 22132846 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520498 Thu, 01 Dec 2011 05:00:00 +0100 5520498 http://www.medworm.com/index.php?rid=5520497&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132847%26dopt%3DAbstract In this report, we describe the clinical, radiologic, and pathologic records of a rare case of primary ESOS of the orbit. PMID: 22132847 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520497 Thu, 01 Dec 2011 05:00:00 +0100 5520497 http://www.medworm.com/index.php?rid=5520496&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132848%26dopt%3DAbstract We report a case of recurrent basal cell adenocarcinoma of lacrimal gland in a 75-year-old female. She had past history of local excision of a tumor in the lacrimal gland of same side 10 years back, details of which were not available with the patient. We discuss about the case and review the literature about treatment modality in basal cell adenocarcinoma. PMID: 22132848 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520496 Thu, 01 Dec 2011 05:00:00 +0100 5520496 http://www.medworm.com/index.php?rid=5520495&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132849%26dopt%3DAbstract We present a case of postoperative infection in a patient who was taking etanercept (Enbrel, Immunex Corporation, Thousand Oaks, CA) for rheumatoid arthritis. PMID: 22132849 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520495 Thu, 01 Dec 2011 05:00:00 +0100 5520495 http://www.medworm.com/index.php?rid=5520494&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132850%26dopt%3DAbstract Authors: Rosenthal JM, Carrasco J, Rittenhouse DW, Bilyk JR Abstract A 46-year-old man with schizoaffective disorder suffered carotid thrombosis, subdural hemorrhage, and stroke resulting in death following autoenucleation of the left globe. This is the first reported case of carotid thrombosis as a result of autoenucleation. PMID: 22132850 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520494 Thu, 01 Dec 2011 05:00:00 +0100 5520494 http://www.medworm.com/index.php?rid=5520493&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132851%26dopt%3DAbstract Conclusion: To our knowledge this is the first reported case of non-granulomatous orbital inflammation in association with CVID. This case serves to remind ophthalmologists encountering a patient with CVID that they may have associated orbital inflammatory disease which is responsive to steroid therapy similar to sterile inflammatory masses described in other organs. PMID: 22132851 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520493 Thu, 01 Dec 2011 05:00:00 +0100 5520493 http://www.medworm.com/index.php?rid=5520492&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22132852%26dopt%3DAbstract Authors: Valenzuela AA, Heathcote JG Abstract Apocrine hidrocystomas are benign cysts of sweat duct origin, originating mainly from the apocrine secretory glands of Moll. They are typically encountered in the head and neck, particularly around the inner canthus of the eyelid. An intraorbital location of this lesion is extremely rare but should be considered in the differential diagnosis of a painless cystic lesion in the ocular adnexa at any age. PMID: 22132852 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5520492 Thu, 01 Dec 2011 05:00:00 +0100 5520492 http://www.medworm.com/index.php?rid=5430196&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22085401%26dopt%3DAbstract We describe a case of Rosai?Dorfman disease (RDD) presenting as an anterior superolateral subperiosteal orbital mass with erosion of overlying bone mimicking eosinophilic granuloma. It was debulked using endoscopic-guided curettage and the patient was given both local and systemic corticosteroids. Careful histological analysis revealed the diagnosis of RDD and the patient remains asymptomatic and recurrence free at 16 months follow-up. Involvement of the pituitary gland, a recognized yet unusual finding in this condition was also noted. RDD should be considered in the differential diagnosis of a soft tissue mass of the superolateral orbit. PMID: 22085401 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5430196 Tue, 15 Nov 2011 05:00:00 +0100 5430196 http://www.medworm.com/index.php?rid=5385082&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22029640%26dopt%3DAbstract We report a case of presumed subacute RON following orbital irradiation for Graves' ophthalmopathy, successfully treated with megadoses of intravenous corticosteroids. PMID: 22029640 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5385082 Wed, 26 Oct 2011 04:00:00 +0100 5385082 http://www.medworm.com/index.php?rid=5364447&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22029690%26dopt%3DAbstract Authors: Mainville N, Jordan DR Abstract A 61-year-old male underwent a cardiac transplant for congenital dilated cardiomyopathy. Two months post-transplantation, after a complicated clinical course, he was noted to have progressive proptosis and limitation of motility OD. Computed tomography showed opacification of the right maxillary sinus with the suggestion of a fungus ball and soft tissue infiltration along the floor of the orbit adjacent to the inferior rectus, extending posteriorly to within millimeters of the superior and inferior orbital fissures. An orbital biopsy demonstrated the presence of fungal hyphae and A. fumigatus was cultured. The patient was treated with systemic antifungal therapy and intralesional retrobulbar amphotericin B (without debridement) with successf... Orbit journals http://www.medworm.com/rss/comments.php?id=5364447 Wed, 26 Oct 2011 04:00:00 +0100 5364447 http://www.medworm.com/index.php?rid=5364446&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22029716%26dopt%3DAbstract Conclusions: In cases of non-resectable meningioma extending into the optic canal with secondary optic nerve compression, a combined surgical approach with optic canal decompression and dural sheath release may help preserve and even improve vision in certain cases. PMID: 22029716 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5364446 Wed, 26 Oct 2011 04:00:00 +0100 5364446 http://www.medworm.com/index.php?rid=5364445&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22029750%26dopt%3DAbstract Authors: Kalwerisky K, Hill R, Czyz C, Foster J, Everman K, Cahill K PMID: 22029750 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5364445 Wed, 26 Oct 2011 04:00:00 +0100 5364445 http://www.medworm.com/index.php?rid=5364444&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22029827%26dopt%3DAbstract Conclusion: We suggest that a posterior approach white-line advancement is an ideal technique to correct even severe aponeurotic ptosis in patients requiring surgery under GA. Preoperative positive phenylephrine test is a good predictor of postoperative height and contour without the need for per-operative adjustment. Précis: Aponeurotic ptosis surgery for patients under general anaesthesia using a simple posterior approach white-line advancement achieves predictability of lid height, symmetry and contour and is an ideal option for phenylephrine-positive ptosis. PMID: 22029827 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5364444 Wed, 26 Oct 2011 04:00:00 +0100 5364444 http://www.medworm.com/index.php?rid=5385083&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22017311%26dopt%3DAbstract Conclusion: Conscious sedation with alfentanil for oculoplastic procedures under local anaesthesia results in low pain scores and high patient satisfaction with minimal complications. PMID: 22017311 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5385083 Fri, 21 Oct 2011 04:00:00 +0100 5385083 http://www.medworm.com/index.php?rid=5385085&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22007896%26dopt%3DAbstract Authors: Servat JJ, Williamson JE, Piepmeier J, Sinard J, Bernardino CR Abstract A 47-year-old male with history of schizophrenia developed painful proptosis and vision loss. Computed Tomography revealed a bone-destructive mass with encroachment on the orbit and compression of the right eye. Superolateral orbitotomy and biopsy revealed a lesion composed of a mixture of spindled and epithelioid cells without significant cytologic atypia or mitotic rate. Immunohistochemical stains were positive for vimentin and multifocally for smooth muscle actin, supporting the diagnosis of orbital myofibroma. Although orbital myofibromas typically present during childhood, they may occur in older patients and act as an expanding mass causing compression of adjacent structures. PMID: 22007896 [... Orbit journals http://www.medworm.com/rss/comments.php?id=5385085 Tue, 18 Oct 2011 04:00:00 +0100 5385085 http://www.medworm.com/index.php?rid=5385084&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22007917%26dopt%3DAbstract Conclusion: The paper is, according to our knowledge, the first documented case of an early satellite metastatic uveal melanoma to the lower eyelid in the patient with no evidence of further metastases. PMID: 22007917 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5385084 Tue, 18 Oct 2011 04:00:00 +0100 5385084 http://www.medworm.com/index.php?rid=5385087&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21977919%26dopt%3DAbstract We report a rare case of an orbital intraconal PG arising de novo in association with an orbital artery. PMID: 21977919 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5385087 Thu, 06 Oct 2011 04:00:00 +0100 5385087 http://www.medworm.com/index.php?rid=5385086&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21977963%26dopt%3DAbstract Authors: Brettell D, Ooi KG, Bank A, Gianoutsos MP Abstract A 36-year-old man with Crouzon syndrome was referred post-operatively with unilateral painful limitation of eye movements and proptosis following removal of bilateral malar and orbital rim implants. Further investigation revealed right inferior orbital emphysema, caused by the intra-operative entrance of hydrogen peroxide through a suspected perforation of the orbital septum. The symptoms settled with conservative management. PMID: 21977963 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5385086 Thu, 06 Oct 2011 04:00:00 +0100 5385086 http://www.medworm.com/index.php?rid=5286382&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957947%26dopt%3DAbstract Authors: Tyers AG PMID: 21957947 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286382 Sat, 01 Oct 2011 04:00:00 +0100 5286382 http://www.medworm.com/index.php?rid=5286381&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957948%26dopt%3DAbstract Conclusions: Eyelid carcinomas can be reliably staged using the AJCC criteria. There are notable differences between the 6(th) and 7(th) editions of AJCC TNM designation. We recommend AJCC staging using the latest published edition during the initial work-up for all patients with eyelid carcinoma to make reporting of outcomes more reliable and reproducible. PMID: 21957948 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286381 Sat, 01 Oct 2011 04:00:00 +0100 5286381 http://www.medworm.com/index.php?rid=5286380&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957949%26dopt%3DAbstract Conclusion: A change of prosthesis is required between 18-26 months following prosthesis placement in children.Over an average of 18 months, a change in the prosthesis was required in 41%, with the youngest age group having the highest exchange rate (47%), and the oldest group the lowest (29%). PMID: 21957949 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286380 Sat, 01 Oct 2011 04:00:00 +0100 5286380 http://www.medworm.com/index.php?rid=5286379&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957950%26dopt%3DAbstract Authors: Schaberg M, Murchison AP, Rosen MR, Evans JJ, Bilyk JR Abstract A 71-year-old female with a history of thyroid eye disease (TED) presented for evaluation of a skull base mass noted on neuroimaging. She had previously undergone bilateral orbital decompressions and strabismus surgery and had no neurologic symptoms. Successful resection of the menigoencephalocele and repair of the skull base defect was performed through a combined transnasal endoscopic and transorbital approach, obviating the need for craniotomy. PMID: 21957950 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286379 Sat, 01 Oct 2011 04:00:00 +0100 5286379 http://www.medworm.com/index.php?rid=5286378&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957951%26dopt%3DAbstract Conclusions: Unilateral nasolacrimal duct obstruction appears to occur on the side in which the nasal septum is deviated. There is a trend of nasal septal deviation toward the smaller side of the face. Further prospective studies are needed to clarify the above relationships. PMID: 21957951 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286378 Sat, 01 Oct 2011 04:00:00 +0100 5286378 http://www.medworm.com/index.php?rid=5286377&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957952%26dopt%3DAbstract We report the clinical manifestation of a case of orbital cysticersosis that presented with recurrent orbital inflammation for almost a year. We also present a literature review of the different ocular manifestations, diagnostic and treatment modalities. PMID: 21957952 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286377 Sat, 01 Oct 2011 04:00:00 +0100 5286377 http://www.medworm.com/index.php?rid=5286376&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957953%26dopt%3DAbstract We report three cases of partial spontaneous canthal cross union, a rare complication in cases where Hughes flaps are used to reconstruct lower eyelid defects that also involve the canthi. All cases of spontaneous cross union were identified within 2 months of uneventful division of Hughes' flap. Two cases were successfully divided with good aesthetic results although one patient was not keen on surgery, as it was aesthetically acceptable to him. The postulated mechanism was either the proximity of the divided nonepithelial margins or the failure to trim the residual upper eyelid tarsoconjunctival remnant. We recommended adequate trimming of the residual upper eyelid tarsoconjunctival remnant and an early postoperative review to prevent adhesions from developing. PMID: 21957953 [PubMed... Orbit journals http://www.medworm.com/rss/comments.php?id=5286376 Sat, 01 Oct 2011 04:00:00 +0100 5286376 http://www.medworm.com/index.php?rid=5286375&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957954%26dopt%3DAbstract Authors: Czyz CN, Harder JD, Cahill KV, Kuennen RA, Foster JA Abstract Isolated bilateral abducens palsy is a rare event, especially in the setting of closed head injury. Cases that lack radiographic or pathologic findings to explain the etiology of the palsy are limited to case reports. Injury mechanisms have been postulated, but a consensus does not exist. The authors describe a case of traumatic isolated bilateral abducens palsy lacking radiographic and pathologic findings. A previously unreported potential pathophysiologic injury mechanism is theorized based upon anatomical structure and mode of injury. PMID: 21957954 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286375 Sat, 01 Oct 2011 04:00:00 +0100 5286375 http://www.medworm.com/index.php?rid=5286374&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957955%26dopt%3DAbstract Authors: Callizo M, Ibáñez-Flores N, Laue J, Cuadrado V, Graell X, Sancho JM Abstract Lipoid proteinosis (LP) or Urbach-Wiethe disease is a recessively inherited disorder not usually seen by ophthalmologists. It is characterized by non-inflammatory, persistent papules on the skin and mucous membranes. The first clinical manifestation of LP is usually progressive hoarseness. The lid lesions, consisting of beaded papules along the lid margins (moniliform blepharosis), are considered almost pathognomonic of the disease. The interesting clinical and histopathological features of LP are described in a 45-year-old man with a history of lipoid proteinosis, who presented to us for evaluation of ocular discomfort and unusual multiple eyelid lesions. We surgically removed all the eyelid le... Orbit journals http://www.medworm.com/rss/comments.php?id=5286374 Sat, 01 Oct 2011 04:00:00 +0100 5286374 http://www.medworm.com/index.php?rid=5286373&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957956%26dopt%3DAbstract We present two further children with acute dacryocystitis and clinical and laboratory features of Epstein-Barr Virus related infectious mononucleosis. Both were treated with systemic antibiotics and one child additionally required surgical drainage of a lacrimal sac abscess. Both children made a complete recovery without any lacrimal symptoms. Acute dacryocystitis is uncommon in children without a history of congenital nasolacrimal duct obstruction, and an underlying systemic condition such as infectious mononucleosis should be suspected. In such patients, dacryocystitis can be expected to resolve without symptoms of nasolacrimal duct obstruction and dacryocystorhinostomy is seldom required. PMID: 21957956 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286373 Sat, 01 Oct 2011 04:00:00 +0100 5286373 http://www.medworm.com/index.php?rid=5286372&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957957%26dopt%3DAbstract Conclusion: This report emphasizes that periprosthetic orbital haemorrhage can occur years after the initial repair. Awareness of this rare complication allows for prompt diagnosis, decreasing the possibility of permanent damage of the orbital content. The removal of implant is necessary to relieve the symptoms and prevent potential infective complications. PMID: 21957957 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286372 Sat, 01 Oct 2011 04:00:00 +0100 5286372 http://www.medworm.com/index.php?rid=5286371&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957958%26dopt%3DAbstract Conclusion: Industry-related severe ocular chemical injury is a rare occurrence. It can lead to symblepharon formation and destruction of the conjunctival fornix. In this case a Gortex spacer was successfully used to prevent symblepharon formation and reform the upper eyelid fornix after severe chemical injury. PMID: 21957958 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286371 Sat, 01 Oct 2011 04:00:00 +0100 5286371 http://www.medworm.com/index.php?rid=5286370&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957959%26dopt%3DAbstract Authors: Yazıcı B, Gönen T, Uçan G Abstract A 75-year-old woman presented with a nodular lesion on a skin graft in her left upper eyelid. The lesion had grown gradually over the previous 2 years. She had undergone multiple surgeries and full-thickness skin graft procedures 61 years previously, because of cutaneous leishmaniasis. The diagnosis of nodular basal cell carcinoma was made by means of an excisional biopsy of the lesion. During a follow-up period of 27 months, the tumor did not recur. Malignant tumors may rarely develop at the site of traumatic or surgical scar. To our knowledge, this is the first reported case of basal cell carcinoma arising in a skin graft in the eyelid. PMID: 21957959 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286370 Sat, 01 Oct 2011 04:00:00 +0100 5286370 http://www.medworm.com/index.php?rid=5286369&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957960%26dopt%3DAbstract We report the clinical and histopathological findings of 2 patients who developed chronic orbital inflammation as a manifestation of IgG4-related sclerosing disease. The 2 cases illustrate the widely varying clinical characteristics of this elusive disease. PMID: 21957960 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286369 Sat, 01 Oct 2011 04:00:00 +0100 5286369 http://www.medworm.com/index.php?rid=5286384&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957885%26dopt%3DAbstract Authors: Barmettler A, Dinkin MJ, Lelli GJ Abstract A 33-year-old otherwise healthy male presented with a week-long history of isolated right lower eyelid myokymia. Two weeks later, the patient's myokymia had progressed to include twitching of the right brow and right upper lip. Imaging revealed multiple demyelinating lesions consistent with multiple sclerosis. A review of eyelid and facial myokymia, along with possible concerning causes is provided, geared towards the oculoplastic surgeon. Eyelid myokymia, typically a benign condition, may rarely evolve into facial myokymia reflective of underlying brainstem disease. PMID: 21957885 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286384 Thu, 29 Sep 2011 04:00:00 +0100 5286384 http://www.medworm.com/index.php?rid=5286383&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21957907%26dopt%3DAbstract Authors: Low JR, Bian Ng S, Sundar G Abstract A 55-year-old man presented with a 2-year history of right-sided epiphora and was referred to the Oculoplastic services for dacryocystorhinostomy. A 3-month progressive growth of a right medial canthal mass was found. MRI revealed an extraconal, lobulated, homogeneously enhancing mass in the lacrimal sac fossa with globe indentation and displacement supero-temporally. Following a transcanalicular needle biopsy which was suggestive of a carcinoma, he underwent medial orbitectomy and maxillectomy, through a lateral rhinotomy, with removal of puncta and canaliculi after ensuring no regional or systemic spread. The lacrimal sac tumor was encapsulated, extending superiorly above the medial canthal tendon and involving the nasolacrimal duct, ... Orbit journals http://www.medworm.com/rss/comments.php?id=5286383 Thu, 29 Sep 2011 04:00:00 +0100 5286383 http://www.medworm.com/index.php?rid=5286385&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21955159%26dopt%3DAbstract Conclusion: This study shows an unacceptably high rate of incomplete resection with primary excision and repair using a standard 3 mm margin. The majority of lesions undergoing multi-stage excision required no more than two stages for complete removal. Multi-stage excision with histological confirmation of clear margins prior to reconstruction is recommended for routine management of all periocular BCC. PMID: 21955159 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5286385 Wed, 28 Sep 2011 04:00:00 +0100 5286385 http://www.medworm.com/index.php?rid=5125473&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21812531%26dopt%3DAbstract Discussion: Orbital surgeons should be aware of the morphometric relationships of the orbital floor due to the degree of variation that exists between different ethnic groups. Geometric data may be used to provide orbital surgeons with a navigational template that can be used to plan surgery and as a guide intraoperatively. PMID: 21812531 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5125473 Tue, 02 Aug 2011 23:00:00 +0100 5125473 http://www.medworm.com/index.php?rid=5076268&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780927%26dopt%3DAbstract Authors: Lazzeri D, Lazzeri S, Figus M, Nardi M, Pantaloni M, Agostini T PMID: 21780927 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5076268 Sat, 30 Jul 2011 01:00:47 +0100 5076268 http://www.medworm.com/index.php?rid=5076267&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780928%26dopt%3DAbstract Conclusion:Tarsoconjunctival rotational flap and the use of skin of prepuce are very helpful and seems to be an adequate method of reconstruction of large eyelid defect in male patients when the usual donor sites for skin grafts are not available as in infants. PMID: 21780928 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5076267 Sat, 30 Jul 2011 01:00:42 +0100 5076267 http://www.medworm.com/index.php?rid=5076266&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780929%26dopt%3DAbstract Authors: Calsina M, Philipone E, Patwardhan M, Eisig S, Prat J, Kazim M This describes a non-interventional case series of 2 patients, aged 7 and 9 years referred to Oculoplastic Unit, both for evaluation of a gradually enlarging, painless, mass of the cheek. CT scan of the first case revealed left orbital floor destruction from a well-defined intraosseous mass. The second was a round circumscribed orbital floor tumor without bone destruction. Histological diagnosis of myofibroma was rendered in both cases. Solitary myofibromas are rare in the orbit. Their rapid growth and bony destruction can mimic malignant tumors. Complete excision with close follow-up is the preferred treatment. Solitary myofibroma should be considered in the differential diagnoses of fibrous tumors with bone destr... Orbit journals http://www.medworm.com/rss/comments.php?id=5076266 Sat, 30 Jul 2011 01:00:38 +0100 5076266 http://www.medworm.com/index.php?rid=5076265&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780930%26dopt%3DAbstract Authors: Bodla AA, Mehta P, Mushtaq F, Durrani OM Angiomatous meningioma is a rare and distinct meningioma variant characterised with predominance of microvascularcomponent.There are few reported cases in literature with limited information on ophthalmic manifestations and radiological findings. There is no consistent feature reported so far of this neoplasm to aid in its diagnosis. Authors report an interesting case of Angiomatous Meningioma presenting as an aggressively expanding orbital mass lesion with adjacent bony destruction mimicking a malignant neoplasm. PMID: 21780930 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5076265 Sat, 30 Jul 2011 01:00:33 +0100 5076265 http://www.medworm.com/index.php?rid=5076264&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780931%26dopt%3DAbstract We report 3 cases of extraocular muscle involvement by MALT (mucosa-associated lymphoid tissue) lymphoma. The first case was a 68-year-old woman who presented with mild proptosis of the left eye and diplopia caused by a lymphoma in the medial rectus. The other two cases presented with ptosis caused by a lymphoma in the most anterior aspect of the levator muscle. MALT lymphoma may involve extraocular muscles, either as a primary or secondary presentation. Although localization of orbital lymphoma in extraocular muscles is rare, this possibility should be considered in the differential diagnosis with other conditions involving extraocular musculature. PMID: 21780931 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5076264 Sat, 30 Jul 2011 01:00:29 +0100 5076264 http://www.medworm.com/index.php?rid=5076263&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780932%26dopt%3DAbstract Authors: Torrado CS, Gómez-Castro A, Outeiriño E, Adán EL A 84-year-old-woman presented a painless eyelid mass in her right eyelid. A biopsy was made and the anatomopathologic study showed a spiradenoma with malignant changes. The patient rejected any kind of treatment in spite of the prognosis of the lesion. Radiological and pathological features of this infrequent eyelid tumour are discussed. PMID: 21780932 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5076263 Sat, 30 Jul 2011 01:00:24 +0100 5076263 http://www.medworm.com/index.php?rid=5076262&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780933%26dopt%3DAbstract Conclusions:This is the first report of an undifferentiated high-grade pleomorphic sarcoma arising from a scleral socket with a silicone implant. PMID: 21780933 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5076262 Sat, 30 Jul 2011 01:00:18 +0100 5076262 http://www.medworm.com/index.php?rid=5076261&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21780934%26dopt%3DAbstract We present the case of a 40-year-old female, who developed sudden onset of clinical symptoms. MRI evidence of intralesional hemorrhage was confirmed by histopathology. PMID: 21780934 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=5076261 Sat, 30 Jul 2011 01:00:11 +0100 5076261 http://www.medworm.com/index.php?rid=4884538&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574798%26dopt%3DAbstract Conclusion: Mullerectomy porbably involves plication of the posterior layer of the levator aponeurosis. Results of Muller's muscle resection is good in patients with good levator function and/or good Mullers action and poor if both Muller and levator function are poor. PMID: 21574798 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884538 Tue, 31 May 2011 23:00:00 +0100 4884538 http://www.medworm.com/index.php?rid=4884537&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574800%26dopt%3DAbstract Conclusions: Porous polyethylene wedge implants are useful and safe in correction of enophthalmos and hypoglobus in seeing eyes. Appropriately positioned implant yields no significant difference in correction of enophthalmos versus hypophthalmos. PMID: 21574800 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884537 Tue, 31 May 2011 23:00:00 +0100 4884537 http://www.medworm.com/index.php?rid=4884536&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574801%26dopt%3DAbstract Authors: Kakizaki H The deep lateral orbital wall decompression is now the first surgical approach in orbital decompression ( Leone et al., 1989 ). Although it is a popular procedure with few complications and satisfactory results, tips for bone removal depend on each surgeon's experience. Here, I present differences of surgical effects, depending on the surgeon's standing positions. PMID: 21574801 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884536 Tue, 31 May 2011 23:00:00 +0100 4884536 http://www.medworm.com/index.php?rid=4884535&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574802%26dopt%3DAbstract Conclusions: The present findings indicate that upregulation of elastolytic enzymes contributes to elastic fibre degradation in patients with involutional ectropion and entropion. PMID: 21574802 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884535 Tue, 31 May 2011 23:00:00 +0100 4884535 http://www.medworm.com/index.php?rid=4884534&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574803%26dopt%3DAbstract Conclusions: Subperiosteal midface lift has an effective role in the static lower eyelid malposition correction after chronic facial nerve palsy. PMID: 21574803 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884534 Tue, 31 May 2011 23:00:00 +0100 4884534 http://www.medworm.com/index.php?rid=4884533&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574804%26dopt%3DAbstract Discussion: Patients with a biopsy-proven diagnosis of orbital neuroendocrine tumors should be monitored even when systemic examination fails to identify peripheral disease. Such examination should always include a full endoscopic gastrointestinal review. PMID: 21574804 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884533 Tue, 31 May 2011 23:00:00 +0100 4884533 http://www.medworm.com/index.php?rid=4884532&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574805%26dopt%3DAbstract Authors: Sharma RK Orbital exenteration may be needed for surgical extirpation of advanced squamous or basal carcinoma of the eye or ocular adnexa. Many surgeons prefer to allow the exenterated socket granulate by secondary intention. This leads to morbidity and can be very disturbing for the patient. Moreover, it delays the delivery of adjunctive radiation often required in these individuals. We suggest a 1-stage operation that can be undertaken at the time of exenteration or as a delayed procedure to reconstruct the orbit and ensure rapid wound healing and patient rehabilitation. There is minimal donor site morbidity. A total of 5 exenterated orbits have been reconstructed by a new technique utilizing islanded median forehead flap based upon ipsilateral supratrochlear vessels. The do... Orbit journals http://www.medworm.com/rss/comments.php?id=4884532 Tue, 31 May 2011 23:00:00 +0100 4884532 http://www.medworm.com/index.php?rid=4884531&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574806%26dopt%3DAbstract We describe the use of canalicular clamping and injection of a viscoelastic substance into the lacrimal sac to facilitate easier dissection during dacryocystectomy. PMID: 21574806 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884531 Tue, 31 May 2011 23:00:00 +0100 4884531 http://www.medworm.com/index.php?rid=4884530&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574807%26dopt%3DAbstract Authors: Jordan N, Verma H, Ekbote A, Sangle S, D'Cruz D Churg-Strauss syndrome (CSS) is a rare form of vasculitis involving small-to medium-sized blood vessels. CSS typically affects blood vessels of the lungs, gastrointestinal system, and peripheral nerves, but can also involve the heart, skin and kidneys. Here we present two CSS patients presenting with unusual ocular manifestations. Although ophthalmic complications remain relatively uncommon in vasculitides such as Churg-Strauss syndrome, these conditions should be considered in patients presenting with ocular manifestations and concurrent ear, nose and throat symptoms, arthralgia or with positive ANCA and eosinophilia. PMID: 21574807 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884530 Tue, 31 May 2011 23:00:00 +0100 4884530 http://www.medworm.com/index.php?rid=4884529&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574808%26dopt%3DAbstract We present a patient who developed an orbital abscess secondary to a retained organic (wooden) foreign body after a fall. Clinically, he had a right sub brow fistula exuding purulent discharge, four millimetres of proptosis, limitation of ocular motility in all directions of gaze, but no signs of optic neuropathy. Preoperative computed tomography and magnetic resonance imaging of the orbits was performed to localise the abscess and to facilitate surgical planning. He underwent exploration, drainage of the abscess and removal of the wooden foreign body with good postoperative recovery. Cultures isolated Ganulicatella Adiacens, a nutritionally variant streptococcus. This is an unusual causative organism and to our knowledge, this is the first reported case of a posttraumatic orbital abscess ... Orbit journals http://www.medworm.com/rss/comments.php?id=4884529 Tue, 31 May 2011 23:00:00 +0100 4884529 http://www.medworm.com/index.php?rid=4884528&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574809%26dopt%3DAbstract Conclusions: Contralateral visual field defect may be associated with autoenucleation. A visual field test is recommended in all cases with traumatic enucleation. PMID: 21574809 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884528 Tue, 31 May 2011 23:00:00 +0100 4884528 http://www.medworm.com/index.php?rid=4884527&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21574810%26dopt%3DAbstract Conclusions: primary involvement of the orbit by a leiomyosarcoma is rare, but this eventuality should be considered in the differential diagnosis of rapidly growing orbital and conjunctival masses. PMID: 21574810 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4884527 Tue, 31 May 2011 23:00:00 +0100 4884527 http://www.medworm.com/index.php?rid=4671445&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438727%26dopt%3DAbstract Authors: Kakizaki H The swinging eyelid procedure, which was first described by C. D. McCord, Jr in 1981 ( McCord, 1981 ), is now the first-line approach to reach the inferior and lateral orbits ( Mourits et al., 2009 ). Although few complications are reported in relation to this approach, a chemosis is occasionally encountered after this procedure ( Mourits et al., 2009 ) ( Figure 1 ). How can this complication be avoided? The answer lies in an appreciation of the location and depth of the lymphatic vessels of the cheek. In general, as the lymphatic vessels are situated in the same layer with veins, they take a course under the superficial musculoaponeurotic system (SMAS) in the cheek area ( Dutton, 1994 ). Although some important structures such as arteries and the facial nerve are l... Orbit journals http://www.medworm.com/rss/comments.php?id=4671445 Tue, 01 Mar 2011 00:00:00 +0100 4671445 http://www.medworm.com/index.php?rid=4671444&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438728%26dopt%3DAbstract Conclusion: In a rabbit model, 20% AS did not appear to facilitate the healing of small conjunctival defects of exposed porous orbital implant. PMID: 21438728 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671444 Tue, 01 Mar 2011 00:00:00 +0100 4671444 http://www.medworm.com/index.php?rid=4671443&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438729%26dopt%3DAbstract Discussion: The study clearly illustrates the movement of margins when repairing a defect with a random flap. The different flap reconstruction methods are shown to produce areas of the final scar in which double tumour margins exist. Knowledge of the movement of margins is clinically important when re-excision of tumour scars is considered or when following up patients clinically. PMID: 21438729 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671443 Tue, 01 Mar 2011 00:00:00 +0100 4671443 http://www.medworm.com/index.php?rid=4671442&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438730%26dopt%3DAbstract Conclusions: This consecutive case series suggests that Enduragen could be used as a safe and effective patch graft for exposed ocular implants. However, a larger prospective study with longer follow-up would be useful in further defining the indications and limitations of the Enduragen patch graft for the treatment of exposed orbital implants. PMID: 21438730 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671442 Tue, 01 Mar 2011 00:00:00 +0100 4671442 http://www.medworm.com/index.php?rid=4671441&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438731%26dopt%3DAbstract We describe the presentation and course of the case, with an emphasis on the histological features of the tumour. PMID: 21438731 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671441 Tue, 01 Mar 2011 00:00:00 +0100 4671441 http://www.medworm.com/index.php?rid=4671440&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438732%26dopt%3DAbstract We present the case report of a 10-year-old girl who presented to us with a painless swelling involving the left infraorbital region. The swelling was diagnosed to be tubercular in origin with erosion of the zygomatic, maxillary and frontal bones constituting the inferior and lateral walls of the left orbit. The patient responded well to antitubercular chemotherapy. A discussion of the case and a literature review of causes of orbital erosion is presented. PMID: 21438732 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671440 Tue, 01 Mar 2011 00:00:00 +0100 4671440 http://www.medworm.com/index.php?rid=4671439&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438733%26dopt%3DAbstract Authors: Vásquez LM, González-Candial M Few cases of ophthalmic complications have been reported following sinus endoscopic surgery with current techniques. Irreversible damage to orbital structures was found in a 21-year-old patient referred to our department for evaluation after sinus endoscopic surgery and ipsilateral amaurosis. PMID: 21438733 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671439 Tue, 01 Mar 2011 00:00:00 +0100 4671439 http://www.medworm.com/index.php?rid=4671438&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438734%26dopt%3DAbstract Conclusions: The combination of ptosis, extraocular motility disorder and myopia, is a new clinical finding in children with classic infantile-onset Pompe disease. PMID: 21438734 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671438 Tue, 01 Mar 2011 00:00:00 +0100 4671438 http://www.medworm.com/index.php?rid=4671437&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438735%26dopt%3DAbstract Authors: Lelli GJ, Levy RL A 21-month-old boy presented with a medial canthal mass since birth that was clinically consistent with a dermoid or epidermoid cyst. Computed tomography and neuroradiologic interpretation questioned the clinical diagosis- as the lesion was radiographically consistent with a dacryocystocele. Excision via anterior medial orbitotomy revealed an epidermoid cyst. Lacrimal irrigation was normal at the time of surgery. Diagnosis of orbital lesions in the region of the lacrimal sac can be confounded by radiographic imaging. This case demonstrates the importance of clinical evaluation in differentiating benign congenital orbital tumors in the peri-lacrimal region, from frank lacrimal pathology. PMID: 21438735 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671437 Tue, 01 Mar 2011 00:00:00 +0100 4671437 http://www.medworm.com/index.php?rid=4671436&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438736%26dopt%3DAbstract Conclusion: We present the first case of bloody tears secondary to thyroid dysfunction. PMID: 21438736 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671436 Tue, 01 Mar 2011 00:00:00 +0100 4671436 http://www.medworm.com/index.php?rid=4671435&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21438737%26dopt%3DAbstract We describe the case of a 27-year-old female with nasal NKTL, who initially presented with epiphora and died 4 months thereafter. PMID: 21438737 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4671435 Tue, 01 Mar 2011 00:00:00 +0100 4671435 http://www.medworm.com/index.php?rid=4498774&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21322791%26dopt%3DAbstract We report a rare case of metastatic adenocarcinoma of lung in anophthalmic socket, which presented as painful and difficult prosthetic wear long after an uneventful enucleation. Bulge in the socket indicated amputation neuroma, a rarity in itself; but further evaluation concealed a yet silent pulmonary mass. No case report so far describes metastatic mass in an anophthalmic socket and we describe first case of unknown lung malignancy presenting as ill-fitting prosthesis. PMID: 21322791 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4498774 Tue, 15 Feb 2011 00:00:00 +0100 4498774 http://www.medworm.com/index.php?rid=4498773&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21322792%26dopt%3DAbstract Conclusion: We postulate that the combination of orbital inflammation and pachymeningitis is strongly suggestive of Wegener granulomatosis, although it may take a number of years to confirm. Tuberculosis should also be considered. PMID: 21322792 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4498773 Tue, 15 Feb 2011 00:00:00 +0100 4498773 http://www.medworm.com/index.php?rid=4498772&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21322793%26dopt%3DAbstract Conclusion: Proptosis may be an indicator of recurrence of multiple myeloma in patients thought to be in remission. PMID: 21322793 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4498772 Tue, 15 Feb 2011 00:00:00 +0100 4498772 http://www.medworm.com/index.php?rid=4498771&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21322794%26dopt%3DAbstract Conclusion: The artificial eyes containing silver that were produced in this study have antibacterial activity, cause little eye discharge, and emit far-infrared rays and anions, all of which promote the ocular health of the person wearing the artificial eye. PMID: 21322794 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4498771 Tue, 15 Feb 2011 00:00:00 +0100 4498771 http://www.medworm.com/index.php?rid=4439713&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21291301%26dopt%3DAbstract Discussion: The orbital apex is a congested structure and the practicing orbital surgeon must have an intimate knowledge of its contents. We have presented novel data, which in conjunction with radiology may be used as both a navigational aid to plan orbital surgery and to guide the surgeon intraoperatively to assess proximity to key anatomical structures. PMID: 21291301 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439713 Thu, 03 Feb 2011 00:00:00 +0100 4439713 http://www.medworm.com/index.php?rid=4439712&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21291302%26dopt%3DAbstract We describe how a new technique using a bolus of intravenous alfentanil can help alleviate patient discomfort during the injection of the local anaesthetic and also reduce the amount of local anaesthetic injected. This also helps oculoplastic surgeons to work in a relaxed environment, whilst still utilizing the efficiencies that are provided by an ambulatory day surgery unit. PMID: 21291302 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439712 Thu, 03 Feb 2011 00:00:00 +0100 4439712 http://www.medworm.com/index.php?rid=4439711&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21291303%26dopt%3DAbstract Authors: Mansurali N, Maclaren G, Sundar G A previously healthy woman was admitted to the intensive care unit (ICU) with severe H1N1 influenza. She had prolonged hospital stay due to multiple complications of critical illness, including pelvic deep vein thrombosis (DVT), which was treated with subcutaneous enoxaparin. The patient was referred to the ophthalmology service for bilateral proptosis. On examination, she had bilateral tense proptosis, worse on the left side with exposure keratopathy. Laboratory tests showed that she had thrombocytopenia and raised activated partial thromboplastin time (APTT). A CT scan revealed well-circumscribed soft tissue density lesions in the superolateral orbits and was reported as bilateral lacrimal gland enlargement. However, based on a clinical susp... Orbit journals http://www.medworm.com/rss/comments.php?id=4439711 Thu, 03 Feb 2011 00:00:00 +0100 4439711 http://www.medworm.com/index.php?rid=4439731&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281068%26dopt%3DAbstract Conclusions: EndoDCR surgery performed early in AD led to rapid resolution of the condition in all cases and was associated with subsequent anatomical and functional success in 94.4% of cases. Early endoDCR surgery in the context of AD and the potential associated health economic benefits are worth further consideration and study. PMID: 21281068 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439731 Sat, 01 Jan 2011 00:00:00 +0100 4439731 http://www.medworm.com/index.php?rid=4439730&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281069%26dopt%3DAbstract We present a case of a male patient who presented with facial asymmetry and epiphora. A diagnosis of imploding antrum syndrome secondary to sarcoidosis was made on the basis of characteristic computerised tomography features, elevated serum ACE and histopathological findings. We suggest that chronic inflammation within the sinus cavities, due to sarcoid, had caused osteolysis of the sinus walls, subsequently leading to the typical presentation of imploding antrum syndrome. PMID: 21281069 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439730 Sat, 01 Jan 2011 00:00:00 +0100 4439730 http://www.medworm.com/index.php?rid=4439729&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281070%26dopt%3DAbstract We present the case of a 10-year-old male who sustained trauma to the orbit and was initially suspected to have developed auto-evisceration. He underwent successful exploration and reconstruction of orbital floor with remarkable improvement. PMID: 21281070 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439729 Sat, 01 Jan 2011 00:00:00 +0100 4439729 http://www.medworm.com/index.php?rid=4439728&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281071%26dopt%3DAbstract We report a case of orbital sarcoidosis with extraocular muscle and orbital fat involvement that did not respond to oral corticosteroid treatment, but was successfully treated with oral hydroxychloroquine. There were no side effects or disease recurrence. To our knowledge, anti-malarial therapy for isolated orbital sarcoidosis has not been reported in the literature. PMID: 21281071 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439728 Sat, 01 Jan 2011 00:00:00 +0100 4439728 http://www.medworm.com/index.php?rid=4439727&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281072%26dopt%3DAbstract Authors: Vásquez LM, González-Candial M A 51-year old female presented with upper lid retraction after glaucoma filtering surgery. After two surgical procedures to correct the retraction with only transient effect, she was finally treated with hyaluronic acid gel filling achieving good aesthetic and functional result. PMID: 21281072 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439727 Sat, 01 Jan 2011 00:00:00 +0100 4439727 http://www.medworm.com/index.php?rid=4439726&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281073%26dopt%3DAbstract Authors: Monson BK, Patel BC, Kim CH Metastatic mucinous adenocarcinoma in the orbit is extremely rare. We review the literature and report a case of metastatic mucinous adenocarcinoma of the orbit in a 37-year-old male with primary pancreatic adenocarcinoma. PMID: 21281073 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439726 Sat, 01 Jan 2011 00:00:00 +0100 4439726 http://www.medworm.com/index.php?rid=4439725&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281074%26dopt%3DAbstract We report a case of a rare fungal orbital infection in an infant presenting with dacryocystitis. The causative organism was Conidiobolus sp. of the order Entomophthorales. There is no standard treatment for entomophthoramycosis. Our patient responded well to combined antifungal therapy without aggressive surgical débridement. PMID: 21281074 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439725 Sat, 01 Jan 2011 00:00:00 +0100 4439725 http://www.medworm.com/index.php?rid=4439724&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281075%26dopt%3DAbstract Authors: Shunmugam M, Morley AM, Graham E, D'Cruz D, O'Sullivan E, Malhotra R Wegener's granulomatosis can involve the orbit and sometimes the optic nerve. This usually occurs as a result of contiguous spread from affected sinuses or extraocular muscles, or from a vasculitic posterior optic neuropathy. However, we present an unusual case of isolated orbital apex infiltrative disease in a patient with known Wegener's granulomatosis. This initially caused painless optic neuropathy and progressed to painful ophthalmoplegia and blindness. Optic nerve biopsy, performed to exclude methotrexate-induced lymphoma, confirmed optic nerve infiltration. The condition was refractory to high-dose pulsed methylprednisolone but the patient gained symptomatic relief from rituximab. Wegener's granulomato... Orbit journals http://www.medworm.com/rss/comments.php?id=4439724 Sat, 01 Jan 2011 00:00:00 +0100 4439724 http://www.medworm.com/index.php?rid=4439723&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281076%26dopt%3DAbstract Authors: Morley AM, O'Sullivan E, Thaung C, Malhotra R Sarcoidosis is an increasingly well-recognised complication of interferon therapy for hepatitis C infection, primarily manifesting with cutaneous or pulmonary involvement. However, we present an unusual case of sarcoid-related dacryoadenitis in a 67-year-old Caucasian lady following such treatment. The literature relating to ophthalmic presentations of interferon-related sarcoidosis is reviewed, and the potential for confusion with interferon-induced thyroid- associated orbitopathy is discussed. PMID: 21281076 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439723 Sat, 01 Jan 2011 00:00:00 +0100 4439723 http://www.medworm.com/index.php?rid=4439722&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281077%26dopt%3DAbstract Authors: Guerriero S, Giancipoli G, Sborgia A, Fiore MG, Rossi R, Piscitelli D A 65-year-old woman presented with a long standing, progressive exophthalmos of the right eye. Her medical history was significant for Churg Strauss syndrome, and was treated with immunosuppressive therapy. She had undergone two previous orbital biopsies showing inflammatory reactive lymphoid hyperplasia. A diagnosis of orbital inflammation in Churg-Strauss syndrome was suspected, and the immunosuppressive therapy was increased. Because of the lack of response to therapy, a further biopsy was performed, by lateral orbitotomy approach. Biopsy of the mass revealed a granular cell tumor composed of S-100 positive cells with an acidophilic granular cytoplasm and peripheral lymphocytic infiltration. A granular ce... Orbit journals http://www.medworm.com/rss/comments.php?id=4439722 Sat, 01 Jan 2011 00:00:00 +0100 4439722 http://www.medworm.com/index.php?rid=4439721&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281078%26dopt%3DAbstract We reported an intermediate-grade mucoepidermoid carcinoma that was managed with wide local excision, medial maxillectomy, and external beam radiotherapy, and the patient has remained disease-free for 7 years. Orbital exenteration had generally been recommended for these tumors, but newer, more conservative resections along with radiation therapy may be equally effective. PMID: 21281078 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439721 Sat, 01 Jan 2011 00:00:00 +0100 4439721 http://www.medworm.com/index.php?rid=4439720&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281079%26dopt%3DAbstract We describe 2 cases in which drugs (hyaluronidase and zoledronic acid) were the cause of OID. In patients with a clinical picture of OID simulating an orbital cellulitis, the recent drug history should be considered as a possible aetiology, and treatment with steroids with or without a biopsy should be considered after an infection has been excluded. PMID: 21281079 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439720 Sat, 01 Jan 2011 00:00:00 +0100 4439720 http://www.medworm.com/index.php?rid=4439719&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281080%26dopt%3DAbstract Authors: Deka A, Saikia SP This prospective clinical study was designed to evaluate the efficacy of botulinum toxin for temporary treatment of senile and congenital lower lid entropion. Seventeen patients with senile entropion and three children with congenital entropion were treated with botulinum toxin injection into the preseptal orbicularis muscle of lower lid. This resulted in transient relieve of the condition, which lasted for a period of 8-26 weeks. This technique is easy and effective for senile entropion as well as certain cases of congenital entropion. PMID: 21281080 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439719 Sat, 01 Jan 2011 00:00:00 +0100 4439719 http://www.medworm.com/index.php?rid=4439718&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281081%26dopt%3DAbstract Conclusions: The endoscopic endonasal approach achieves direct exposure to the inferomedial aspect of the orbit and orbital apex, which is not exposed using the transcranial approach, hence the two approaches are complementary. 3D endoscopes augment the spatial orientation of extracranial and intracranial anatomical structures. This may improve patient's safety and hasten the learning curve for endoscopic approaches to the midline skull base. PMID: 21281081 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439718 Sat, 01 Jan 2011 00:00:00 +0100 4439718 http://www.medworm.com/index.php?rid=4439717&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281082%26dopt%3DAbstract Conclusions: Greater flap mobility and greater lacrimal sac marsupialization in endonasal DCR are associated with better rates of early anatomical patency. A novel scoring system incorporating mobility, marsupialization and bony clearance also showed a significant relationship to early outcome, with higher scores being associated with better outcomes. These results may enable greater understanding of the perioperative features associated with better outcomes in endonasal DCR. PMID: 21281082 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439717 Sat, 01 Jan 2011 00:00:00 +0100 4439717 http://www.medworm.com/index.php?rid=4439716&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281083%26dopt%3DAbstract Conclusion: Hyaluronidase was effective at treating the inflammatory reaction and breaking up the retained Restylane(®) SubQ in all patients. Although Restylane(®) SubQ should be avoided in these patients, in our experience this does not preclude them from using other similar NASHA products. PMID: 21281083 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439716 Sat, 01 Jan 2011 00:00:00 +0100 4439716 http://www.medworm.com/index.php?rid=4439715&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281084%26dopt%3DAbstract This article reviews the differences in the anatomy and the various techniques currently employed. PMID: 21281084 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439715 Sat, 01 Jan 2011 00:00:00 +0100 4439715 http://www.medworm.com/index.php?rid=4439714&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21281085%26dopt%3DAbstract Authors: PMID: 21281085 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4439714 Sat, 01 Jan 2011 00:00:00 +0100 4439714 http://www.medworm.com/index.php?rid=4288952&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158572%26dopt%3DAbstract We present a second case of lateral orbital wall ossifying fibroma and a review of the associated literature. PMID: 21158572 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288952 Wed, 01 Dec 2010 00:00:00 +0100 4288952 http://www.medworm.com/index.php?rid=4288951&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158573%26dopt%3DAbstract Authors: Puvanachandra N, Hustler A, Seah LL, Tyers AG We prospectively compared 120 patients who underwent either phacoemulsification or extracapsular cataract (ECCE) surgery to establish the incidence of postoperative ptosis between the two techniques. Of the 120 patients, 60 underwent ECCE (unpublished data 1989) and 60 had phacoemulsification. Data was collected prospectively on upper and lower margin reflex distance, upper lid skin crease and levator function, preoperatively and 6 weeks postoperatively. Photographs were taken pre and postoperatively and examined by a blinded observer. At 6 weeks, ptosis was present in 18% of ECCE patients compared with 0% in the phacoemulsification group. By changing from ECCE to phacoemulsification the incidence of postoperative ptosis has reduce... Orbit journals http://www.medworm.com/rss/comments.php?id=4288951 Wed, 01 Dec 2010 00:00:00 +0100 4288951 http://www.medworm.com/index.php?rid=4288950&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158574%26dopt%3DAbstract Conclusions: MSA is a rare tumor of the eyelid with no clinically distinguishing features. It should be suspected particularly with recurrent eyelid lesions and must be differentiated from metastatic disease. The tumor may extend into the orbit and metastasize regionally. Surgical removal with continued regular follow-up examination is the treatment of choice. PMID: 21158574 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288950 Wed, 01 Dec 2010 00:00:00 +0100 4288950 http://www.medworm.com/index.php?rid=4288949&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158575%26dopt%3DAbstract Authors: Ma Luf RN A 28-year-old female presented with hyperglobus and inferior scleral show after the repair of an orbital floor fracture using a porous polyethylene (Medpor) implant. CT revealed a large inferior orbital cystic mass displacing the globe. The cyst was explored and excised and the implant was found to be free from any attachment to surrounding tissues and hence, removed without difficulty. The reason for the cyst development was most likely inadvertent epithelial inclusion at the time of surgery-a recognized risk with insertion of any foreign body via transconjunctival approach. Porous implants when placed in the subperiosteal space might not get incorporated with surrounding tissues and therefore behave like any traditional nonporous alloplastic material. PMID: 211... Orbit journals http://www.medworm.com/rss/comments.php?id=4288949 Wed, 01 Dec 2010 00:00:00 +0100 4288949 http://www.medworm.com/index.php?rid=4288948&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158576%26dopt%3DAbstract We report a case of unilateral mydriasis following nasal electrocautery presumed to be the result of retrograde flow of adrenaline and/or xylometazoline hydrochloride (Otrivine) through the nasolacrimal duct into the eye. We review the literature and highlight the importance of correct interpretation of finding a dilated pupil post-operatively. To our knowledge. we report the first such case involving xylometazoline hydrochloride and also following nasal electrocautery. Unilateral mydriasis is alarming after nasal surgery but must be interpreted with caution. During minimally invasive procedures it is likely to be due to the effects of topical medication to the nose rather than surgical trauma. PMID: 21158576 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288948 Wed, 01 Dec 2010 00:00:00 +0100 4288948 http://www.medworm.com/index.php?rid=4288947&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158577%26dopt%3DAbstract Authors: Levine BM, Lelli GJ A 49-year-old woman underwent Humphrey Visual Field (HVF) testing to evaluate a complaint of peripheral visual field loss. The HVF demonstrated a bitemporal hemianopia. Magnetic resonance imaging of the optic chiasm was normal. The visual field defect was shown to resolve on repeat testing after raising the upper eyelids with tape. Although rare, bitemporal hemianopic defects may be secondary to eyelid ptosis, especially when associated with lateral eyelid hooding. PMID: 21158577 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288947 Wed, 01 Dec 2010 00:00:00 +0100 4288947 http://www.medworm.com/index.php?rid=4288946&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158578%26dopt%3DAbstract We present a patient with an enlarged lacrimal gland due to an intra-gland cavernous hemangioma. PMID: 21158578 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288946 Wed, 01 Dec 2010 00:00:00 +0100 4288946 http://www.medworm.com/index.php?rid=4288945&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158579%26dopt%3DAbstract We present 2 cases of a newly described side effect of both these topical agents in terms of periorbital fat atrophy. This visually noticeable side effect had features demonstrable on MRI scanning. The periorbital fat atrophy is most apparent with uniocular use and both doctors and patients need to be aware of this side effect before commencing treatment. The effects, however, appear to be reversible with treatment cessation. PMID: 21158579 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288945 Wed, 01 Dec 2010 00:00:00 +0100 4288945 http://www.medworm.com/index.php?rid=4288944&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158580%26dopt%3DAbstract We report a young girl with lipofibromatosis involving the superotemporal quadrant of the left orbit. Case Report: An 8-year-old girl presented with a history of a gradually expanding mass in the superotemporal quadrant of the left orbit over several years. Orbital imaging showed a soft tissue mass superolateral to the globe with possible infiltration into the lacrimal gland and lateral rectus muscle. The lesion was excised preserving adjacent structures. Histopathological examination revealed that the lesion consisted of adipose tissue with fibroblastic elements, being consistent with a diagnosis of lipofibromatosis. No recurrence of the lesion was seen in 18 months follow-up. Comment: Orbital involvement of lipofibromatosis as reported here is indeed a very rare entity. Diagnosis can be ... Orbit journals http://www.medworm.com/rss/comments.php?id=4288944 Wed, 01 Dec 2010 00:00:00 +0100 4288944 http://www.medworm.com/index.php?rid=4288943&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158581%26dopt%3DAbstract Conclusion: Nasolacrimal duct agenesis should be considered in patients with congenital nasolacrimal duct obstruction and unsuccessful repetitive probing, especially if it is difficult to cannulate nasolacrimal canal during probing. Although assessing whether dacryocystorhinostomy is in favor of the patient, the lacrimal sac and fossa should be examined with imaging in details. PMID: 21158581 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288943 Wed, 01 Dec 2010 00:00:00 +0100 4288943 http://www.medworm.com/index.php?rid=4288942&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158582%26dopt%3DAbstract Authors: Sarin V, Singh B, Prasher P Nasal chondromesenchymal hamartoma (NCMH) is a rare benign pediatric hamartoma that can simulate malignancy. It is apt to be misdiagnosed because of the overlapping histologic features shared with a number of benign and malignant soft tissue tumors. Here we report a case of this clinical entity in a child of 2.5 years of age. NCMH is histologically characterized by a mixture of various mesenchymal elements, including spindle cells, collagen fibers and irregular islands of osseous and chondroid tissue. The tissue was immunosensitive to SMA and calponin. This tumor has a benign biological behavior, and complete resection is the treatment of choice. Awareness of this clinical entity is essential for correct diagnosis and to avoid potentially harmful th... Orbit journals http://www.medworm.com/rss/comments.php?id=4288942 Wed, 01 Dec 2010 00:00:00 +0100 4288942 http://www.medworm.com/index.php?rid=4288941&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21158583%26dopt%3DAbstract Conclusion: To the best of our knowledge, this is the first case of Apergillus fumigatus infection secondary to a Supramid orbital floor implant, associated with hyperostosis of orbital bone. PMID: 21158583 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4288941 Wed, 01 Dec 2010 00:00:00 +0100 4288941 http://www.medworm.com/index.php?rid=4086596&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20954843%26dopt%3DAbstract Authors: Lazzeri D, Lazzeri S, Figus M, Nardi M, Pantaloni M, Agostini T (Comment on: Scheepers MA, Keel S, Michaelides M. Bilateral necrotising fasciitis of the ocular adnexa secondary to Pseudomonas aeruginosa septicaemia in a HIV-positive child. Orbit 2010 Feb;29(1):63-64.). PMID: 20954843 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4086596 Sun, 17 Oct 2010 23:00:00 +0100 4086596 http://www.medworm.com/index.php?rid=4086594&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20954844%26dopt%3DAbstract Conclusion: Floor and inferior rim were the most affected orbital structures in facial trauma. We described radiological risk factors association with optic canal, NLD fracture and intracranial involvement. We described extraocular muscle morphological signs, which could alert to the possibility of orbital floor fracture in equivocal cases. PMID: 20954844 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4086594 Sun, 17 Oct 2010 23:00:00 +0100 4086594 http://www.medworm.com/index.php?rid=4086592&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20954845%26dopt%3DAbstract Conclusion: The masquerade procedure may be considered in extreme circumstances, however in our experience, multiple interventions and further reconstructive surgery may subsequently be required. PMID: 20954845 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4086592 Sun, 17 Oct 2010 23:00:00 +0100 4086592 http://www.medworm.com/index.php?rid=4032116&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20919813%26dopt%3DAbstract Conclusion: There was no statistical difference in symptom outcome between patients in whom both mucosal flaps were sutured, those who had only the anterior flap sutured, or those who did not have either flap sutured at the time of surgery. PMID: 20919813 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4032116 Sun, 03 Oct 2010 23:00:00 +0100 4032116 http://www.medworm.com/index.php?rid=4032115&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20919814%26dopt%3DAbstract Authors: Novembrino C, De Giuseppe R, Bamonti F, Pigatto PD, Guzzi G PMID: 20919814 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=4032115 Sun, 03 Oct 2010 23:00:00 +0100 4032115 http://www.medworm.com/index.php?rid=3936294&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812824%26dopt%3DAbstract Conclusions: Chronic inflammation and fibrosis are the most common histopathologic findings in lacrimal sac specimens obtained during DCR. Only two cases of lymphoma (0.4%) were encountered in the series, one of which had a suspicious lacrimal sac appearance during surgery while the other case (0.2% of all specimens) was unsuspected. The rate of malignant etiology for NLD obstruction is low enough to justify lacrimal sac biopsy only in suspicious cases. PMID: 20812824 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936294 Wed, 01 Sep 2010 23:00:00 +0100 3936294 http://www.medworm.com/index.php?rid=3936293&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812825%26dopt%3DAbstract We report a case of a young woman with a brown tumor in the orbital roof. Secondary hyperparathyroidism due to chronic renal disease was detected during the preoperative study. The pathogenesis, diagnosis and management of the brown tumor are discussed. PMID: 20812825 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936293 Wed, 01 Sep 2010 23:00:00 +0100 3936293 http://www.medworm.com/index.php?rid=3936292&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812826%26dopt%3DAbstract Conclusions: IVMP immunosuppression is effective in 83% of patients. The effect lasts from 3 months to 8 years, with a mean of 15 months in 30.5%. It remains a useful modality of treatment especially when the optic nerve or cornea is threatened because of moderate to severe active TED. We encountered no severe side effects of pulsed IVMP and 3 g over 3 days is a safe dose. PMID: 20812826 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936292 Wed, 01 Sep 2010 23:00:00 +0100 3936292 http://www.medworm.com/index.php?rid=3936291&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812827%26dopt%3DAbstract Conclusion In neurofibromatosis the treatment should be customized to each patient. As confirmed in our study, an open visual axis is the main goal in surgery, followed by cosmetic appearance. The authors believe that, with possibly multiple surgeries an acceptable result can be achieved. PMID: 20812827 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936291 Wed, 01 Sep 2010 23:00:00 +0100 3936291 http://www.medworm.com/index.php?rid=3936290&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812828%26dopt%3DAbstract Conclusions: The fact that signal intensity increase at ROI-3 was less pronounced in the SG, compared with CG, implies a compromised "lacrimal pump" mechanism in the former group. The methodology presented may be used for the evaluation of post-DCR epiphora. PMID: 20812828 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936290 Wed, 01 Sep 2010 23:00:00 +0100 3936290 http://www.medworm.com/index.php?rid=3936289&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812829%26dopt%3DAbstract Conclusions: Variations in EOV are associated with orbital volume rather than with eyeball volume. EOV is associated with globe protrusion and may be taken into account in the planning of various procedures, including orbital decompression, treatment of enophthalmos or the size of orbital implants following enucleation. PMID: 20812829 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936289 Wed, 01 Sep 2010 23:00:00 +0100 3936289 http://www.medworm.com/index.php?rid=3936288&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812830%26dopt%3DAbstract Conclusion: Complications of intracanalicular plugs can sometimes outweigh their benefits. These plugs can lodge in the lacrimal outflow system and cause pyogenic granuloma formation and canaliculitis. To our knowledge, until now there have been no reports of complications associated with Form Fit hydrogel plugs (OASIS((R)) Medical) and its infective complication with Klebsiella oxytoca. PMID: 20812830 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936288 Wed, 01 Sep 2010 23:00:00 +0100 3936288 http://www.medworm.com/index.php?rid=3936287&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20812831%26dopt%3DAbstract Authors: Siah WF, Guerin MB, Flitcroft I, Fulcher T Heavy eye phenomenon can be cosmetically unaccepted due to significant pseudoproptosis and hypotropia. We highlight the salient features of this condition, and report successful cosmetic outcome following a staged procedure comprising orbital decompression and horizontal recti surgery. PMID: 20812831 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936287 Wed, 01 Sep 2010 23:00:00 +0100 3936287 http://www.medworm.com/index.php?rid=3936295&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20807018%26dopt%3DAbstract Conclusions: The endoscopic transnasal approach to orbital decompression surgery allows for good visualization and is minimally invasive. Using this approach in conjunction with the LandmarX image-guided system allows for improved anatomical localization and provided good results in all cases. PMID: 20807018 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3936295 Mon, 30 Aug 2010 23:00:00 +0100 3936295 http://www.medworm.com/index.php?rid=3877494&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20712512%26dopt%3DAbstract We describe the management dilemma of a patient with orbital extension of a frontal sinus squamous cell carcinoma. The patient underwent combined craniofacial and transnasal macroscopic excision with globe preservation. Traditional approach for a sinus tumor that has invaded the orbit would be an exenteration. The favorable outcome of the case reported here raises the possibility of considering this approach more frequently. PMID: 20712512 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3877494 Sun, 15 Aug 2010 23:00:00 +0100 3877494 http://www.medworm.com/index.php?rid=3877493&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20712513%26dopt%3DAbstract Conclusion: The responsible pathogens in acute and chronic dacryocystitis are significantly different. Because of the high prevalence of gram-negative bacteria and also culture-negative samples and considering the necessity of treatment in acute dacryocystitis, selecting an appropriate antibiotic with a good coverage of gram-negative and gram-positive bacteria seems essential. PMID: 20712513 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3877493 Sun, 15 Aug 2010 23:00:00 +0100 3877493 http://www.medworm.com/index.php?rid=3877492&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20712514%26dopt%3DAbstract Authors: Kalantzis G, Papaconstantinou D, Georgalas I, Tsitlidou A, Georgopoulos G A 31-year-old Black man presented with two oval masses in his right conjunctiva. The tumors were completely excised and histology showed that the inferior lesion was a conjunctival squamous papilloma with pigmentation while the superior one was an inverted conjunctival papilloma, which grew in an endophytic manner. Follow up examination one year later showed no recurrence. Literature search revealed no previous report of simultaneous appearance of these types of papilloma in the same eye. Management of conjunctival squamous papillomas is difficult and is complicated by multiple recurrences in contrast to inverted conjunctival papillomas where no recurrences have been reported after complete excision. Thu... Orbit journals http://www.medworm.com/rss/comments.php?id=3877492 Sun, 15 Aug 2010 23:00:00 +0100 3877492 http://www.medworm.com/index.php?rid=3867425&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20704487%26dopt%3DAbstract We report a rare case, with clinicopathological correlation, of metastatic pancreatic adenocarcinoma, presenting first in the orbit with symptoms of diplopia, blurring of vision and supraorbital ache. Computed tomography and magnetic resonance imaging of the orbit showed a left solid intraconal tumor with peripheral rim enhancement. The tumor demonstrated hypointensity on both T1- and T2-weighted sequences. Excisional biopsy was performed and histopathology confirmed a metastatic adenocarcinoma. Subsequent gastrointestinal imaging and tumor markers revealed an asymptomatic pancreatic adenocarcinoma, with multiple liver metastases. Our patient developed hepatobiliary sepsis and passed away 44 days after diagnosis. This case highlights the role of early biopsy of atypical orbital tumors in t... Orbit journals http://www.medworm.com/rss/comments.php?id=3867425 Wed, 11 Aug 2010 23:00:00 +0100 3867425 http://www.medworm.com/index.php?rid=3867424&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20704488%26dopt%3DAbstract Conclusions: Monomicrobial MRSA should be considered in the etiology of periorbital necrotizing fasciitis. Early diagnosis and prompt surgical and medical therapy are essential in the management of periorbital necrotizing fasciitis. PMID: 20704488 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3867424 Wed, 11 Aug 2010 23:00:00 +0100 3867424 http://www.medworm.com/index.php?rid=3867423&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20704489%26dopt%3DAbstract Conclusion: In primary nasolacrimal duct obstruction, pathological examination of the lacrimal sac revealed chronic inflammatory changes in most patients. Even though rare, malignant or systemic disease in patients with neither specific history nor clinical or radiological finding might be observed in these cases. Thus, we recommend taking biopsy if any suspicion of abnormality of the lacrimal sac exists. PMID: 20704489 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3867423 Wed, 11 Aug 2010 23:00:00 +0100 3867423 http://www.medworm.com/index.php?rid=3697608&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20572751%26dopt%3DAbstract Conclusions: Orbitotomy via the contralateral exenterated orbit should be considered as a surgical option in these unique patients requiring direct access to the orbital apex. PMID: 20572751 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3697608 Tue, 22 Jun 2010 23:00:00 +0100 3697608 http://www.medworm.com/index.php?rid=3697607&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20572752%26dopt%3DAbstract We report a 37-year-old patient with the history of bilateral epiphora, who was referred to our department for dacryoscintigraphy imaging. The patient had bilateral obstruction of the lacrimal apparatus at the sac-duct level on the scintigraphy images. Delayed imaging showed Tc-99m pertechnetate uptake in the thyroid due to systemic absorption of the tracer from the conjunctiva. We recommend using tracers with large particle size and lower possibility of mucosal absorption for dacryoscintigraphy in order to decrease unnecessary thyroid radiation. PMID: 20572752 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3697607 Tue, 22 Jun 2010 23:00:00 +0100 3697607 http://www.medworm.com/index.php?rid=3697605&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20572753%26dopt%3DAbstract We present a case of a 23-year-old man with primary orbital mesenchymal chondrosarcoma (OMC) with an uncommon management. This anecdotic report could be a contribution to the understanding of this unusual tumor. PMID: 20572753 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3697605 Tue, 22 Jun 2010 23:00:00 +0100 3697605 http://www.medworm.com/index.php?rid=3697604&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20572754%26dopt%3DAbstract Authors: Wiwanitkit V PMID: 20572754 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3697604 Tue, 22 Jun 2010 23:00:00 +0100 3697604 http://www.medworm.com/index.php?rid=3697603&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20572755%26dopt%3DAbstract We report a 55 year old male with multiple myeloma and secondary amyloidosis who presented with incidental bilateral orbital masses on MRI. Biopsy revealed amyloid deposition. We review the previously published cases of the orbital amyloidosis secondary to systematic light chain (AL) amyloidosis, including one patient with multiple myeloma. The clinical signs and symptoms, histopathologic findings, and radiographic features of orbital amyloidosis are discussed. PMID: 20572755 [PubMed - as supplied by publisher] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3697603 Tue, 22 Jun 2010 23:00:00 +0100 3697603 http://www.medworm.com/index.php?rid=3604572&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497077%26dopt%3DAbstract CONCLUSION: Endoscopic dacryocystorhinostomy utilizing a 9mm endonasal balloon has several advantages: it requires minimal instrumentation, does not require power drills or burrs, is quick with minimal bleeding, has a low complication rate, and a high success rate. Endoscopic balloon dacryocystorhinostomy offers a simpler endoscopic approach for the treatment of nasolacrimal duct obstruction, and is easily mastered by the Ophthalmic surgeon. PMID: 20497077 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3604572 Fri, 28 May 2010 05:48:41 +0100 3604572 http://www.medworm.com/index.php?rid=3604571&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497078%26dopt%3DAbstract CONCLUSIONS: Large proportion of the patients that underwent exenteration had a history of previous unsuccessful treatment and a long duration of disease. Because exenteration of the orbit is a disfiguring procedure, the incidence must be reduced by early presentation, prompt treatment, and adequate observation to preserve the eye. PMID: 20497078 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3604571 Fri, 28 May 2010 05:48:38 +0100 3604571 http://www.medworm.com/index.php?rid=3604570&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497079%26dopt%3DAbstract DISCUSSION: Basal cell carcinoma is the most common non-melanoma malignant eyelid tumour. The results supported basal cell carcinomas, particularly morphoeic types, are difficult to examine, and location is a poor predictor of recurrence. We did not find that Mohs micrographic surgery universally reduces the size of the defects area. However, if the primary aim of the surgery is to cure the patient and prevent recurrence, Mohs is still the best choice. PMID: 20497079 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3604570 Fri, 28 May 2010 05:48:35 +0100 3604570 http://www.medworm.com/index.php?rid=3604569&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497080%26dopt%3DAbstract Authors: Gupta P, Singh U, Singh SK, Kapoor R, Gupta V, Das A INTRODUCTION: Rhabdomyosarcoma arising in the inguinal region has high potential of metastasis. The common sites for spread from inguinal region include regional lymph nodes, lungs, bone marrow and bone cortex. Orbit is an uncommon site for such metastasis. This case report describes a patient with inguinal rhabdomyosarcoma, which metastasized to both orbits to all the extraocular muscles. CASE REPORT: A 14-year-old male patient presented with inguinal mass involving the scrotum. The patient underwent high inguinal orchiectomy with hemiscrotectomy for the mass and histopathology revealed rhabdomyosarcoma. After 2 weeks of initial surgery the patient developed bilateral axial proptosis and radiological imaging revealed bilate... Orbit journals http://www.medworm.com/rss/comments.php?id=3604569 Fri, 28 May 2010 05:48:32 +0100 3604569 http://www.medworm.com/index.php?rid=3604568&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497081%26dopt%3DAbstract We report a case of a 14-year-old woman presenting to our clinic with the complaint of epiphora and proptosis in the right eye, which were the symptomatic findings of aneurysmal bone cyst of ethmoid. PMID: 20497081 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3604568 Fri, 28 May 2010 05:48:29 +0100 3604568 http://www.medworm.com/index.php?rid=3604567&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497082%26dopt%3DAbstract Authors: Keserü M, Richard G, Galambos P INTRODUCTION: Congenital lacrimal fistulae are a developmental disorder and can be associated with other hereditary developmental diseases. CASE REPORT: A patient with Down syndrome presented with events of recurrent dacryocystitis and lacrimal fistulation on 1 eye. A DCR surgery with excision of a fistula had been performed 2 years before. The investigation under general anesthesia also revealed a clinically unrecognized lacrimal fistula on the contralateral side. COMMENT: The case report documents a unique case of bilateral congenital lacrimal fistulae in association with Down syndrome. Dacryocystitis in patients with Down syndrome could result from a congenital lacrimal fistula. PMID: 20497082 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3604567 Fri, 28 May 2010 05:48:26 +0100 3604567 http://www.medworm.com/index.php?rid=3604566&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497083%26dopt%3DAbstract CONCLUSION: To our knowledge, the coexistence of unilateral isolated craniofacial fibrous dysplasia with ipsilateral keratoconus has not been reported so far. PMID: 20497083 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3604566 Fri, 28 May 2010 05:48:23 +0100 3604566 http://www.medworm.com/index.php?rid=3604565&cid=s_36645_30_f&fid=36645&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20497084%26dopt%3DAbstract We report this patient with localized intraorbital Castleman's disease. PMID: 20497084 [PubMed - in process] (Source: Orbit) Orbit journals http://www.medworm.com/rss/comments.php?id=3604565 Fri, 28 May 2010 05:48:20 +0100 3604565