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Centurion syndrome: clinical presentation and surgical outcome.
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DISCUSSION: Centurion syndrome is characterised by the abnormal anterior insertion of the medial canthal tendon with displacement of the punctum out of the lacrimal lake. Most cases present with unexplained watering. Surgical management by anterior canthal tendon release with or without conjunctivoplasty or lower lid retractor plication is usually successful.
PMID: 19874118 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Murthy R, Honavar SG, Naik M, Menon V, Bhaduri A, Das S Tags: Orbit Source Type: journals
Rupture of an aneurysm of the persistent trigeminal artery presenting as a carotid-cavernous sinus fistula.
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A 62-year-old Caucasian female presented with spontaneous right-sided eye pain, chemosis and ophthalmoloplegia. A right carotid-cavernous sinus fistula was discovered and successfully treated with transvenous introduction of Guglielmi detachable coils. In addition to complete fistula occlusion, follow-up angiography 6 weeks post-treatment demonstrated the presence of a patent persistent trigeminal artery previously hidden by the caliber of the carotid-cavernous sinus fistula. The spontaneous nature of the presentation and the proximity of the persistent trigeminal artery to the site of coil embolization suggest spontan...
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Xin-Ya Qian C, Ares C, Codere F, Tampieri D Tags: Orbit Source Type: journals
An oculoplastic use for the temporalis muscle flap.
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CONCLUSIONS: A pedicled temporalis muscle flap and split thickness skin graft is a good one-stage reconstruction technique when faced with a large area of exposed bone. The temporalis muscle provides a suitable recipient site for a split skin graft and enhances its chances of survival. This technique, to our knowledge, had not previously been reported in the literature.
PMID: 19874120 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Cehajic J, Moody A, James RC, Watson G, Wearne MJ Tags: Orbit Source Type: journals
Rare orbitocranial tumour in an adult.
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A 35-year-old lady presented with recurrent episodes of painful right upper lid swelling and ptosis of 6 months' duration. The symptoms would subside with oral antibiotics and painkillers. She had also been undergoing treatment for 1 year for multiple painful osteolytic lesions in the long bones and axial skeleton for which no definite diagnosis had been made, despite several radiological and serological investigations having been performed. Computed tomographic scan showed a soft tissue lesion in the superolateral part of the right orbit with erosion of the adjacent bone. Lacrimal gland biopsy showed non-specific infl...
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Mehta A, Chandra M Tags: Orbit Source Type: journals
Undiagnosed squamous cell carcinoma of the forehead presenting as a tolosa-hunt syndrome.
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We describe a case of invasive squamous cell carcinoma arising from actinic keratosis and causing orbital and intracranial invasion via perineural spread. Perineural invasion (PNI) is a known feature of SCC and very rarely basal cell carcinomas of the head and neck. A high degree of clinical suspicion is necessary to diagnose PNI. Varied clinical presentations have been described for this form of dissemination, including orbital apex syndrome as in our case. Prognosis is poor, with death resulting in over 50% of cases at 5 years.
PMID: 19874122 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Nieto Enriquez J, Medel Jiménez R, Huguet Redecilla P Tags: Orbit Source Type: journals
Double skull lymphangioma. Case report and review of the literature.
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OBJECTIVE: It is still controversial whether lymphangiomas are a true entity or a combination of congenital venous and lymphatic malformations. Lymphangioma diagnosis is made on a multifactorial basis and surgery should provide cosmetic and functional preserving results. Only few multiple localization have been described in the literature and to our knowledge this is the first case reported on a double localization (orbital and temporal) in the skull. CASE DESCRIPTION: A 10-year-old girl was referred to our department with a rapidly enlarging subcutaneous mass in the right eyebrow and upper eyelid, displacing the eyeba...
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Di Emidio P, Chibbaro S, Mirone G, Balercia P Tags: Orbit Source Type: journals
Topical mitomycin C as a postoperative adjunct to endonasal dacryocystorhinostomy in patients with anatomical endonasal variants.
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CONCLUSIONS: The patients with endonasal anatomical variants have a higher incidence of complications like formation of adhesions and synechaie after endonasal DCR than other patients. Topical MMC is safe and effective agent to decrease the rate of complications when used as an adjunct in endonasal DCR in patients with endonasal anatomical variants.
PMID: 19874124 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Rathore PK, Kumari Sodhi P, Pandey RM Tags: Orbit Source Type: journals
Blindness from orbital varices: case report.
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A 41-year-old woman presented with a 21-year history of a left orbital mass. She reported 3 distinct episodes of sudden proptosis, periorbital bruising, pain, nausea and vomiting with resulting stepwise deterioration in her vision. Her symptoms resolved spontaneously over several days, with the exception of loss in vision, which persisted. Examination was notable for ipsilateral enophthalmos in primary gaze. With Valsalva she developed proptosis. Magnetic resonance imaging (MRI) demonstrated a left orbital apex malformation consistent with a varix. She had no light perception on the left with end-stage optic atrophy. T...
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Phan IT, Hoyt WF, McCulley TJ, Hwang TN Tags: Orbit Source Type: journals
Primary non-hodgkins lymphoma of the lacrimal sac: mortality-related epiphora.
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We report a case of primary non-Hodgkins lymphoma of the lacrimal sac in a 60-year-old Asian lady, who presented with persistent epiphora and recurrent medial canthal swelling. Primary lymphoma of the lacrimal sac is rare and it can be easily misdiagnosed. Delayed in diagnosis may be related to mortality. To minimize the risk of overlooking specific pathology it is important to assess the appearance of the lacrimal sac and its surrounding structures intraoperatively. Biopsy of the lacrimal sac is required in cases where specific pathology is suspected.
PMID: 19874126 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Maharajah KR, Hussein A, Mohamad H, Khan SA, At LS Tags: Orbit Source Type: journals
Sebaceous carcinoma of the eyelid metastasizing to the lacrimal sac after 5 years.
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Eyelid sebaceous carcinoma metastasizing to lacrimal sac is rare. A 65 year old female underwent excision with 5 mm margins and Cutler-beard reconstruction for a nodulo-ulcerative mass showing eyelash loss in the middle third of the right upper eyelid. Histopathology confirmed it to be sebaceous carcinoma with uninvolved margins. Five years after primary excision, the patient presented with persistent epiphora and mass in the ipsilateral lacrimal sac region. Repeat excision biopsy and conjunctival map biopsy confirmed recurrent sebaceous carcinoma of the lacrimal sac. Thirteen months after adjuvant radiotherapy to the ...
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Rath S, Honavar SG, Reddy VA, Naik MN, Vemuganti GK, Murthy R Tags: Orbit Source Type: journals
Successful medical treatment of blepharochalasis: a case series.
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CONCLUSION: Oral Acetazolamide in combination with topical hydrocortisone provides effective relief of the periorbital oedema associated with blepharochalasis. In our short series, the cases were improved either with medical therapy alone or in combination with surgery. Relapses following surgery were diminished as a result of prior medical therapy.
PMID: 19874128 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 31, 2009 Category: Opthalmology Authors: Drummond SR, Kemp EG Tags: Orbit Source Type: journals
A case of conjunctival derived orbital dermoid cyst: case report.
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Authors:
PMID: 19874129 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 31, 2009 Category: Opthalmology Tags: Orbit Source Type: journals
Editorial.
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PMID: 19839876 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: von Arx GF Tags: Orbit Source Type: journals
Non-invasive Peri-orbital Rejuvenation: Radiofrequency Dual Radiowave Energy Source (RF) and Light Emission Diode System (LED).
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Conclusion: LED and RF seem to be safe and effective on skin rejuvenation especially when associated.
PMID: 19839877 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Migliardi R, Tofani F, Donati L Tags: Orbit Source Type: journals
Imaging in graves' orbitopathy.
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In patients with Graves' orbitopathy, magnetic resonance imaging (MRI) is a useful tool to distinguish the acute inflammatory active disease in demonstrating interstitial edema within the extraocular muscles on coronal TIRM-sequences from fibrotic, inactive endstage disease. MRI is the modality of choice to identify active inflammatory changes in order to decide on possible immunomodulatory treatment response. However, MRI should be considered in atypical cases as in asymmetrical orbital involvement, to exclude other orbital pathologies and to confirm the clinical suspicion of apical optic nerve compression in Graves' ...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Kirsch E, Arx G, Hammer B Tags: Orbit Source Type: journals
Thyroid eye disease: a historical perspective.
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Within the short period from 1802 to 1840 four physicians from four different countries (Flajani in Italy, Parry in England, Graves in Ireland and Basedow in Germany) independently described a hitherto unknown disease, the hallmark of which were tachycardia and enlargement of the thyroid. Three of the physicians also noted exophthalmos. In sequence, the disease was attributed to primary cardiac disease, then to increased sympathetic nerve discharge, and finally to thyroid hyper-function. The latter concept failed to explain the exophthalmos, which cannot be reproduced by over-dosage of thyroid hormone. Explanations for...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Bürgi H Tags: Orbit Source Type: journals
Small versus coronal incision orbital decompression in graves' orbitopathy.
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Ideally the planning of decompression surgery should be adequate to the severity of the orbitopathy, its possible "lipogenic" or "myopathic" variants, the patient's specific orbital osteology and possible previous surgeries. Due to surgeon's experience and local traditions, however, a standardized rather than a tailored approach is often offered to the patient. An inferior fornix and/or upper skin crease incision can be used for infero medial and/or lateral, bony and/or fat decompression. As an alternative the swinging eyelid technique, offering an adequate access to the bony orbit and to the orbital fat compartments i...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Baldeschi L Tags: Orbit Source Type: journals
A step towards individualized, anatomy-based surgical concepts for orbital decompression in graves' orbitopathy.
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The surgical armamentarium for orbital decompression in Graves'orbitopathy (GO) includes techniques for orbital wall resection using local incisions, but also techniques for orbital rim advancement or resection of the greater sphenoid wing, which require a coronal or even transcranial approach. Up to now the choice of technique rather depends on the surgeon;s preference than on objective criteria. The goal of our CT-based research project is to define morphological orbital parameters which potentially could influence the result of a given technique for orbital decompression in thyroid eye disease. Based on the results ...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Lukas K, Hansrudi N, Alexander S, Beat H, Eberhard K Tags: Orbit Source Type: journals
Thyroidectomy in graves' disease: subtotal, near total or total?
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Thyroidectomy is one of the possible therapeutic options in Graves' disease as are antithyroid drugs and (131)radioiodine. Emerging data reveal an advantage of total thyroidal ablation as the method of choice in patients with impending or overt Graves' orbitopathy. Pros and cons are discussed as presented at the 1(st) Swiss Symposium on Thyroid Eye Disease in Pontresina, Switzerland in December 2007.
PMID: 19839882 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Hoffmann R Tags: Orbit Source Type: journals
Squint Surgery in TED - Hints and Fints, or Why Graves' Patients Are Difficult Patients.
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Endocrine ophthalmopathy is the most common cause of acute onset diplopia in middle aged or older individuals. Ocular muscle involvement is characterized by myositis followed by fibrosis: this causes a stiffness and a shortening of the muscles involved with restriction of ocular movements: so the impairment of rotation is due to a mechanical obstacle and not to a paresis. Prisms are rarely useful in relieving diplopia and the majority of symptomatic patients need squint surgery. Timing of surgery is very important and two considerations are to be kept in mind: first, the systemic disease must be in remission and the oc...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Nardi M Tags: Orbit Source Type: journals
Rituximab in the treatment of thyroid eye disease: science fiction?
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Lately, monoclonal antibodies directed to molecules of the immune system have become available. Rituximab (RTX) is a humanized chimeric anti-CD20 monoclonal antibody which blocks the activation and differentiation of B cells. The rationale for use in Graves' disease (GD) and orbitopathy is the potential effect on B-cell mediated immunity. Transient B cell depletion may modify the active inflammatory phase of thyroid eye disease (TED). We have studied nine patients with GD, of whom seven had active TED and two only lid signs. All but one patients showed both CD20+ cells and CD19+ cells depletion with the first RTX infus...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Salvi M, Vannucchi G, Campi I, Beck-Peccoz P Tags: Orbit Source Type: journals
Can autoimmunity against calsequestrin explain the eye and eyelid muscle inflammation of thyroid eye disease?
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In this study we have tested for T lymphocyte sensitization to calsequestrin in patients with Graves' disease, with and without orbitopathy, in standard proliferation assay. We have also tested total RNA prepared from thyroid tissue of patients with Graves' disease with and without orbitopathy for expression across 20,589 genes using micro array analysis technology. We were looking for differences in gene expression between the two groups which might provide information about the early thyroid events that lead to the development of eye muscle autoimmunity. Positive lymphocyte reactivity to calsequestrin was demonstrated in...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Gopinath B, Wescombe L, Nguyen B, Wall JR Tags: Orbit Source Type: journals
Graves' disease associated with primary systemic sclerosis.
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We describe the effect of MM on the endocrine orbitopathy of a patient with PSS.
PMID: 19839886 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Wimmersberger Y, Zuercher D Tags: Orbit Source Type: journals
Five-Year Cycle of Basal Cell Carcinoma Management Re-audit.
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Conclusion: There was no evidence of significant recurrence to justify the 5-years' follow-up. Patients with histologically cleared tumours and satisfactory functional and cosmetic reconstruction outcome can safely be discharged to their GP and should be re referred for new lesions. The functional and cosmetic outcome of the reconstruction was generally satisfactory.
PMID: 19839887 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Stafanous S Tags: Orbit Source Type: journals
Malignant lymphoproliferative disorders extending into the orbit from the paranasal sinsuses.
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PMID: 19839888 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: McNab A Tags: Orbit Source Type: journals
Malignant lymphoproliferative disorders extending into the orbit from the paranasal sinuses.
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CONCLUSION: Presenting symptoms of malignant orbital lymphoproliferative disorders extending from the paranasal sinuses include mass effect occasionally with infiltrative and inflammatory characteristics accompanied by symptoms of sinus disease. On imaging, a soft tissue mass in the sinuses and orbit with bone destruction is commonly seen. Biopsy is essential for conclusive diagnosis. Treatment should be initiated promptly as local symptoms are frequently relieved and survival is possible, especially in cases of NHL.
PMID: 19839889 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Peleg A, Heran MK, White VA, Chang WY, Rootman J Tags: Orbit Source Type: journals
Genetic testing in orbital tumors.
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OBJECTIVE: This review aims to discuss the clinical application of cytogenetic and molecular testing in the diagnosis and prognosis of orbital tumors and, in so doing, highlight the basis of these methods, their advantages, and limitations. SUMMARY: Specific chromosomal aberrations are detected in many lymphoproliferative neoplasms, soft tissue tumors, and in a few benign tumors of the orbit. Detection of these characteristic chromosomal translocations is most helpful to refine the diagnosis and classification, especially when the tumor is poorly differentiated and shows overlapping morphological features with another ...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Khong JJ, Moore S, Prabhakaran VC, Selva D Tags: Orbit Source Type: journals
Orbital cyst associated with ocular pit in an adult without microphthalmos.
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We describe an adult without microphthalmos who developed an acquired compressive optic neuropathy secondary to an orbital cyst which showed direct communication with an optic disc pit. Such pits may be revealed by late complications such as orbital compressive cyst of the optic nerve, even in previously normal adult patients.
PMID: 19839891 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Touitou V, Vignal-Clermont C, Berges O, Morax S, Gaudric A Tags: Orbit Source Type: journals
Role of trichloroacetic acid in treating posterior conjunctival cyst in an anopthalmic socket.
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We present a posterior conjunctival cyst developed after a dermo-fat graft reconstruction in an eviscerated socket. Eleven years after evisceration surgery due to irreparable ocular trauma an extrusion of the orbital implant occurred. Removal of the orbital implant and a socket reconstruction with dermis fat graft was done. Three years later, the patient again returned back to the treating ophthalmologist with complaint of an inability to retain the formerly well-fitted artificial prosthesis. A detailed ophthalmic examination failed to reveal any abnormality. The CT scan showed a posteriorly located conjunctival cyst in th...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Sánchez EM, Formento NA, Pérez-López M, Jiménez AA Tags: Orbit Source Type: journals
Autologous orbicularis muscle for filling facial folds-an experimental and clinical study.
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CONCLUSIONS: autologous preseptal orbicularis muscle is a good material for filling facial folds. Cicatricial tissue will be formed on its implantation site, filling the tissue gap that forms the folds on the skin.
PMID: 19839893 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Schellini SA, Hirai FE, Hoyama E, Mattos MK, Chaves FR, Pellizon CH, Padovani CR Tags: Orbit Source Type: journals
Monocanalicular versus bicanalicular intubation in external dacryocystorhinostomy for primary acquired nasolacrimal duct obstruction.
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CONCLUSIONS: Patients with monocanalicular intubation during external dacryocystorhinostomy had a significantly lower success rate than patients with bicanalicular intubation in the treatment of nasolacrimal duct obstruction.
PMID: 19839894 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Saleh GM, Tossounis CM, Litwin AS, Gauba V, Samaras K, McLean CJ Tags: Orbit Source Type: journals
Does the timing of silicone tube removal following external dacryocystorhinostomy affect patients' symptoms?
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CONCLUSIONS: Our experience and this study suggest that timing of silicone tube removal does not influence surgical success in EXT-DCR regardless of the cause of early or late tube removal.
PMID: 19839895 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Charalampidou S, Fulcher T Tags: Orbit Source Type: journals
Lacrimal gland uptake of gallium (67Ga) citrate in patients without ocular pathology.
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We present an index case of lacrimal gland uptake of Gallium (67Ga) Citrate in a patient without lacrimal pathology and a subsequent retrospective review of all Gallium scans performed at the Bristol Royal Infirmary, UK from 2002 to 2008. Patients who demonstrated Ga67 uptake within the lacrimal glands were identified and case notes from all scans were retrieved and reviewed. The notes were analysed to determine the rationale for the gallium investigation as well as whether there was any preexisting ocular pathology. RESULTS: Retrospective review demonstrated that 21 gallium scans were performed from 2002 to 2008, from whi...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Ross AH, Herbert HM, Kabala J, Malhotra R Tags: Orbit Source Type: journals
Orbital cellulitis in children-medical treatment versus surgical management.
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CONCLUSIONS: Paediatric orbital cellulitis can be treated conservatively or with surgical drainage. Indications for surgery include pansinusitis, large abscesses with significant mass effect, concurrent intracranial involvement, poor response to initial medical treatment and the presence of an orbital abscess and gas. Sole medical treatment worked well in children with no orbital abscess, small or medial abscesses as they tend to have a single organism infection. This is also of particular significance in young children below the age of one where endoscopic surgery can be technically difficult. Intracranial involvement occ...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Yang M, Quah BL, Seah LL, Looi A Tags: Orbit Source Type: journals
Measurements of lacrimal glands from cadavers, with descriptions of typical glands and three gross variants.
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CONCLUSIONS: Variant lacrimal glands are common (51.1%). Three types have been identified. The subencapsulated (26.7%) and bilayered (22.2%) types are the more common ones. Only one macrovariant (2.2%) specimen was found. Several dimorphisms exist in the typical and subencapsulated types, specimens from male cadavers being larger.
PMID: 19839898 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Lorber M, Vidić B Tags: Orbit Source Type: journals
Cost-related antibiotic dosage omissions-challenge for orbital cellulitis management in resource poor communities.
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CONCLUSION: Cost and affordability should be major determinants of choice of empirical antibiotics in resource poor communities to ensure timely and regular treatment and improve prognosis in management of orbital cellulitis.
PMID: 19839899 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Onakpoya OH, Adeoye AO, Akinpelu OV Tags: Orbit Source Type: journals
Orbital metastasis: clinical features, management and outcome.
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CONCLUSIONS: A high index of suspicion and appropriate intervention with histological diagnosis can help in the management and quality of life in patients with metastatic orbital disease. Overall survival is limited and we encountered statistical limitations proving differences in the survival based on the sub-type of primary tumour involved. Metastatic orbital melanoma presented a higher incidence when compared with previous studies, probably due to the increase frequency of skin found in the Australian population.
PMID: 19839900 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Valenzuela AA, Archibald CW, Fleming B, Ong L, O'Donnell B, Crompton J J, Selva D, McNab AA, Sullivan TJ Tags: Orbit Source Type: journals
Group C streptococcal subperiosteal abscess of the orbit.
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Group C Streptococcus is a well recognised pathogen in acute pharyngitis and sinusitis. To our knowledge group c streptococcus has not been reported to cause orbital cellulitis or subperiosteal abscess. We wish to report a case of a child with orbital subperiosteal abscess caused by Group C streptococcus.
PMID: 19839901 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Ong CT, Syrimi M, Chew NS, Twomey J Tags: Orbit Source Type: journals
Breast cancer in a male with thyroid-associated orbitopathy and subclinical hyperthyroidism: a rare occurrence.
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We present a case of a biochemically euthyroid male with active moderately severe thyroid associated orbitopathy who was coincidentally found to have breast carcinoma. The relationship between thyroid disease and breast carcinoma is discussed. The authors recommend that an enquiry of any breast lump or abnormality should be undertaken in all patients with thyroid disease.
PMID: 19839902 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Santos CT, Howe HY, Siew FK Tags: Orbit Source Type: journals
Periorbital tuberculosis in a young man: a case report.
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CONCLUSION: Periorbital tuberculous infection may occur in the absence of underlying factors or active tuberculosis in the rest of the body organs or a history of tuberculosis infection.
PMID: 19839903 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Jamshidi M, Sadeghi N, Jamshidi A, Eftekhari E Tags: Orbit Source Type: journals
An unusual case of retrobulbar arachnoid cyst and its management.
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We report a rare case of retrobulbar arachnoid cyst with ophthalmic manifestations and its effective management. CT-guided aspiration of the cyst and subsequent cytological and biochemical test revealed an arachnoid cyst. Patient is on a 5-year follow up without recurrence and improvement of the vision in the affected eye.
PMID: 19839904 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Das D, Deka P, Deka AC, Bhattacharjee K, Bhattacharjee H, Das JK, Kuri GC Tags: Orbit Source Type: journals
Microphthalmia with huge cyst: a simple technique for excision.
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CONCLUSION: This technique is simple, fast and effective for complete excision of the microphthalmia and its huge cyst completely.
PMID: 19839905 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Mohammad Ael-N Tags: Orbit Source Type: journals
Atypical presentation of a case of solitary fibrous tumor of the orbit.
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CONCLUSIONS: Solitary fibrous tumor of the orbit should be considered in the differential diagnosis of arterious hemangioma.
PMID: 19839906 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Savino G, Aliberti S, Colucci D, Perrotta V, Balestrazzi E Tags: Orbit Source Type: journals
An unusual case of recurrent subconjunctival haemorrhage causing yellow-brown discolouration due to haemosiderin deposition.
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The authors describe an unusual case of striking unilateral yellow-brown discolouration of the conjunctiva in a 33-year-old man. A biopsy from an elevated conjunctival area showed a brown pigmentation to be haemosiderin and haemogranulomatous inflammation most probably due to recurrent subconjunctival haemorrhage.
PMID: 19839907 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Stafanous SN, Matthew M Tags: Orbit Source Type: journals
Inverted papilloma arising primarily from the lacrimal sac.
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A 24-year-old female was referred with epiphora and a non-tender swelling within the right lacrimal fossa, present for 6 months. There were no previous episodes of dacryocystitis. Computed tomography showed a homogenous mass within the lacrimal fossa without contrast enhancement. Pathology following resection of the whole lacimal sac revealed the presence of an inverted papilloma (IP) with a sharp transition between the papilloma and the normal lacrimal duct epithelium. In situ hybridisation was positive for low risk HPV subtypes. An IP is a benign but infiltrative epithelial neoplasm with malignant potential character...
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Raemdonck TY, Van den Broecke CM, Claerhout I, Decock CE Tags: Orbit Source Type: journals
Ectopic orbital brain diagnosed 20 years after symptomatic presentation.
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We report an unusual case of diplopia secondary to ectopic orbital brain and a review of the literature.
PMID: 19839909 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Mihora LD, Furusato E, Katus M, Rushing E, Holck DE Tags: Orbit Source Type: journals
Giant iatrogenic orbital inclusion cyst of acute presentation.
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PMID: 19839910 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Ashfaq I, Kyprianou I, Edmunds M, Snead D, Ahluwalia H Tags: Orbit Source Type: journals
Extramedullary pasmacytoma masquerading as chalazion.
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Extramedullary plasmacytoma (EMP) is a rare entity that belongs to the category of non-Hodgkin lymphoma. EMP make up 4% of all plasma cell tumors and occur mainly in the upper aerodigestive tract. Primary plasmacytoma involving the orbit is rare. There is a relation between solitary plasmacytoma and subsequent development of multiple myeloma. As no predictors of progression have been identified patients need indefinite follow-up. The authors report a case of EMP involving the eyelid in an otherwise healthy adult female.
PMID: 19839911 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Maheshwari R, Maheshwari S Tags: Orbit Source Type: journals
Yellow lid sign in Wegner's granulomatosis.
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Orbital manifestations in Wegener's granulomatosis develop in over 50% of patients. Ischemic vasculitis and optic nerve compression result in visual impairment. This case report highlights the importance of the yellow lid sign in the diagnosis of orbital granulomatosis as well as provides an explanation for the reversal of this phenomenon.
PMID: 19839912 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Dharmasena A, Tambe K, Shah N, Brown L, Vaidhyanath R, Sampath R Tags: Orbit Source Type: journals
Acute dacryocystitis causing orbital cellulitis and abscess.
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CONCLUSION: Acute dacryocystitis is an ophthalmic emergency that can cause orbital cellulitis with abscess formation, and even vision loss, if left untreated.
PMID: 19839913 [PubMed - in process] (Source: Orbit)
Source: Orbit - October 22, 2009 Category: Opthalmology Authors: Maheshwari R, Maheshwari S, Shah T Tags: Orbit Source Type: journals
