Publications by authors named "Eleanore Kim"

17 Publications

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Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy.

Indian J Ophthalmol Case Rep 2021 Apr-Jun;1(2):383-385. Epub 2021 Apr 1.

Department of Ophthalmology, New York University, New York, NY, USA.

A 32-year-old female with a right frontal lobe glioma underwent an elective frontotemporal craniotomy. One hour postoperatively, the patient developed a right orbital compartment syndrome (OCS) with unilateral acute vision loss, proptosis, afferent pupillary defect, and complete ophthalmoplegia. The patient underwent emergent lateral canthotomy and inferior cantholysis. Neuroimaging revealed extensive vascular congestion along the extraocular muscles at the orbital apex. Retinal imaging demonstrated an ophthalmic artery occlusion. OCS following a frontal or frontotemporal craniotomy relates to increased orbital venous congestion from direct compression of the myocutaneous flap and subsequent intraorbital pressure elevation, vascular compromise, and ocular ischemia.
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http://dx.doi.org/10.4103/ijo.ijo_1982_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8312523PMC
April 2021

Epibulbar Subconjunctival Apocrine Hidrocystoma.

Ophthalmic Plast Reconstr Surg 2021 Jul 19. Epub 2021 Jul 19.

Department of Ophthalmology Department of Pathology, New York University Langone Medical Center, New York, U.S.A.

Apocrine hidrocystomas are benign cystic tumors derived from apocrine sweat glands; they are most commonly located in the skin of the head and neck regions. Ophthalmic occurrences characteristically appear at the lash line and canthi of the eyelid, although rare instances have been described in the conjunctiva, caruncle, and orbit. The authors describe an exceptional instance of a mobile epibulbar subconjunctival apocrine hidrocystoma in a 57-year-old woman without a history of previous ocular injury or surgery. Histopathology of the excised specimen displayed an empty cyst lined by a double layer of cuboidal epithelium with the inner layer exhibiting periodic acid-Schiff-positive apical decapitation secretion. Confirmatory immunohistochemistry included reactivity with cytokeratin-7, smooth muscle actin, D2-40, and CDGFP-15.
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http://dx.doi.org/10.1097/IOP.0000000000002019DOI Listing
July 2021

Porocarcinoma of the Eyelid Presenting as an Umbilicated Lesion.

Ophthalmic Plast Reconstr Surg 2021 Mar 24. Epub 2021 Mar 24.

Departments of Ophthalmology and Pathology, New York University Langone Medical Center, New York, NY, U.S.A.

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http://dx.doi.org/10.1097/IOP.0000000000001956DOI Listing
March 2021

Myositis of an Extraocular Muscle, a Possible Drug Reaction: Histopathologic and Immunopathologic Analysis.

Ophthalmic Plast Reconstr Surg 2021 Jul-Aug 01;37(4):e141-e143

Department of Ophthalmology.

A 58-year-old man presented with left-sided orbital inflammation, including chemosis and a lateral rectus abduction defect. Initially presumed to represent cellulitis, the condition responded poorly to oral and intravenous antibiotics. CT showed the epicenter of an infiltrate to involve the lateral rectus. The patient improved dramatically when oral prednisone was added. Lateral rectus biopsy displayed intramuscular polyclonal lymphoid infiltrates, rich with eosinophils. Complete resolution of the inflammatory process was confirmed by a follow-up CT. The presumptive diagnosis was idiopathic orbital myositis, an uncommon condition of unknown etiology. However, the patient had taken rosuvastatin, which has been rarely associated with diplopia and ophthalmoplegia, raising the question of whether this case was truly idiopathic.
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http://dx.doi.org/10.1097/IOP.0000000000001923DOI Listing
July 2021

Placement of a PROPEL sinus implant during endoscopic dacryocystorhinostomy.

Orbit 2021 Jan 24:1-2. Epub 2021 Jan 24.

Department of Ophthalmology, New York University Grossman School of Medicine, New York, NY, USA.

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http://dx.doi.org/10.1080/01676830.2021.1877733DOI Listing
January 2021

Gender Compensation Gap for Ophthalmologists in the First Year of Clinical Practice.

Ophthalmology 2021 Jul 26;128(7):971-980. Epub 2020 Nov 26.

NYU Grossman School of Medicine, NYU Langone Health, New York, New York. Electronic address:

Purpose: To identify the role of gender and other factors in influencing ophthalmologists' compensation.

Design: Cross-sectional study.

Participants: U.S. practicing ophthalmologists.

Methods: Between January and March 2020, an anonymous survey was sent to U.S. residency program directors and practicing ophthalmologists who recently completed residency training. Respondents who completed residency ≤ 10 years ago and responded to questions about gender, fellowship training, state of practice, and salary were included. Propensity score match (PSM) analysis was performed with age, academic residency, top residency, fellowship, state median wage, practice type, ethnicity, and number of workdays. Multivariate linear regression (MLR) analysis controlled for additional factors along with the aforementioned variables.

Main Outcome Measures: Base starting salary with bonus (SWB) received in the first year of clinical position was the main outcome measure. A multiplier of 1.2 (20%) was added to the base salary to account for bonus.

Results: Of 684 respondents, 384 (56% were female, 44% were male) from 68 programs were included. Female ophthalmologists received a mean initial SWB that was $33 139.80 less than that of their male colleagues (12.5%, P = 0.00). The PSM analysis showed an SWB difference of -$27 273.89 (10.3% gap, P = 0.0015). Additionally, SWB differences were calculated with the number of workdays substituted by operating room (OR) days (-$27 793.67 [10.5% gap, P = 0.0013]) and clinic days (-$23 597.57 [8.90% gap, P = 0.0064]) in separate PSM analyses. The SWB differences between genders were significant using MLR analyses, which also controlled for work, clinic, and OR days separately (-$22 261.49, $-18 604.65, and $-16 191.26, respectively; P = 0.017, P = 0.015, P = 0.002, respectively). Gender independently predicted income in all 3 analyses (P < 0.05). Although an association between gender and the attempt to negotiate was not detected, a greater portion of men subjectively reported success in negotiation (P = 0.03).

Conclusions: Female ophthalmologists earn significantly less than their male colleagues in the first year of clinical practice. Salary differences persist after controlling for demographic, educational, and practice type variables with MLR and PSM analyses. These income differences may lead to a substantial loss of accumulated earnings over an individual's career.
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http://dx.doi.org/10.1016/j.ophtha.2020.11.022DOI Listing
July 2021

Complications of Orbital Emphysema in a COVID-19 Patient.

Ophthalmology 2020 07 11;127(7):990. Epub 2020 May 11.

Department of Ophthalmology, New York University Grossman School of Medicine, New York, New York; and New York University Langone Health, New York University Grossman School of Medicine, New York, New York.

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http://dx.doi.org/10.1016/j.ophtha.2020.05.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211670PMC
July 2020

Ossifying Pilomatrixoma of the Eyelid.

Ophthalmic Plast Reconstr Surg 2020 Nov/Dec;36(6):e147-e149

Departments of Ophthalmology.

Pilomatrixoma, an uncommon, usually benign cutaneous appendageal tumor, shows differentiation toward the hair follicle matrix cell. It undergoes various histopathologic stages, early on displaying epithelial and shadow cells along with granulomatous inflammation. In later stages, illustrated by this unusual case, epithelial cells disappear and are replaced by calcification and ossification. Immunohistochemistry in the current case showed transitional cell reactivity for β-catenin, probably linking the tumor to a mutation in the β-catenin gene CTNNB1. There was also transitional cell positivity for cyclin D1, a marker found in matrical cells of the human hair follicle. While pilomatrixoma occurs occasionally in the eyelid, the ossified eyelid variant in the current case is very rare, with only one preceding description in the literature.
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http://dx.doi.org/10.1097/IOP.0000000000001674DOI Listing
March 2021

Fibrous Dysplasia-like Lacrimal Sac Tumor Associated With Dacryocystitis.

Ophthalmic Plast Reconstr Surg 2020 Jan/Feb;36(1):e23-e24

From the Departments of Ophthalmology.

A 72-year-old woman who presented with right-sided epiphora and conjunctivitis underwent a probing and irrigation procedure with normal results. She improved with antibiotic-steroid drops. A swelling in the medial canthal region completely resolved. One year later, she returned with symptoms of dacryocystitis. An external dacryocystorhinostomy was performed. Characteristic dacryoliths were removed from the sac lumen, and biopsy of the sac wall showed spicules of lamellar bone within a fibrous stroma. Diagnosed as fibrous dysplasia of the lacrimal sac, this rare entity represents the second such case in the literature.The histopathology of an ossified lacrimal sac resembled fibrous dysplasia of bone and exemplifies the second case of this rare entity in the literature.
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http://dx.doi.org/10.1097/IOP.0000000000001526DOI Listing
March 2021

Staged embolization and excision of an arteriovenous malformation involving the eyelid and orbit.

Orbit 2020 Feb 7;39(1):71-72. Epub 2019 Feb 7.

Department of Ophthalmology, New York University School of Medicine, New York, NY, USA.

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http://dx.doi.org/10.1080/01676830.2019.1573263DOI Listing
February 2020

Ocular pigmentary changes associated with chronic minocycline use.

Am J Ophthalmol Case Rep 2019 Mar 11;13:102-103. Epub 2018 Dec 11.

New York University Department of Ophthalmology, USA.

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http://dx.doi.org/10.1016/j.ajoc.2018.12.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305682PMC
March 2019

Aggressive esthesioneuroblastoma with divergent differentiation: A taxonomic dilemma.

Orbit 2016 Dec 12;35(6):357-359. Epub 2016 Aug 12.

a Department of Ophthalmology , New York University Langone Medical Center , New York , New York , USA.

The authors describe an esthesioneuroblastoma (olfactory neuroblastoma) that occurred within the nasal cavity and brain in a 31-year-old man. Following excision, the tumor recurred in the left orbit and in mediastinal lymph nodes. Treatment included orbital excision and systemic chemotherapy. Histopathology showed a high-grade neuroepithelial tumor with positive immunohistochemical markers for neuroendocrine and epithelial components, an unusual combination raising issues concerning taxonomy.
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http://dx.doi.org/10.1080/01676830.2016.1193537DOI Listing
December 2016

Iritis and iris atrophy after eyebrow epilation with alexandrite laser.

Clin Ophthalmol 2011 8;5:1733-5. Epub 2011 Dec 8.

Department of Ophthalmology, New York University, New York, NY, USA.

Purpose: To report a case of bilateral iritis and transillumination defects after laser hair removal of the eyebrows with an alexandrite laser.

Methods: A 41-year-old male presented with bilateral eye pain and mild photophobia 2 days after receiving alexandrite (755 nm) laser epilation of both eyebrows. Examination showed visual acuity of 20/20 in both eyes, 2+ conjunctival injection in both eyes, 1+ cells in the anterior chamber of right eye and trace cells in left eye, poor right pupil dilation, and left pupil without movement. Intraocular pressure and fundus examination were normal. He was diagnosed with iritis and iris atrophy, associated with laser epilation. Topical steroids and cycloplegic drops were prescribed for 1 month.

Results: After 1 month of treatment, transillumination defects remained in both eyes, but greater in right. In dim light, the right pupil was 4 mm and oval and the left pupil was 6 mm and round. Visual acuity remained 20/20 in both eyes.

Conclusion: Laser hair removal of the eyebrows can lead to permanent ocular damage even with eye protection, and should be avoided.
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http://dx.doi.org/10.2147/OPTH.S26035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3245195PMC
October 2012

Bilateral endogenous Scedosporium prolificans endophthalmitis after lung transplantation.

Am J Ophthalmol 2005 Feb;139(2):370-3

Department of Ophthalmology, University of California, San Francisco, California 94143-0730, USA.

Purpose: To report a case of bilateral endogenous fungal endophthalmitis resulting from disseminated Scedosporium prolificans.

Design: Observational case report.

Methods: A 56-year-old woman with cystic fibrosis status post dual lung transplantation on chronic immunosuppressive therapy presented with acute graft rejection. Cultures of bronchial brushings revealed S. prolificans. Three weeks after admission, the patient noted increased blurriness and a central scotoma in her right eye. Dilated fundus examination revealed profound vitritis in the right eye with hemorrhagic retinitis involving the macula. A peripheral, yellow choroidal infiltrate with overlying retinitis and localized vitritis was present in the left eye.

Results: Intravitreal antibiotics were initiated, and vitreous cultures revealed S. prolificans. The patient ultimately succumbed to her disseminated disease. Pathologic examination of the eyes confirmed bilateral endogenous fungal endophthalmitis.

Conclusion: S. prolificans is an opportunistic infection resistant to standard antifungal therapy that can result in endogenous endophthalmitis in immunocompromised individuals.
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http://dx.doi.org/10.1016/j.ajo.2004.08.005DOI Listing
February 2005
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