Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · May 2004
Randomized Controlled Trial Clinical TrialEffect of preemptive retrobulbar analgesia on perioperative hemodynamics and postoperative pain after enucleation.
To determine the preemptive pain and hemodynamic effects of preincisional retrobulbar analgesia in enucleation. ⋯ Preemptive retrobulbar analgesia was associated with improved intraoperative hemodynamics during enucleation and a trend toward reduced pain on entry in the recovery room and fewer pain rescues in the early postoperative period. A trend toward reduced pain severity in the early postoperative period was observed in those patients without daily preoperative analgesic use.
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To document the biological tolerance of retained metallic orbital foreign bodies managed with conservative treatment. ⋯ Retained intraorbital metallic foreign bodies are well-tolerated and typically have minimal adverse visual prognosis. They should be managed conservatively in the absence of specific indications for removal.
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Ophthal Plast Reconstr Surg · May 2004
Case ReportsPrimary congenital upper eyelid retraction in infants and children.
Four infants with unilateral or bilateral eyelid retraction were examined. A full clinical evaluation revealed no ocular or systemic pathology. ⋯ The eyelid retraction did not change over the follow-up period of 2 to 6 years. Unilateral or bilateral eyelid retraction in infants and children may be an isolated clinical entity without an associated underlying disease.