Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · May 2011
Case ReportsOrbital dissemination of Lemierre syndrome from gram-positive septic emboli.
A 45-year-old patient presented with bilateral orbital abscesses. He was found to have Lemierre syndrome, a condition involving septic thrombophlebitis of the internal jugular vein. ⋯ Lemierre syndrome, previously thought to be rare, is now becoming more commonly reported. Its prompt diagnosis and treatment are essential for patient survival.
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A 47-year-old woman presented with a growing mass on the lateral rim of orbit. Orbital CT revealed a well-circumscribed soft tissue mass in the right lateral orbit, with focal hyperostosis of the adjacent zygomatic bone. MRI showed a lesion of mixed T1-signal intensity, which became hypointense after fat suppression. ⋯ There was no evidence of tumor after 12 months of follow-up. Orbital fibrolipoma is a rare variant of lipoma, with only 1 case described previously. It should be considered in the differential diagnosis of orbital mass.
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Ophthal Plast Reconstr Surg · Nov 2010
Case ReportsCommon denominators in retained orbital wooden foreign body.
To identify some of the common denominators in the diverse presentation of retained orbital wooden foreign bodies. ⋯ Occasionally, not all of the wooden pieces are removed at the time of initial orbital exploration, despite best efforts. Signs and symptoms of retained orbital wooden foreign body vary greatly. There is no single specific diagnostic or pathognomonic finding. Heightened awareness and a high index of suspicion are keys to proper diagnosis. It is important to have a properly worded consent that includes the possibility of residual wooden foreign bodies and the need for subsequent surgical exploration.
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Ophthal Plast Reconstr Surg · Sep 2010
Case ReportsHypertrichosis of the upper cheek area associated with travoprost treatment of glaucoma.
Travoprost is a prostaglandin analog used in the treatment of open-angle glaucoma. This drug is safe and efficacious and has a low incidence of systemic and local side effects. Common local side effects are conjunctival hyperemia, iris pigmentation, and hypertrichosis of the eyelashes. The authors present a case of a patient who developed marked hypertrichosis of the cheek vellus 3 months after starting treatment with travoprost.