Lateral Tarsoconjunctival Flap Suspension Treatment of Post Blepharoplasty Lower Eyelid Retraction

Jordan R Conger Seanna R Grob Roberto M Limongi Jeremiah P Tao 

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Radiofrequency-Assisted Endofistulectomy: Treating Coexisting Lacrimal Fistulae During Endoscopic Dacryocystorhinostomy

 

Purpose:

To assess the efficacy of radiofrequency-assisted endofistulectomy in patients with lacrimal fistulae communicating with the lacrimal sac.

Methods:

Retrospective interventional case series of patients undergoing endoscopic dacryocystorhinostomy with endofistulectomy from June 2016 to January 2020 were studied. The indications of endoscopic dacryocystorhinostomy were associated refractory complex congenital nasolacrimal duct obstructions and primary-acquired nasolacrimal duct obstruction. The communication of the fistulae with the lacrimal sac was ascertained. Specific surgical parameters and technique were used, and the variables assessed include patient demographics, clinical presentation, indications, surgical technique, recurrences, and outcomes.

Results:

Six eyes of 6 patients with mean age of 23.33 years underwent radiofrequency-assisted endofistulectomy. The surgical technique was found to be minimally invasive, easy to perform with multiple advantages like absence of a skin incision, targeting of the complete extent of the fistula, and complete closure of the external and internal openings of the fistulae. At 4 weeks, dacryocystorhinostomy ostium was well mucosalized and patent with a dynamic common canalicular opening. The fistula site had healed well with no epiphora or discharge or residual scarring.

Conclusion:

Radiofrequency-assisted endofistulectomy is a minimally invasive and viable alternative to incisional fistulectomy in select group of patients of congenital or acquired fistulae which communicate with the lacrimal sac.

https://journals.lww.com/op-rs/Abstract/2020/11000/Radiofrequency_Assisted_Endofistulectomy__Treating.17.aspx

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Journal : OPRS

Ref :

Free Tarsal Graft and Free Skin Graft for Lower Eyelid Reconstruction

John G BortzSameer Al-Shweiki 

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Normative Exophthalmometry Measurements Vary Among Ethiopian Adults and the Major Ethiopian Ethnic Groups

Purpose:

Periocular and orbital anthropometric values vary among races. No studies have established normative exophthalmometry values for Ethiopians or the many Ethiopian ethnic groups. This study established a set of normative anthropometric values for exophthalmometry, and further evaluated whether these measurements differed based on sex or ethnic group.

 

Methods:

A cross-sectional study was performed in the ophthalmology department at St. Paul’s Hospital in Addis Ababa, Ethiopia. Two hundred ninety-six participants were recruited for the study. Sex, primary Ethiopian ethnic subgroup, and exophthalmometry measurements were recorded. Differences between ethnicities and sexes were evaluated using independent samples t test.

 

Results:

Average proptosis for the total cohort was 15.88 ± 2.49 mm, with 582 eyes measured. Females (15.87 ± 2.53, n = 286) and males (15.89 ± 2.49, n = 296) were not significantly different in their proptosis measurements. Within the 3 largest ethnic groups measured, Amhara (16.12 ± 2.67, n = 204), Oromo (15.43 ± 2.51, n = 172), and Gurage (16.23 ± 2.59, n = 98), the difference in proptosis measurement was significant between the Amhara and Oromo groups (p = 0.01), and the Oromo and Gurage groups (p = 0.01). The only ethnic group that was significantly different between sexes was Gurage, of which average female proptosis was 15.51 ± 2.74 (n = 54), while male proptosis was 17.13 ± 2.11 (n = 44) (p < 0.01).

 

Conclusions:

Mean Ethiopian proptosis values vary across ethnicities, are similar to those measured in other African populations, but are lower than those established in African-American populations. This study provides an important resource that Ethiopian ophthalmologists can use when evaluating patients with suspected ophthalmic and orbital disease.

https://journals.lww.com/op-rs/Abstract/2020/11000/Normative_Exophthalmometry_Measurements_Vary_Among.15.aspx

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Journal : OPRS

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Subperiosteal Masqueraders as Compared to Subperiosteal Abscess: Contrasting Clinical Presentation and Radiographic Densities

Jenny C DohlmanLarissa A HabibMary E CunnaneMichael K Yoon 

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Journal : OPRS

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Newly Designed Universal Trans-punctal Rigid Lacrimal Microendoscope

Masashi MimuraAudrey C Ko 1 3Ramzi M AlameddineBobby S KornDon O KikkawaHidehiro OkuBunpei SatoTsunehiko Ikeda

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Journal : OPRS

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Building Your Brand: Analysis of Successful Oculoplastic Surgeons on Social Media

Sally S E Park , Sruti S AkellaJee-Young MoonBryan ZarrinSheel PatelHiten DoshiAnne Barmettler

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Journal : OPRS Uncategorized

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Effects of Aspirin on Postoperative Bruising and Bleeding Complications in Upper Eyelid Surgery

Kathryn P WinkerRobert BeaulieuLauren BevillAleksey MishulinEvan H Black

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Comparing Image Segmentation Techniques for Determining 3D Orbital Cavernous Hemangioma Size on MRI

Ranjodh S BoparaiMichelle M MaengKristen E DunbarKyle J GodfreyAndrea A TooleyMary MaherMichael Kazim

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Journal : OPRS

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Marcus Gunn Jaw-Winking Synkinesis With Ipsilateral Eyelid Myokymia

Rawan N AlthaqibArif O KhanAdel H Alsuhaibani 

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