Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · May 2009
Randomized Controlled TrialReduction of pain and anxiety prior to botulinum toxin injections with a new topical anesthetic method.
To evaluate the safety and efficacy of vapocoolants (topical skin refrigerants) to induce skin anesthesia and relieve patient anxiety and pain prior to cosmetic botulinum injections. ⋯ Vapocoolants represent a safe and effective means to reduce patient discomfort and anxiety before and during botulinum toxin type A treatments for glabellar area indications.
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Ophthal Plast Reconstr Surg · Mar 2009
Conjunctival edema and distichiasis in association with congenital lymphedema of the lower legs.
An 8-year-old boy with mild congenital lymphedema of both legs was noticed to have a conjunctival lesion of the right eye since birth. Topical corticosteroid eyedrops for slight irritation did not alter the appearance of the lesion. On ocular examination, diffuse conjunctival edema in the inferotemporal and inferonasal quadrants and mild injection of the right eye was noted. ⋯ Three extra rows of eyelashes (congenital distichiasis) were found bilaterally on upper and lower eyelids. Related systemic anomalies included mild aortic coarctation, left ventricular hypertrophy, and simian crease on each palm. Conjunctival edema and distichiasis are important ophthalmic features of the congenital lymphedema distichiasis syndrome.
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Ophthal Plast Reconstr Surg · Jan 2009
Randomized Controlled Trial Comparative StudyComparison of injection pain of articaine and lidocaine in eyelid surgery.
To compare the pain induced by tissue infiltration of lidocaine 2% with epinephrine 1:100,000 versus articaine 4% with epinephrine 1:100,000 for eyelid surgery. ⋯ In this study, infiltration of articaine was less painful than lidocaine for eyelid surgery, making articaine an attractive alternative for local anesthesia.
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Ophthal Plast Reconstr Surg · Nov 2008
Randomized Controlled Trial Comparative StudyEfficacy of fentanyl or alfentanil in suppressing reflex sneezing after propofol sedation and periocular injection.
A sneeze reflex may occur after propofol sedation and during periocular injections. Unexpected movement from sneezing can result in needle injury to the globe or optic nerve, or hematoma. We investigate the efficacy of concomitant fentanyl or alfentanil in reducing sneezing following propofol and during periocular injections. ⋯ Fentanyl or alfentanil suppressed sneezing after propofol sedation and eyelid anesthetic injection. These medications may prevent needle injury.
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Ophthal Plast Reconstr Surg · Nov 2008
Comparative StudyComparison of orbital fracture repair performed within 14 days versus 15 to 29 days after trauma.
To examine whether orbital floor and/or medial wall fracture repair delayed for 15 to 29 days is as effective as early surgery. ⋯ Although 14 days after trauma is commonly cited as a timeline target for orbital blowout repair, these data show that effective fracture repair can be performed up to 29 days after trauma. Patients with improving diplopia and at low risk for enophthalmos can therefore be observed for 3 to 4 weeks prior to undergoing surgery. This may help prevent unnecessary surgery in some cases. Fourteen days need not be considered a deadline for orbital floor and/or medial wall fracture repair.