Ophthalmic plastic and reconstructive surgery
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To evaluate a series of patients who underwent combined lower transconjunctival blepharoplasty with fat repositioning and orbicularis muscle suspension, "The Lift and Fill Lower Blepharoplasty," as a means of improving lower eyelid, and eyelid/cheek interface aesthetics after surgery. ⋯ The combination of transconjunctival lower blepharoplasty with fat repositioning, and orbicularis muscle suspension, "The Lift and Fill Lower Blepharoplasty," provides a reliable and reproducible aesthetic rejuvenation of the lower eyelid and its transition to the cheek.
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Ophthal Plast Reconstr Surg · Jan 2012
Inferior orbital septum release compared with lateral canthotomy and cantholysis in the management of orbital compartment syndrome.
The purpose of this study is to assess the utility of inferior orbital septum release compared with lateral canthotomy and inferior cantholysis for the treatment of orbital compartment syndrome. ⋯ The study demonstrates that both lateral canthotomy/cantholysis and inferior orbital septum release are equally effective at reducing orbital compartment pressure. Additionally, the data support an additive, synergistic reduction in compartment pressure when the procedures are performed consecutively. The correlation of orbital compartment pressure to intraocular pressure proves that intraocular pressure can be used as a reliable measurement of orbital pressure during acute changes in orbital mass. The results of this study demonstrate that the use of inferior orbital septum release in conjunction with lateral canthotomy and cantholysis is superior to the gold standard of isolated lateral canthotomy and cantholysis. We hope that the implementation of orbital septum release will result in superior visual outcomes.
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The authors report a unique case of a broken motorbike handle that presented as a bilateral orbital foreign body. A 30-year-old male sustained an injury to the right side of his face when he skidded from his motorbike while riding. He had bilateral sudden loss of vision and presented to emergency services with bilateral proptosis, motility restriction, and a right lower eyelid laceration. ⋯ Left lateral orbitotomy was performed to remove the foreign body; the right eye regained normal vision and function. The unique features of this case include the nature of the foreign body, its bilateral location, its proximity to the optic nerve and cribriform plate, and the challenges in its removal. The clinical presentation and management is presented, along with the surgical video.
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Ophthal Plast Reconstr Surg · Jul 2011
Case ReportsTraumatic ptosis and mydriasis masking Horner syndrome from an internal carotid pseudoaneurysm.
A 46-year-old woman presented after blunt facial trauma for evaluation of bilateral orbital floor fractures, which were confirmed by clinical and radiographic examination. In addition, findings of right traumatic mydriasis and left traumatic ptosis were seen. ⋯ The magnetic resonance angiography showed an internal carotid pseudoaneurysm, an uncommon but potentially fatal complication of blunt carotid injury. The authors describe an interesting case where a life-threatening diagnosis was nearly masked by more common, benign pathology.
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Ophthal Plast Reconstr Surg · Jul 2011
Case ReportsAllergic fungal sinusitis with massive intracranial extension presenting with tearing.
A 24-year-old male presented with tearing, and subsequent workup and imaging showed a mass with fluid involving the nasopharynx, the paranasal sinuses, and the posterior dehiscence of the left frontal sinus intracranially compressing the frontal lobe significantly. Microscopic examination confirmed the diagnosis of allergic fungal sinusitis. ⋯ Although epiphora alone is an unusual presentation of allergic fungal sinusitis, ophthalmologists need to be aware of this entity, as it may invade the orbit through the sinus cavities or compress on the nasolacrimal duct before it causes other mass-related symptoms. Radiology and the characteristic histopathologic findings are the most useful in establishing the correct diagnosis.