Barthélémy Poignet, Philippe Sultanik, Pauline Beaujeux, Edouard Koch & Hakim Benkhatar
doi : 10.1080/01676830.2020.1818264
Volume 40, Issue 6, pages 455-460
Acquired nasolacrimal duct obstruction (NLDO) is a major cause of epiphora. Balloon dacryoplasty (BD) is a minimally invasive procedure effectively used for congenital NLDO which has also been used in adults, instead of dacryocystorhinostomy (DCR), the current gold standard technique. The main objectives were to assess the results of BD with and without silicone tube insertion (STI) in NLDO in adults.
Modupe O. Adetunji, Brendan McGeehan, Vivian Lee, Maureen G. Maguire & César A. Briceño
doi : 10.1080/01676830.2020.1818265
Volume 40, Issue 6, pages 461-469
To review the clinical features and treatment-associated outcomes of primary orbital melanoma among cases reported in the literature and to present a case treated with orbital exenteration and post-operative radiotherapy.
Erin Jennings, Mark Krakauer, William R. Nunery & Vinay Kumar Aakalu
doi : 10.1080/01676830.2020.1820045
Volume 40, Issue 6, pages 470-480
The reconstruction of large (>50%) upper eyelid margin defects can be technically challenging, with multiple approaches described in the literature. We sought to review the recent literature for new techniques or modifications to existing techniques.
Adriana Iuliano, Federica Fossataro, Maria Paola Laezza, Vittoria Lanni, Massimo Mascolo, Silvia Varricchio, Giovanni Uccello, Fausto Tranfa & Diego Strianese
doi : 10.1080/01676830.2020.1826543
Volume 40, Issue 6, pages 481-487
Two new cases of primary cutaneous CD30+ anaplastic large-cell lymphoma (cALCL) of the eyelid are reported; these are analysed alongside existing cases to identify challenges relating to the diagnosis and management of such rare lesions.
Alexander J. Hatsis, Roger K. Henry, Mark T. Curtis, Jurij R. Bilyk, Meera D. Sivalingam, Ralph C. Eagle & Tatyana Milman
doi : 10.1080/01676830.2020.1839108
Volume 40, Issue 6, pages 488-498
To describe a patient with orbital neuroendocrine neoplasm (NEN)/carcinoid tumor and to review the clinical presentation, systemic work-up, histopathologic features, and outcome of all previously reported ocular adnexal (OA) NENs.
Akshay Gopinathan Nair, Namrata G. Adulkar, Lynn D’Cunha, Priyanka R. Rao, Renuka A. Bradoo, Maneesh M. Bapaye, Abhishek Kothari, Tarjani V. Dave & Chhaya A. Shinde
doi : 10.1080/01676830.2021.1960382
Volume 40, Issue 6, pages 499-504
To report a series of 13 immunocompetent patients who developed new-onset uncontrolled diabetes mellitus (DM) following COVID-19 infection and presented as rhino-orbital mucormycosis (ROM).
Valerie Juniat, John Lee, Paul Sia, David Curragh, Thomas G Hardy & Dinesh Selva
doi : 10.1080/01676830.2020.1817101
Volume 40, Issue 6, pages 505-508
In assessing epiphora, dacryocystography (DCG) is often performed to determine the presence of any structural anomaly of the nasolacrimal drainage apparatus. We describe an anatomical variation of the nasolacrimal duct, termed high sac-duct junction (HSDJ) morphology, that is seen on DCG, which could lead to more difficult, and possibly unsuccessful, intubation of the nasolacrimal duct (NLD).
Nandini Bothra, Abhimanyu Sharma & Mohammad Javed Ali
doi : 10.1080/01676830.2020.1818263
Volume 40, Issue 6, pages 509-512
To present first of its kind series on the clinical features and outcomes of lacrimal drainage disorders in Peters anomaly and Peters plus syndrome.
Shebin Salim, Kirthi Koka, Swatee Halbe, Sonam Poonam Nisar, Parinita Singh & Bipasha Mukherjee
doi : 10.1080/01676830.2020.1829650
Volume 40, Issue 6, pages 513-517
To report 5 cases of superior ophthalmic vein thrombosis (SOVT) following intermittent manual carotid compression (IMCC) for indirect carotid-cavernous fistula (CCF) and to outline the management.
Md. Shahid Alam, Prabrisha Banerjee & Subramanian Krishnakumar
doi : 10.1080/01676830.2020.1812671
Volume 40, Issue 6, pages 518-520
Cutaneous leiomyoma is an infrequently occurring benign smooth muscle neoplasm of skin. Piloleiomyoma, angioleiomyoma, and genital leiomyoma are the three forms of the cutaneous leiomyoma. Piloleiomyoma arises from arrector pili muscle and is commonly seen in the adult population. Congenital piloleiomyoma is extremely rare and has never been reported to arise from the eyelid. We report a case of a neonate presenting with upper eyelid mass lesion since birth causing mechanical ptosis. Incisional biopsy followed by histopathology and immunohistochemistry established the diagnosis of piloleiomyoma. There was associated cryptorchidism in our case, a systemic association that has never been reported. Considering the benign nature of the lesion the child was kept under regular follow up without attempting any further removal.
Allison J. Chen, Lilangi S. Ediriwickrema, Rohan Verma, Vera Vavinskaya, Solomon Shaftel, Adam S. Deconde, Bobby S. Korn, Don O. Kikkawa & Catherine Y. Liu
doi : 10.1080/01676830.2020.1814354
Volume 40, Issue 6, pages 521-524
The authors describe a rare presentation of invasive fungal rhino-orbital cellulitis caused by Saksenaea vasiformis in an immunocompetent child. The patient was initially diagnosed and treated as Mucoraceae, which has a high mortality rate and is primarily seen in immunocompromised patients. Though of the same order, Mucorales, the families Mucoraceae and Saksenaeacae, may be difficult to differentiate on histologic examination and must be distinguished by fungal culture and speciation. Our patient responded well to sino-orbital debridement and systemic treatment with amphotericin and posaconazole.
Ángel Nava-Castañeda, Nicolás Kahuam-López, Yesica De La Fuente Díez, Adriana Velásco Y Levy, Franchesca Ginette Sánchez-Bonilla, Fernando Martín, Lilia Garnica-Hayashi & Abelardo Rodriguez-Reyes
doi : 10.1080/01676830.2020.1817948
Volume 40, Issue 6, pages 525-528
Adenoid cystic carcinoma (ACC) is a slow-growing, locally invasive tumor of epithelial origin. The common sites of origin are the minor and major salivary glands and also the lacrimal glands. ACC accounts for 4.8% of primary orbital neoplasms and commonly arises superolaterally from the main lacrimal gland. Primary ACC of the orbit from an extra lacrimal region is quite rare. We present a case of ACC that occurred in ectopic lacrimal gland tissue involving the medial region of both orbits. A 74-year-old woman was admitted with a 4-week history of progressive painful proptosis in her left eye. Examination revealed a medium-size bilateral nasal canthal mass. Computed tomography (CT) scan revealed a nasal mass in both orbits with bone erosion. The patient underwent bilateral anterior orbitotomy and incisional biopsy was performed. Histopathology exam revealed an ACC with perineural and bone invasion. She refused orbital exenteration and radiation therapy was initiated.
Jovany Franco & Nahyoung Grace Lee
doi : 10.1080/01676830.2020.1817949
Volume 40, Issue 6, pages 529-531
A 43-year-old woman was referred with a 10 month history of persistent pain in the left orbit. Two years prior, she experienced similar pain in the right orbit. Magnetic resonance imaging (MRI) at the time revealed an enlarged right medial rectus muscle. She was diagnosed with idiopathic orbital myositis and was successfully treated with oral corticosteroids. A year later, she developed symptoms in the left orbit with similar imaging findings. For ten months, she remained on high dose corticosteroids for presumed left medial rectus myositis before presenting to our service. Computed tomography (CT) imaging after corticosteroid taper revealed enlarged left medial rectus and left lateral rectus muscles. Orbital biopsy established a diagnosis of granulomatosis with polyangiitis (GPA), for which she was successfully treated with rituximab. This case underscores the importance of not only proceeding with biopsy in atypical cases of orbital myositis but to also taper steroids prior to biopsy.
Blair K. Armstrong, Ann P. Murchison & Jurij R. Bilyk
doi : 10.1080/01676830.2021.1962366
Volume 40, Issue 6, pages 532-535
A 44-year-old male patient developed proptosis, edema, and erythema progressing to complete ptosis and supraduction deficit 2 days after positive COVID-19 test. He failed to improve on systemic antibiotics. MRI showed thickening and T2 enhancement of the superior rectus/levator complex consistent with orbital myositis. He improved on intravenous corticosteroids and experienced continued gradual improvement on oral steroids.
Justin D. Pennington, Benjamin S. Bleier & Suzanne K. Freitag
doi : 10.1080/01676830.2020.1832123
Volume 40, Issue 6, pages 536-542
To describe a surgical approach for the resection of schwannomas occurring in the medial aspect of the orbit and to review a series of patients who underwent this novel technique.
Marissa K. Shoji, Nathan Pirakitikulr, Ann Q. Tran & Sara T. Wester
doi : 10.1080/01676830.2020.1803364
Volume 40, Issue 6, page 543
Satheesh Solomon T. Selvin & Thomas Kuriakose
doi : 10.1080/01676830.2020.1817950
Volume 40, Issue 6, pages 544-545
Nishi Gupta & Poonam Singla
doi : 10.1080/01676830.2020.1839109
Volume 40, Issue 6, page 546
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