Ophthalmic plastic and reconstructive surgery
-
Ophthal Plast Reconstr Surg · Jan 2010
Randomized Controlled Trial Comparative StudyProspective randomized evaluation of short-term complications when using buffered or unbuffered lidocaine 1% with epinephrine for blepharoplasty surgery.
To determine whether there is a difference in the incidence of short-term complications using plain lidocaine with epinephrine versus the buffered equivalent in eyelid surgery. ⋯ There were no significant differences in postoperative pain, swelling, or bleeding with the use of plain versus buffered lidocaine in eyelid surgery. There was a trend for the buffered anesthetic to cause less pain on injection.
-
Ophthal Plast Reconstr Surg · Jan 2010
Case ReportsTreatment of benign lymphoid hyperplasia of the orbit with rituximab.
Benign lymphoid hyperplasia is a disorder characterized by polyclonal lymphocytic infiltration of orbital tissues, predominantly with B-cells. Rituximab is a monoclonal antibody directed against CD20, a B-cell marker. Two patients with recurrent orbital masses involving the lacrimal glands were treated with rituximab. ⋯ Both patients had been previously treated with standard therapies, including high-dose steroids, and one patient had failed external-beam radiation therapy. They both responded well to treatment with intravenous rituximab. Neither patient experienced any side effects associated with rituximab.
-
Ophthal Plast Reconstr Surg · Jan 2010
Case ReportsWhite-eyed medial wall orbital blowout fracture.
The white-eyed orbital floor blowout fracture is most commonly seen in children and adolescents. The orbital floor is the most common fracture location with entrapment of inferior orbital contents and/or the inferior rectus muscle in a "trapdoor" fashion. Other sites may also be fractured either simultaneous to the floor or in isolation. The authors describe an isolated orbital medial wall fracture with entrapment of the medial rectus muscle in an adolescent and discuss treatment options.