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Dermoid Cyst of Conjunctival Origin Attached to the Tarsus in a Pediatric Patient. 1例儿童结膜源皮样囊肿附于跗骨。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2024-12-09 DOI: 10.1097/IOP.0000000000002835
David L Swain, Alden Gregston, Alan D Proia, Sara F Grace, Laura B Enyedi

Dermoid cysts of cutaneous origin are common orbital lesions, whereas dermoid cysts of conjunctival origin are rare. The authors present a case of a dermoid cyst of conjunctival origin that was attached to the tarsus in a pediatric patient. A 2-year-old boy presented to the clinic with an approximately 2 cm in diameter mobile nodule in the upper eyelid on the temporal side that distorted the eyelid architecture with temporal ptosis. During surgical excision, the lesion was firmly adherent to the tarsal plate. The mass was a conjunctival dermoid cyst lined by nonkeratinizing squamous epithelium with goblet cells and hair follicles on histological examination. This case represents the first report of a conjunctival dermoid cyst attached to the tarsus.

皮肤起源的皮样囊肿是常见的眼眶病变,而结膜起源的皮样囊肿是罕见的。作者提出的结膜起源皮样囊肿的情况下,附着于跗骨在一个儿科患者。一个2岁的男孩在颞侧的上眼睑出现了一个直径约2厘米的移动结节,使眼睑结构扭曲并伴有颞上睑下垂。手术切除时,病变牢固地附着在跗骨板上。肿块为结膜皮样囊肿,由非角化鳞状上皮内衬,组织学检查有杯状细胞和毛囊。本病例是首例结膜皮样囊肿附着于跗骨的病例。
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引用次数: 0
Isolated Hemifacial Spasm as the Presenting Sign of Cerebral Glioblastoma. 孤立性面肌痉挛是脑胶质母细胞瘤的表现。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2024-12-11 DOI: 10.1097/IOP.0000000000002838
Agni Kakouri, Ying Chen, Timothy J McCulley

The authors report a rare case of a 58-year-old female with mild right-sided hemifacial spasms and eyelid myokymia and a concomitant high-grade glial mass. This report outlines the clinical presentation, diagnostic approach, and management of right hemifacial spasms and eyelid myokymia. The patient had a 5-month history of gradually worsening right hemifacial spams accompanied by mild right lower eyelid twitching. Given the persistence and exacerbation of these symptoms, alongside episodes of dysphagia, an MRI was performed. Imaging revealed a heterogeneous, peripherally enhancing mass with central necrosis at the lateral aspect of the left precentral gyrus and posterior aspect of the left middle and inferior frontal gyri consistent with high-grade glial mass. The patient subsequently underwent an awake craniotomy with resection of a temporal lobe tumor. These initial episodes of isolated facial spasms may be attributed to epilepsia partialis continua, often indicative of subcortical lesions that can compress the motor cortex. Eyelid myokymia and hemifacial spasms, though common, present significant diagnostic and management challenges. Due to high rate of underdiagnosis or misdiagnosis of these conditions, increased clinical awareness and knowledge are essential for effective patient management.

作者报告一例罕见的58岁女性,患有轻度右侧半面肌痉挛和眼睑肌肌病,并伴有高度神经胶质肿块。本报告概述了临床表现,诊断方法,和管理的右半面肌痉挛和眼睑肌肌症。患者有5个月逐渐加重的右半面肌痉挛病史,并伴有轻度右下眼睑抽搐。考虑到这些症状的持续和恶化,以及吞咽困难的发作,进行了MRI检查。影像学显示左侧中央前回外侧和左侧额中下回后部有一个非均匀的外周强化肿块,伴有中枢性坏死,与高级别胶质肿块一致。患者随后接受清醒开颅手术切除颞叶肿瘤。这些孤立性面肌痉挛的初始发作可归因于持续部分性癫痫,通常表明皮质下病变可压迫运动皮层。眼睑肌无力和面肌痉挛虽然常见,但在诊断和治疗方面存在重大挑战。由于这些疾病的漏诊或误诊率很高,提高临床意识和知识对于有效的患者管理至关重要。
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引用次数: 0
Soft-Tissue Chondroma of the Eyelid. 眼睑软组织软骨瘤。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2024-12-09 DOI: 10.1097/IOP.0000000000002824
Lea M Carter, Rami N Al-Rohil, Alan D Proia

A woman in her early 20s underwent excision of a 6-mm diameter, tender, mobile mass in the temporal left upper eyelid associated with eyelid swelling and blurred vision. Surgery disclosed a large tarsal lesion that appeared to be a cyst but was found to be a soft-tissue chondroma featuring an island of hyaline cartilage surrounded by dense tarsal fibrous connective tissue containing smaller foci of myxoid cartilage. The woman reported that a nodule had been present at this site since childhood. The soft-tissue chondroma has not recurred after 1.5 years. This case represents one of the few known reports of a soft-tissue chondroma in the eyelid.

一名 20 出头的女性接受了左上眼睑颞部直径 6 毫米、触痛、活动性肿块切除术,该肿块伴有眼睑肿胀和视力模糊。手术发现了一个大的跗骨病变,看起来像是一个囊肿,但后来发现是一个软组织软骨瘤,其特点是有一个透明软骨岛,周围是致密的跗骨纤维结缔组织,内含较小的肌软骨灶。这名妇女称,这个部位从小就有一个结节。一年半后,软组织软骨瘤没有复发。本病例是目前已知的少数眼睑软组织软骨瘤报告之一。
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引用次数: 0
Editorial Transition: Building on a Foundation of Success. 编辑过渡:在成功的基础上再接再厉。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2025-03-03 DOI: 10.1097/IOP.0000000000002943
Michael Kazim
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引用次数: 0
Re: "Longitudinal Comparison of Orbital Volumes from Enucleated Eyes With Hydroxyapatite Orbital Implant in Unilateral Retinoblastoma Patients". 关于"纵向比较单侧视网膜母细胞瘤患者带羟基磷灰石眼眶植入物的去核眼眶体积"。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2025-03-03 DOI: 10.1097/IOP.0000000000002926
David R Jordan
{"title":"Re: \"Longitudinal Comparison of Orbital Volumes from Enucleated Eyes With Hydroxyapatite Orbital Implant in Unilateral Retinoblastoma Patients\".","authors":"David R Jordan","doi":"10.1097/IOP.0000000000002926","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002926","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":"41 2","pages":"235"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply Re: "Longitudinal Comparison of Orbital Volumes from Enucleated Eyes With Hydroxyapatite Orbital Implant in Unilateral Retinoblastoma Patients".
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2025-03-03 DOI: 10.1097/IOP.0000000000002927
Matthew W Wilson
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引用次数: 0
Re: "Eyebrow Pilomatrixoma Presenting With Localized Alopecia and Skin Hypopigmentation". 关于"眉毛乳头状瘤伴局部脱发和皮肤色素沉着"。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2025-03-03 DOI: 10.1097/IOP.0000000000002827
Sonia Peñarrocha-Oltra, Pari N Shams, Kaveh Vahdani
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引用次数: 0
Normative Measurements of the Infraorbital Nerve by Magnetic Resonance Imaging in an Australia Cohort. 通过磁共振成像对澳大利亚队列中的眶下神经进行规范测量。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2024-08-20 DOI: 10.1097/IOP.0000000000002763
Dinan Perera, Khizar Rana, Carmelo Caltabiano, Sandy Patel, Dinesh Selva

Purpose: To report the normative dimensions of the infraorbital nerve on fat-suppressed gadolinium-enhanced MRI and correlate with patient demographics in an Australian cohort.

Methods: A retrospective review of patients who underwent coronal fat-suppressed gadolinium T1-weighted MRI from September 2021 to December 2023. One hundred sixty-eight orbits were included. The maximum diameter of the infraorbital nerve and the optic nerve sheath was measured. Orbits were excluded if there was unilateral or bilateral pathology of the infraorbital nerve or optic nerve sheath, incomplete MRI sequences, poor image quality, or indiscernible infraorbital nerve on radiological examination.

Results: The mean age of participants was 58 ± 16 years, and 50% were females (n = 42). The mean normative measurements (mean ± standard deviation) on coronal T1-weighted imaging: optic nerve sheath, 5.08 ± 0.67 mm. On coronal fat-suppressed gadolinium T1-weighted imaging: infraorbital nerve, 0.89 ± 0.22mm. No significant differences were found between male or female participants in both the infraorbital nerve ( p = 0.757) or optic nerve sheath ( p = 0.646). There was no significant correlation between age and mean diameter of the infraorbital nerve (r = 0.077, p = 0.320) or optic nerve sheath (r = 0.075, p = 0.336). Additionally, no significant difference was identified between the mean diameter of the infraorbital nerve ( p = 0.079) and optic nerve sheath ( p = 0.120) across age groups. The mean infraorbital nerve to optic nerve sheath ratio was 0.18 ± 0.00.

Conclusion: Normative dimensions of the infraorbital nerve may be used to identify enlargement in conditions such as IgG4-related ophthalmic disease and reactive lymphoid hyperplasia.

目的:报告澳大利亚队列中眶下神经在脂肪抑制钆增强核磁共振成像上的标准尺寸,并将其与患者人口统计学相关联:方法:对2021年9月至2023年12月期间接受冠状脂肪抑制钆T1加权磁共振成像的患者进行回顾性检查。共纳入 168 个眼眶。测量了眶下神经和视神经鞘的最大直径。如果眶下神经或视神经鞘存在单侧或双侧病变、磁共振成像序列不完整、图像质量差或放射学检查无法辨别眶下神经,则排除眼眶:参与者的平均年龄为 58 ± 16 岁,50% 为女性(n = 42)。冠状 T1 加权成像的平均标准测量值(平均值 ± 标准差):视神经鞘,5.08 ± 0.67 毫米。冠状脂肪抑制钆 T1 加权成像:眶下神经,0.89 ± 0.22 毫米。在眶下神经(p = 0.757)和视神经鞘(p = 0.646)方面,男女参与者之间没有发现明显差异。年龄与眶下神经(r = 0.077,p = 0.320)或视神经鞘(r = 0.075,p = 0.336)的平均直径之间没有明显的相关性。此外,眶下神经(p = 0.079)和视神经鞘(p = 0.120)的平均直径在不同年龄组之间没有明显差异。眶下神经与视神经鞘的平均比值为 0.18 ± 0.00:眶下神经的正常尺寸可用于鉴别IgG4相关眼病和反应性淋巴增生症等疾病的眶下神经肿大。
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引用次数: 0
Microscopic Anatomy of Orbital Septum. 眼眶隔膜的显微解剖。
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2024-10-09 DOI: 10.1097/IOP.0000000000002805
Stefano Gouigoux, Aric Vaidya, Munekazu Naito, Yasuhiro Takahashi, Hirohiko Kakizaki

Purpose: To study the microscopic anatomy of the orbital septum and evaluate its relationships with the adjoined structures.

Methods: Histological evaluation of 11 upper eyelids (5 right, 6 left) from 10 Japanese cadavers (age range: 36-94-year-old, average: 71.1) was performed. The specimens were fixed in 10% formalin and stained with Elastica Van Gieson. Specimens were microscopically analyzed using different magnifications (20×, 40×, and 100×).

Results: The orbital septum was the single fibrous layer in all the specimens, anteriorly separated from the retro-orbicularis fat pad capsule and posteriorly from the preaponeurotic fat pad capsule. At the junction of the orbital septum with the levator aponeurosis, the orbital septum proceeded towards the tarsal plate, and the preaponeurotic fat pad capsule reflected posteriorly.

Conclusions: The orbital septum is constituted of a single layer of fibrous tissue anteriorly separated from the retro-orbicularis fat pad capsule and posteriorly from the preaponeurotic fat pad capsule by the corresponding virtual spaces.

目的:研究眶隔的显微解剖,并评估其与毗邻结构的关系。方法:对 10 具日本尸体(年龄范围:36-94 岁,平均 71.1 岁)的 11 个上眼睑(5 右 6 左)进行组织学评估。标本用 10% 福尔马林固定,并用 Elastica Van Gieson 染色。用不同的放大倍率(20 倍、40 倍和 100 倍)对标本进行显微分析:结果:所有标本的眶隔都是单纤维层,前方与眼轮匝肌后脂肪垫囊分离,后方与眼球前脂肪垫囊分离。在眶隔与提上睑肌腱膜的交界处,眶隔向跗骨板延伸,而眼轮匝肌前脂肪垫囊则向后方反射:结论:眶隔由单层纤维组织构成,前方与眼轮匝肌后脂肪垫囊分隔,后方与眼球前脂肪垫囊通过相应的虚拟空间分隔。
{"title":"Microscopic Anatomy of Orbital Septum.","authors":"Stefano Gouigoux, Aric Vaidya, Munekazu Naito, Yasuhiro Takahashi, Hirohiko Kakizaki","doi":"10.1097/IOP.0000000000002805","DOIUrl":"10.1097/IOP.0000000000002805","url":null,"abstract":"<p><strong>Purpose: </strong>To study the microscopic anatomy of the orbital septum and evaluate its relationships with the adjoined structures.</p><p><strong>Methods: </strong>Histological evaluation of 11 upper eyelids (5 right, 6 left) from 10 Japanese cadavers (age range: 36-94-year-old, average: 71.1) was performed. The specimens were fixed in 10% formalin and stained with Elastica Van Gieson. Specimens were microscopically analyzed using different magnifications (20×, 40×, and 100×).</p><p><strong>Results: </strong>The orbital septum was the single fibrous layer in all the specimens, anteriorly separated from the retro-orbicularis fat pad capsule and posteriorly from the preaponeurotic fat pad capsule. At the junction of the orbital septum with the levator aponeurosis, the orbital septum proceeded towards the tarsal plate, and the preaponeurotic fat pad capsule reflected posteriorly.</p><p><strong>Conclusions: </strong>The orbital septum is constituted of a single layer of fibrous tissue anteriorly separated from the retro-orbicularis fat pad capsule and posteriorly from the preaponeurotic fat pad capsule by the corresponding virtual spaces.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"221-224"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Re: "Quality of Life in Patients With Acquired Anophthalmia Using an Ocular Prosthesis".
IF 1.2 4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2025-03-01 Epub Date: 2025-03-03 DOI: 10.1097/IOP.0000000000002915
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Re: \"Quality of Life in Patients With Acquired Anophthalmia Using an Ocular Prosthesis\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1097/IOP.0000000000002915","DOIUrl":"https://doi.org/10.1097/IOP.0000000000002915","url":null,"abstract":"","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":"41 2","pages":"232-233"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Ophthalmic Plastic and Reconstructive Surgery
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