Pub Date : 2019-05-01DOI: 10.1097/IOP.0000000000001366
A. Putterman
{"title":"Re: \"Frontalis Muscle Flap Versus Maximum Anterior Levator Resection as the First Option for Patients With Severe Congenital Ptosis\".","authors":"A. Putterman","doi":"10.1097/IOP.0000000000001366","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001366","url":null,"abstract":"","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78996294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 10.1097/IOP.0000000000001337
T. Janetos, P. Thyparampil
PURPOSE This perspective explores the safety profile of ocular cosmetics and explores the role ophthalmologists can play in mitigating potential ocular harm from unsafe products. METHODS N/A. RESULTS Cosmetics and personal care products represent a large industry that is currently unregulated in any meaningful way. Products intended for use around the eyes carry a risk of serious side effects including contact dermatitis and bacterial infection. Currently, legislation has been proposed to change regulation to provide more meaningful oversight of cosmetics. CONCLUSIONS Ophthalmologists are often the first to recognize patterns in harmful products intended for use around the eye and can help mitigate potential future ocular harm by reporting adverse events to the Food and Drug Administration and by advocating for cosmetic regulation change.
{"title":"Ocular Cosmetics: Public Safety Problem or Harmless Products?","authors":"T. Janetos, P. Thyparampil","doi":"10.1097/IOP.0000000000001337","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001337","url":null,"abstract":"PURPOSE\u0000This perspective explores the safety profile of ocular cosmetics and explores the role ophthalmologists can play in mitigating potential ocular harm from unsafe products.\u0000\u0000\u0000METHODS\u0000N/A.\u0000\u0000\u0000RESULTS\u0000Cosmetics and personal care products represent a large industry that is currently unregulated in any meaningful way. Products intended for use around the eyes carry a risk of serious side effects including contact dermatitis and bacterial infection. Currently, legislation has been proposed to change regulation to provide more meaningful oversight of cosmetics.\u0000\u0000\u0000CONCLUSIONS\u0000Ophthalmologists are often the first to recognize patterns in harmful products intended for use around the eye and can help mitigate potential future ocular harm by reporting adverse events to the Food and Drug Administration and by advocating for cosmetic regulation change.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"196 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75702789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 10.1097/IOP.0000000000001348
Tal J. Rubinstein, B. Sires
{"title":"Re: \"Orbital Emphysema: A Case Report and Comprehensive Review of the Literature\".","authors":"Tal J. Rubinstein, B. Sires","doi":"10.1097/IOP.0000000000001348","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001348","url":null,"abstract":"","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91183948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-01DOI: 10.1097/iop.0000000000001347
Roshni U Ranjit-Reeves, Jane S. Kim, J. Woodward, G. Massry
{"title":"Aesthetic Abstracts","authors":"Roshni U Ranjit-Reeves, Jane S. Kim, J. Woodward, G. Massry","doi":"10.1097/iop.0000000000001347","DOIUrl":"https://doi.org/10.1097/iop.0000000000001347","url":null,"abstract":"","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73312774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1097/IOP.0000000000001498
Khalid M Aldaas, Cara Randall, Kian Eftekhari, A. Zhang
Orbital lymphoma can result in rapid loss of vision if not diagnosed and treated in a timely manner. This patient presented with rapid visual loss and on examination had a rubeosis iridis with a hyphema as well as neovascular glaucoma with vitreous hemorrhage. His medical history included systemic diffuse large B-cell lymphoma and a workup ultimately revealed an orbital mass in the body of the optic nerve. Optic nerve biopsy demonstrated diffuse large B-cell lymphoma. To the authors' knowledge, neovascular glaucoma as the presentation of an extraocular diffuse large B-cell lymphoma has not been reported previously. Lymphomas of the orbit and its adnexa constitute roughly 1% of all non-Hodgkin lymphoma. Most cases are marginal-zone B-cell lymphomas, with the second most common being diffuse large B-cell lymphomas. Orbital lymphomas can rapidly progress to complete visual loss when not diagnosed early. The authors report a patient who presented with rapid visual loss due to hyphema, rubeosis iridis, neovascular glaucoma and vitreous hemorrhage secondary to orbital diffuse large B-cell lymphoma. Research methods were adherent to the ethical principles outlined in the Declaration of Helsinki as amended in 2013. The collection and evaluation of protected patient health information was Health Insurance Portability and Accountability Act compliant.
{"title":"Orbital Diffuse Large B-Cell Lymphoma Initially Presenting as Neovascular Glaucoma.","authors":"Khalid M Aldaas, Cara Randall, Kian Eftekhari, A. Zhang","doi":"10.1097/IOP.0000000000001498","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001498","url":null,"abstract":"Orbital lymphoma can result in rapid loss of vision if not diagnosed and treated in a timely manner. This patient presented with rapid visual loss and on examination had a rubeosis iridis with a hyphema as well as neovascular glaucoma with vitreous hemorrhage. His medical history included systemic diffuse large B-cell lymphoma and a workup ultimately revealed an orbital mass in the body of the optic nerve. Optic nerve biopsy demonstrated diffuse large B-cell lymphoma. To the authors' knowledge, neovascular glaucoma as the presentation of an extraocular diffuse large B-cell lymphoma has not been reported previously. Lymphomas of the orbit and its adnexa constitute roughly 1% of all non-Hodgkin lymphoma. Most cases are marginal-zone B-cell lymphomas, with the second most common being diffuse large B-cell lymphomas. Orbital lymphomas can rapidly progress to complete visual loss when not diagnosed early. The authors report a patient who presented with rapid visual loss due to hyphema, rubeosis iridis, neovascular glaucoma and vitreous hemorrhage secondary to orbital diffuse large B-cell lymphoma. Research methods were adherent to the ethical principles outlined in the Declaration of Helsinki as amended in 2013. The collection and evaluation of protected patient health information was Health Insurance Portability and Accountability Act compliant.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78955349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1097/IOP.0000000000001494
E. Feijó, George Alencastro Landim, Mirna de Melo Dias, Bruna Angelina Alves de Souza, Roberto Murillo Limongi, S. Matayoshi
Ductal cysts of the accessory lacrimal glands of Wolfring are rare clinical entities. They typically present as mobile and translucent lesions on the superior or inferior tarsal borders. Here, the authors describe a 7-year-old male child presenting with giant bilateral cysts of Wolfring. Management of such cysts is primarily surgical and the preferred route for excision is transconjunctival. To the best of the authors' knowledge, this is the first report of a bilateral Wolfring dacryops affecting a child.
{"title":"Giant Bilateral Cysts of the Accessory Lacrimal Glands of Wolfring in a Child.","authors":"E. Feijó, George Alencastro Landim, Mirna de Melo Dias, Bruna Angelina Alves de Souza, Roberto Murillo Limongi, S. Matayoshi","doi":"10.1097/IOP.0000000000001494","DOIUrl":"https://doi.org/10.1097/IOP.0000000000001494","url":null,"abstract":"Ductal cysts of the accessory lacrimal glands of Wolfring are rare clinical entities. They typically present as mobile and translucent lesions on the superior or inferior tarsal borders. Here, the authors describe a 7-year-old male child presenting with giant bilateral cysts of Wolfring. Management of such cysts is primarily surgical and the preferred route for excision is transconjunctival. To the best of the authors' knowledge, this is the first report of a bilateral Wolfring dacryops affecting a child.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78888872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.1097/iop.0000000000001409
Aryan Pashaei-Marandi, Ashwini Kini T, Bayan Al Othman, Andrew G. Lee
e26 Ophthalmic Plast Reconstr Surg, Vol. 36, No. 1, 2020 An 81-year-old white female presented with headache and visual loss. The past medical history was significant for type 2 diabetes, nonalcoholic fatty liver disease, diverticulosis, and asthma. The patient reported a 3-day history of “pixelated vision” in the left eye (OS) with shadows and a 2-month history of bilateral temporal headaches, jaw claudication, and scalp tenderness. External exam demonstrated cord-like, tender, vessels on both temples. The visual acuity was 20/25 OD and 20/40 OS. The pupils measured 5 mm in the dark and 3 mm in the light with a relative afferent pupillary defect OS. The motility exam was full, and the patient was orthophoric in primary gaze. Slit lamp exam showed 2+ nuclear sclerosis OU. Direct fundus examination was normal OD and showed +1 optic disc edema OS. The patient was started on oral prednisone and underwent a temporal artery biopsy. The surgical bed was completely dry with minimal to no bleeding at time of incision and on dissection of the temporal artery. A firm, cord-like temporal artery with intraluminal thrombus was identified (Fig. A). There was marked intimal thickening with fibromyxoid changes and luminal occlusion (Fig. B), consistent with the diagnosis of giant cell arteritis. Giant cell arteritis is a disease of medium to large vessels and inflammation and intimal thickening could lead to occlusion of vessels like posterior ciliary artery, ophthalmic artery or central retinal artery leading to permanent vision loss. Chatelain et al mention in his article a strong correlation of permanent vision loss in patients with the degree of arterial wall obstruction, with the odds ratio around 5 for 75% obstruction of vessel lumen as compared to a 25% obstruction and this corelates to the intimal thickening. Interestingly they do not find a thrombus of the vessel lumen to corelate with permanent vision loss. A completely dry surgical field during a temporal artery biopsy is an ominous sign of more extensive disease including possible occlusion of the temporal artery and other branches of the external carotid artery supplying the surgical field. The absence of bleeding at the time of surgery should increase the suspicion for giant cell arteritis.
{"title":"The \"Bone Dry\" Temporal Artery Biopsy Surgical Field in Giant Cell Arteritis.","authors":"Aryan Pashaei-Marandi, Ashwini Kini T, Bayan Al Othman, Andrew G. Lee","doi":"10.1097/iop.0000000000001409","DOIUrl":"https://doi.org/10.1097/iop.0000000000001409","url":null,"abstract":"e26 Ophthalmic Plast Reconstr Surg, Vol. 36, No. 1, 2020 An 81-year-old white female presented with headache and visual loss. The past medical history was significant for type 2 diabetes, nonalcoholic fatty liver disease, diverticulosis, and asthma. The patient reported a 3-day history of “pixelated vision” in the left eye (OS) with shadows and a 2-month history of bilateral temporal headaches, jaw claudication, and scalp tenderness. External exam demonstrated cord-like, tender, vessels on both temples. The visual acuity was 20/25 OD and 20/40 OS. The pupils measured 5 mm in the dark and 3 mm in the light with a relative afferent pupillary defect OS. The motility exam was full, and the patient was orthophoric in primary gaze. Slit lamp exam showed 2+ nuclear sclerosis OU. Direct fundus examination was normal OD and showed +1 optic disc edema OS. The patient was started on oral prednisone and underwent a temporal artery biopsy. The surgical bed was completely dry with minimal to no bleeding at time of incision and on dissection of the temporal artery. A firm, cord-like temporal artery with intraluminal thrombus was identified (Fig. A). There was marked intimal thickening with fibromyxoid changes and luminal occlusion (Fig. B), consistent with the diagnosis of giant cell arteritis. Giant cell arteritis is a disease of medium to large vessels and inflammation and intimal thickening could lead to occlusion of vessels like posterior ciliary artery, ophthalmic artery or central retinal artery leading to permanent vision loss. Chatelain et al mention in his article a strong correlation of permanent vision loss in patients with the degree of arterial wall obstruction, with the odds ratio around 5 for 75% obstruction of vessel lumen as compared to a 25% obstruction and this corelates to the intimal thickening. Interestingly they do not find a thrombus of the vessel lumen to corelate with permanent vision loss. A completely dry surgical field during a temporal artery biopsy is an ominous sign of more extensive disease including possible occlusion of the temporal artery and other branches of the external carotid artery supplying the surgical field. The absence of bleeding at the time of surgery should increase the suspicion for giant cell arteritis.","PeriodicalId":19621,"journal":{"name":"Ophthalmic Plastic & Reconstructive Surgery","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74612364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：