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.
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Ophthal Plast Reconstr Surg · Mar 2004
Case ReportsOphthalmic injuries in children involved in all-terrain vehicle crashes.
To describe the spectrum of ophthalmic injuries in children involved in all-terrain vehicle (ATV) crashes. ⋯ Ophthalmic trauma is a frequent complication of ATV crashes involving children. Injuries may range from minor lacerations to complex orbital fractures; visual loss may be severe. We believe that the age of the vehicles' operators and their failure to wear protective helmets contribute to the severity of injuries.
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To describe the use of an anti-CD20 monoclonal antibody, Rituximab, in the treatment of orbital lymphoma. ⋯ Rituximab is a safe and effective treatment in some cases of orbital lymphoma and may be used as an alternative to, or in conjunction with, other therapeutic modalities.