Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · Jan 2008
Comparative StudyPeriocular versus general anesthesia for ocular enucleation.
To compare the morbidity of general anesthesia versus periocular anesthesia with monitored intravenous sedation for enucleation of the eye. ⋯ Periocular anesthesia with monitored intravenous sedation for enucleation reduces early postoperative morbidity and is more cost effective than general anesthesia. It is an anesthetic alternative that should be considered for patients undergoing enucleation of the eye.
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To describe a small series of patients with odontogenic orbital cellulitis and review the visual outcomes of such patients reported in the scientific literature. ⋯ Multiple case reports have demonstrated that orbital cellulitis from an odontogenic source can result in devastating visual loss. Male gender, the need for surgical drainage, and multiple surgical procedures correlated statistically with severity of visual loss.
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Ophthal Plast Reconstr Surg · Sep 2007
Case ReportsDressing ignition and facial burns following orbital exenteration.
A 49-year-old woman with type II diabetes mellitus and a history of smoking underwent partial eyelid-sparing exenteration of the right orbit and antifungal therapy for zygomycosis. The medial orbital wall healed with a 7-mm fistula to the ethmoid sinus and a moist granulating apex required daily dressing changes for several months. ⋯ Factors predisposing to this unusual and serious complication of orbital exenteration are reviewed and the subjects of treatment and prevention are discussed. To our knowledge, this is the first reported case of dressing ignition with serious facial burns in a postexenteration patient.
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Ophthal Plast Reconstr Surg · Sep 2007
Case ReportsSubarachnoid hemorrhage and vasospastic stroke after self-enucleation.
A 31-year-old intoxicated woman self-enucleated her left eye during an acute psychotic episode. CT revealed avulsion of the intracranial optic nerve, chiasmal edema, and adjacent subarachnoid hemorrhage. Exploration via transconjunctival orbitotomy was performed, and the globe and 4.8 cm of contiguous optic nerve were removed. The patient developed postoperative contralateral visual loss followed by middle cerebral artery vasospasm and bilateral cortical infarcts.