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    Adult Orbital and Adnexal Xanthogranulomatous Disease.
    Asia Pac J Ophthalmol (Phila) 2017 Aug 22. Epub 2017 Aug 22.
    Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
    Purpose: Adult xanthogranulomatous disease of the orbit and ocular adnexa is a rare disease that can cause serious morbidity and mortality. Ophthalmologists are commonly the first clinicians to come in contact with affected patients and an understanding of the clinical features is essential.

    Design: We present a retrospective case series of patients seen in the oculoplastic unit of a large tertiary referral hospital over a 20-year period. Read More

    Subciliary vs. transconjunctival approach for the management of orbital floor and periorbital fractures: A systematic review and meta-analysis.
    J Craniomaxillofac Surg 2017 Jul 19. Epub 2017 Jul 19.
    Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center, San Antonio, USA.
    Purpose: This study compared complications between subciliary and transconjunctival approaches to the infraorbital rim/orbital floor, using systematic review and meta-analysis.

    Materials And Methods: A systematic review with meta-analysis was conducted according to PRISMA guidelines. An electronic search in PubMed, Embase, and Cochrane Library was performed. Read More

    Ectropion Improvement with Topical Tazarotene in Children with Lamellar Ichthyosis.
    Pediatr Dermatol 2017 Aug 17. Epub 2017 Aug 17.
    Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
    Background/objectives: Lamellar ichthyosis (LI) is a well-described phenotypic subtype of autosomal recessive congenital ichthyosis (ARCI). The condition typically presents at birth with collodion membrane and leads to thick, plate-like scaling of the skin throughout the body, alopecia, and prominent ocular manifestations. Ocular complications include bilateral cicatricial ectropion and lagophthalmos. Read More

    Large orbital defect reconstruction in the setting of globe-sparing maxillectomy: The titanium hammock and layered fibula technique.
    Microsurgery 2017 Aug 14. Epub 2017 Aug 14.
    Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
    Introduction: The purpose of our study was to describe a novel technique for reconstruction of orbital defects after maxillectomy using a non-anatomic titanium mesh suspension of orbital contents for both support and volume correction. This construct is then articulated with a layered fibula osteocutaneous free flap that restores orbital rim, zygoma, and maxillary alveolus. We herein present our application of this technique, including refinements over time and long-term outcomes. Read More

    Congenital Ectropion Uveae with Glaucoma: A Case Report.
    J Clin Diagn Res 2017 Jun 1;11(6):ND04-ND05. Epub 2017 Jun 1.
    Additional Professor, Department of Ophthalmology, Indira Gandhi Institute of Medical Science, Patna, Bihar, India.
    Congenital Ectropion Uveae (CEU) is a rare anomaly characterised by ectropion uveae, iris hypoplasia, iridotrabecular dysgenesis and glaucoma. Hyperplasia of the iris pigment epithelium and its apparent spread over the anterior surface of the iris is supposed to cause the classic ectropion uveae in CEU. Almost all patients develop open angle glaucoma due to angle dysgenesis, so they should be carefully examined periodically for its early detection. Read More

    Treatment of Children With Congenital Severe Blepharoptosis by Frontalis Aponeurosis Flap Advancement Under General Anesthesia in a Single Incision.
    J Craniofac Surg 2017 Jul 26. Epub 2017 Jul 26.
    Plastic Surgery Department, Children's Hospital of Fudan University, Shanghai, China.
    Purpose: This study aimed to investigate the effect of frontalis aponeurosis flap advancement in children with congenital severe blepharoptosis.

    Methods: A total of 23 cases (25 eyes) of children who had congenital severe blepharoptosis and poor levator function (≤4 mm) and received frontalis aponeurosis flap advancement treatment in the Plastic Surgery Department of the Children's Hospital of Fudan University from January 1, 2013, to January 1, 2015, were retrospectively analyzed to evaluate the postoperative effects.

    Results: All patients (age range, 6-27 months) were followed up for an average duration of 15. Read More

    Extended Transconjunctival Lower Eyelid Blepharoplasty with Release of the Tear Trough Ligament and Fat Redistribution.
    Plast Reconstr Surg 2017 Aug;140(2):273-282
    Singapore; and Toorak, Victoria, Australia From the W Aesthetic Plastic Surgery; and The Centre for Facial Plastic Surgery.
    Background: The transconjunctival lower eyelid blepharoplasty is advantageous for its quick recovery and low complication rates. Conventional techniques rely on fat removal to contour the lower eyelid. This article describes the authors' extended transconjunctival lower eyelid blepharoplasty technique that takes dissection beyond the orbital rim to address aging changes on the midcheek. Read More

    Cicatricial Ectropion Secondary to Graft-Versus-Host Disease.
    Ophthal Plast Reconstr Surg 2017 Jul 25. Epub 2017 Jul 25.
    *Department of Ophthalmology and †Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas, U.S.A.
    Ocular complications of graft-versus-host disease are well documented. While skin changes due to graft-versus-host disease have been mentioned in the literature, cicatricial ectropion has not been previous reported. We present a case of a 31-year-old male with cicatricial ectropion secondary to graft-versus-host disease requiring treatment with a full thickness skin graft. Read More

    [Autologous tissue reconstruction of tarsal plate combined with temporal flap in repairing full-thickness lower eyelid defect].
    Zhong Nan Da Xue Xue Bao Yi Xue Ban 2017 Jun;42(6):662-666
    Department of Medical Cosmetology, First Affiliated Hospital, University of South China, Hengyang Hunan 421001, China.
    Objective: To evaluate the clinical effect of combination of autologous tissue reconstruction of tarsal plate with temporal flap on repair of full-thickness lower eyelid defect. 
 Methods: Eleven patients (11 eyes) underwent hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle to repair full-thickness defect of palpebra inferior. Of the 11 patients, 6 had more than 75% eyelid defect area, and 5 had more than 50% eyelid defect area. Read More

    Cyto-colpo-histologic correlation: about an analytical study of 120 colposcopies.
    Tunis Med 2016 Oct;94(8-9):616-620
    Problem: Cervical cancer is the second gynecological cancer Tunisian women after breast. This is a sexually transmitted disease including the role of HPV has been proven. Cervical cancer screening is possible due to the accessibility of the cervix with a speculum examination and implementation of cervical smear. Read More

    Midface rejuvenation surgery combining preperiosteal midcheek lift, lower blepharoplasty with orbital fat preservation and autologous fat grafting.
    J Stomatol Oral Maxillofac Surg 2017 Jul 3. Epub 2017 Jul 3.
    Department of Plastic, Reconstructive and Maxillo-facial Surgery, Henri-Mondor Hospital, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
    Objective: The aim of this study was to describe a technique for midface rejuvenation combining lower blepharoplasty, midcheek lift and autologous fat transfer.

    Methods: All patients who underwent a midface rejuvenation procedure performed by the same surgeon and using a classic subciliary blepharoplasty surgical approach were identified. The technique combined three distinct procedures: lower blepharoplasty with use of a transposition flap of orbital adipose tissue in the medial and central compartment to reduce the subpalpebral bags and attenuate the palpebrojugual sulcus; midcheek lift in the preperiosteal plane with trans-osseous fixation exerting traction on the soft tissues of the cheek along several vectors; autologous fat transfer to offset the loss of volume in the target area. Read More

    Reconstructive subperiosteal midface lift: A three nonvisible incision approach.
    Orbit 2017 Jul 5:1-8. Epub 2017 Jul 5.
    c Colmenero Clinic , Madrid , Spain.
    This article describes our surgical technique for subperiosteal midface elevation in patients with paralytic lower eyelid malposition or cicatricial inferior eyelid retraction. Nineteen patients with paralytic lower eyelid malposition and 15 patients with cicatricial inferior eyelid retraction underwent a subperiosteal midface lift (n = 34). The procedure was performed under local anesthesia through three nonvisible incisions. Read More

    Lip and Lower Lid Supporting Prosthetic Appliance: A Unique Approach of Treating Unilateral Facial Paralysis.
    J Clin Diagn Res 2017 May 1;11(5):ZD09-ZD11. Epub 2017 May 1.
    Senior Lecturer, Department of Prosthodontics and Crown and Bridge, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.
    Along with function, aesthetics plays an important role in treating partially or completely edentulous patients. Ageing, trauma, tooth loss and neuromuscular disorders have a high impact on tonicity of facial musculature, elasticity of skin as well as function of muscles. Patients affected with Bell's palsy face functional, aesthetic as well as psychological impairment. Read More

    Ablative Fractional Laser Resurfacing With Laser-Assisted Delivery of 5-Fluorouracil for the Treatment of Cicatricial Ectropion and Periocular Scarring.
    Ophthal Plast Reconstr Surg 2017 Jun 27. Epub 2017 Jun 27.
    Division of Oculofacial Plastic & Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida, U.S.A.
    Purpose: Cicatricial ectropion and periocular scarring can cause significant functional and cosmetic deficits. Surgical treatments can be associated with recicatrization, donor site morbidity, and textural and pigmentary abnormalities. This case series reports on efficacy and safety of a novel nonsurgical approach to treating cicatricial ectropion using ablative fractional laser resurfacing and laser-assisted delivery of 5-fluorouracil. Read More

    Management of Orbital and Periorbital Venous Malformation.
    Front Surg 2017 29;4:27. Epub 2017 May 29.
    Centre for the Study & Treatment of Vascular Birthmarks, Wellington Regional Plastic, Maxillofacial and Burns Unit, Hutt Hospital, Wellington, New Zealand.
    Background: To review our management of common venous malformation (VM) affecting the orbit and/or periorbital area.

    Methods: Consecutive patients with orbital and/or periorbital VM were identified from our vascular anomalies database. Demographic details of the patients, anatomic site(s) affected, symptoms and signs, presence of a family history of VM, and types of treatment(s) were collected, supplemented by chart review. Read More

    Ichthyosis fetalis in a cross-bred lamb.
    Vet Dermatol 2017 Jun 5. Epub 2017 Jun 5.
    Department of Veterinary Clinics and Surgery, Veterinary School, Universidade Federal de Minas Gerais (UFMG), Avenida Antônio Carlos 6627, Belo Horizonte, MG, 30123-970, Brazil.
    Background: Ichthyosis is a dermatological disease characterized by varying degrees of generalized hyperkeratosis and alopecia. Two congenital forms of ichthyosis are recognized in animals: fetalis (IF) and congenita. The disease occurs rarely in cattle, swine, dogs, chickens and a goat; it has not been reported in sheep. Read More

    Utility of PROSE Device in the Management of Complex Oculoplastic Pathology.
    Ophthal Plast Reconstr Surg 2017 May 24. Epub 2017 May 24.
    Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University, New York, New York, U.S.A.
    Purpose: To describe the use of Prosthetic Replacement of the Ocular Surface Ecosystem (PROSE) device in the management of complex oculoplastic pathology.

    Methods: The authors retrospectively reviewed the records of individuals over 18 years of age who were referred and successfully fit with the PROSE scleral device between January 1995 and June 2015.

    Results: Nine cases were identified that had complex oculoplastic disease and severe corneal surface disease. Read More

    Scleral Contact Lenses in an Academic Oculoplastics Clinic: Epidemiology and Emerging Considerations.
    Ophthal Plast Reconstr Surg 2017 May 22. Epub 2017 May 22.
    *Department of Ophthalmology and Visual Sciences, Carver College of Medicine, University of Iowa Hospitals and Clinic, Iowa City, Iowa, †Carver College of Medicine, University of Iowa, Iowa City, Iowa, ‡Department of Ophthalmology, Cincinnati Eye Institute, Cincinnati, Ohio, and §Department of Otolaryngology- Head and Neck Surgery, Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, U.S.A.
    Purpose: To describe the role and efficacy of scleral contact lenses (SCLs) in the treatment of progressive keratopathy in patients who have undergone periocular surgical procedures, to investigate the financial impact of these surgical interventions, and to demonstrate the role of oculoplastic surgery in improving scleral contact lens fit.

    Methods: A retrospective medical record review was performed to identify patients who both received SCLs and were examined by the oculoplastics service at the University of Iowa between January 1990 and December 2015. Inclusion criteria also required a minimum of 12 months of patient follow up after being fit with a SCL. Read More

    [A particular type of cicatricial Pemphigoid with unique IgA deposit].
    Pan Afr Med J 2017 13;26:136. Epub 2017 Mar 13.
    Université de Sousse, Tunisie.
    Cicatricial Pemphigoid is a subepithelial bullous dermatosis which essentially involves the mucous membranes with cicatricial evolution We report the case of a 66-year old patient hospitalized with erosive gingivitis associated with dysphagia, dyspnea and blurred vision. Dermatologic examination showed erosive lesions involving the palate and the pharynx. Ophthalmologic examination showed symblepharons, ectropion and bilateral cataract. Read More

    Surgical Outcome of Epicanthus and Telecanthus Correction by Double Z-Plasty and Trans-Nasal Fixation with Prolene Suture in Blepharophimosis Syndrome.
    J Clin Diagn Res 2017 Mar 1;11(3):NC05-NC08. Epub 2017 Mar 1.
    Assistant Professor, Department of Ophthalmology, University of Tennessee, Hamilton Eye Institute, Memphis, United states.
    Introduction: Blepharophimosis Syndrome (BPES) is a complex and rare disease characterized by epicanthus inversus, telecanthus, lateral ectropion, narrowed or shortened inter-palpebral fissure distance and ptosis. It is mostly bilateral and may or may not be symmetrical. It is typically inherited as an autosomal dominant trait. Read More

    Complications in facial Mohs defect reconstruction.
    Curr Opin Otolaryngol Head Neck Surg 2017 Aug;25(4):258-264
    aDepartment of Otolaryngology-Head and Neck Surgery, University of Washington bClinical Research Division, Fred Hutchinson Cancer Research Center cDepartment of Veterans Affairs Medical Center, Surgery Service dLarrabee Center for Facial Plastic Surgery, Seattle, Washington, USA.
    Purpose Of Review: To review the recent literature in regards to complications after reconstruction of Mohs defects, outline common pitfalls and to discuss the literature on avoiding complications as outlined per aesthetic subunit.

    Recent Findings: Complications in facial Mohs reconstruction commonly consist of infection, wound necrosis and dehiscence, hematoma and suboptimal scarring. However, site-specific complications such as hairline or eyebrow distortion, eyelid retraction or ectropion, nasal contour abnormality, alar retraction, nasal valve compromise, significant facial asymmetry or even oral incompetence must also be considered. Read More

    Ocular Pathology of Oculocerebrorenal Syndrome of Lowe: Novel Mutations and Genotype-Phenotype Analysis.
    Sci Rep 2017 May 4;7(1):1442. Epub 2017 May 4.
    Department of Ophthalmology, Indiana University, Indianapolis, IN, USA.
    Mutations in the OCRL1 gene result in the oculocerebrorenal syndrome of Lowe, with symptoms including congenital bilateral cataracts, glaucoma, renal failure, and neurological impairments. OCRL1 encodes an inositol polyphosphate 5-phosphatase which preferentially dephosphorylates phosphatidylinositide 4,5 bisphosphate (PI(4,5)P2). We have identified two novel mutations in two unrelated Lowe syndrome patients with congenital glaucoma. Read More

    Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis.
    Sex Med 2017 Sep 28;5(3):e212-e214. Epub 2017 Apr 28.
    The Centers for Vulvovaginal Disorders, Washington, DC, and New York, NY, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
    Desquamative inflammatory vaginitis is a poorly understood chronic vaginitis with an unknown etiology. Symptoms of desquamative inflammatory vaginitis include copious yellowish discharge, vulvovaginal discomfort, and dyspareunia. Cervical ectropion, the presence of glandular columnar cells on the ectocervix, has not been reported as a cause of desquamative inflammatory vaginitis. Read More

    Orbicularis Retaining Ligament Release in Lower Blepharoplasty: Assessing Efficacy and Complications.
    Ophthal Plast Reconstr Surg 2017 Apr 25. Epub 2017 Apr 25.
    *Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York; †Sanctuary Cosmetic Center, Tysons, Virginia, U.S.A.; ‡Herzliya Medical Center, Herzliya Pituach, Haifa District, Israel; §Ophthalmic Plastic and Cosmetic Surgery Inc., St. Louis, Missouri; ‖Ophthalmic Plastic and Reconstructive Surgery, Beverly Hills, California; ¶Scheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania; and #Department of Ophthalmology and Otolaryngology, Abington Memorial Hospital, Abington, Pennsylvania, U.S.A.
    Purpose: Release of the orbicularis retaining ligament (ORL) has been advocated as a technique to address tear trough deformities. This study sought to compare the effectiveness and morbidity of lower blepharoplasty with and without ORL release.

    Methods: Retrospective chart review of 53 lower blepharoplasty patients. Read More

    One-Stage Supramaximal Full-Thickness Wedge Resection of Vascular Lip Anomalies.
    J Oral Maxillofac Surg 2017 Mar 22. Epub 2017 Mar 22.
    Staff, Vascular Birthmark Institute of New York, Department of Otolaryngology, Lenox Hill and Manhattan Eye, Ear, and Throat Hospitals, New York, NY; Assistant Clinical Professor, Department of Ophthalmology, Harvard Medical School, Boston, MA. Electronic address:
    Purpose: Vascular lip anomalies include infantile hemangiomas, venous malformations, and arteriovenous malformations. Surgical management can be complicated by alterations in horizontal length, vertical height, and lip thickness from the underlying pathology. Additional reconstructive challenges include preservation of oral continence, vermillion definition, and the sublabial sulcus. Read More

    Chromomycosis, an unusual cause of cicatricial ectropion: a case report.
    Arq Bras Oftalmol 2017 Jan-Feb;80(1):46-48
    Centro de Referência em Oftalmologia, Hospital de Clínica Médica, Universidade Federal de Goiás (UFG), Goiania, GO, Brazil.
    Chromomycosis is a fungal infection that affects the epidermis, dermis, and subcutaneous tissue and is caused by dematiaceous fungal species that turn black on staining. We report the case of a 50-year-old male patient who was a rural worker and had been treated without success for three decades. Facial lesions progressed and caused severe cicatricial retraction. Read More

    Regression Patterns of Iris Melanoma after Palladium-103 ((103)Pd) Plaque Brachytherapy.
    Ophthalmology 2017 Jul 1;124(7):1023-1030. Epub 2017 Apr 1.
    The New York Eye Cancer Center, New York, New York. Electronic address:
    Purpose: To evaluate the patterns of regression of iris melanoma after treatment with palladium-103 ((103)Pd) plaque brachytherapy.

    Design: Retrospective, nonrandomized, interventional case series.

    Participants: Fifty patients with primary malignant melanoma of the iris. Read More

    Whole Exome Sequencing Identified a Novel Frameshift Mutation in SDR9C7 underlying Autosomal Recessive Congenital Ichthyosis in a Pakistani Family.
    Br J Dermatol 2017 Mar 31. Epub 2017 Mar 31.
    Medical Genetics Research Laboratory, Department of Biotechnology, Quaid-I-Azam University, Islamabad, Pakistan.
    Autosomal Recessive Congenital Ichthyosis (ARCI) is a group of cornification disorders (prevalence 1:200,000) broadly divided into three classes namely Harlequin Ichthyosis (HI; OMIM#242500), Lamellar Ichthyosis (LI; OMIM#242304) and Congenital Ichthyosiform Erythroderma (CIE; OMIM#242100). ARCI clinical features include generalized scaling, hypohidrosis and palmo-plantar hyperlinearity although presentation and severity may vary significantly. A large number of affected individuals present with collodion membrane at birth. Read More

    Comparison of two procedures for symptomatic hemorrhoidal disease: Ligation under Vision and Ferguson Hemorrhoidectomy - a retrospective cohort study.
    Pak J Med Sci 2017 Jan-Feb;33(1):90-95
    Prof. Fehmi Celebi, Department of General Surgery, Sakarya University Teaching and Research Hospital, Sakarya, Turkey.
    Objective: To compare Ligation under Vision (LUV) with Ferguson Hemorrhoidectomy (FH) in patients with Grade II, III and IV hemorrhoidal diseases according to their postoperative outcomes.

    Methods: Between July 2008 and August 2014, 155 patients underwent FH and 120 patients LUV, in Sakarya University Teaching and Research Hospital. Our retrospective analysis focuses on postoperative complications, postoperative pain and rate of recurrence. Read More

    Vertical Midface Lifting with Periorbital Anchoring in the Management of Lower Eyelid Retraction: A 10-Year Clinical Retrospective Study.
    Plast Reconstr Surg 2017 Jul;140(1):33-45
    Rome and Salò, Italy From the Department of Plastic and Reconstructive Surgery, University of "Tor Vergata"; and Villa Bella Clinic.
    Background: Lower eyelid retraction can be the unfortunate result of aesthetic surgery, trauma, disease, or the aging processes. The purpose of this article is to assess whether midface lifting based on purely vertical repositioning constitutes an effective procedure for its correction.

    Methods: A retrospective study was carried out on 199 patients (311 eyelids) operated on between January of 2004 and January of 2014. Read More

    Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study.
    Oral Maxillofac Surg 2017 Jun 18;21(2):187-192. Epub 2017 Mar 18.
    Ahrar Hospital, Zagazig, Egypt.
    Introduction: Although some studies addressed the differences between subciliary and transconjunctival approaches, no previous prospective comparative study on displaced zygomaticomaxillary complex (ZMC) fracture that repaired by three-point internal fixation using also upper gingivolabial incision and upper eye lid incision. So, the effect of these incisions on the comparison was not investigated.

    Purpose: The purpose of this study was to compare transconjunctival and subciliary approaches for open reduction and internal rigid fixation (OR/IF) of ZMC fractures. Read More

    Long term follow up of mucous membrane grafting for cicatricial ectropion in Ichthyosis: A case report.
    Int J Surg Case Rep 2017 16;33:21-23. Epub 2017 Feb 16.
    Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
    Introduction: Ichthyosis is a group of keratinizing diseases characterized by scaly and dry skin. One of the ocular complications associated with ichthyosis is cicatricial ectropion which often results in exposure keratopathy and eventually corneal scarring.

    Presentation Of Case: In this report we are presenting a 21-year-old female who is known to have ichthyosis-related bilateral lower lid cicatricial ectropion, which was managed with Mucous Membrane Grafting (MMG) six years ago. Read More

    Manifestation and grading of ocular involvement in patients with Tessier number 10 clefts.
    Eye (Lond) 2017 Aug 17;31(8):1140-1145. Epub 2017 Mar 17.
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
    PurposeThe objective of this study is to evaluate and grade the extent and severity of ocular involvement in Tessier number 10 cleft.Patients and methodsA retrospective, noncomparative, interventional case series was conducted between January 2006 and December 2015. Clinical data were reviewed from 59 patients (85 eyes) with Tessier number 10 clefts. Read More

    Newly identified paired box 6 mutation of variant familial aniridia: Congenital iris ectropion with foveal hypoplasia.
    Indian J Ophthalmol 2017 Jan;65(1):55-56
    Department of Ophthalmology, Chonbuk National University Medical School and Hospital, Chonbuk National University, Jeonju, Jeonbuk, South Korea.
    Congenital aniridia is a kind of eye disease characterized by complete or partial hypoplasia of the iris and is associated with other ocular anomalies including corneal opacity, glaucoma, and foveal hypoplasia. Heterozygous mutation of paired box 6 (PAX6) gene was identified in most cases of aniridia, with iatrogenic mutations accounting for about two-third of the cases and chromosomal rearrangements accounting for the other one-third. We report rare cases of variant aniridia, congenital iris ectropion associated with foveal hypoplasia in both a woman and her son with a mutation of PAX6 gene. Read More

    Application of Kuhnt-Szymanowski Procedure to Lower Eyelid Margin Defect after Tumor Resection.
    Plast Reconstr Surg Glob Open 2017 Feb 22;5(2):e1230. Epub 2017 Feb 22.
    Department of Plastic and Reconstructive Surgery, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, Tokyo, 113-8421, Japan.
    Background: Lower eyelid reconstruction after tumor removal is always challenging, and full-thickness defects beyond half of the eyelid length require a flap from a part other than the remaining lower eyelid, such as the temporal area or the cheek.

    Objective: We aimed to report our experience of applying Smith-modified Kuhnt-Szymanowski, one of the most popular procedures for paralytic ectropion, for reconstructing oblong full-thickness lower eyelid margin defect.

    Materials And Methods: We performed Smith-modified Kuhnt-Szymanowski on 5 cases of oblong full-thickness lower eyelid margin defect after skin cancer removal. Read More

    Orbicularis oculi muscle tightening for involutional entropion.
    J Plast Reconstr Aesthet Surg 2017 Jul 17;70(7):946-951. Epub 2017 Feb 17.
    Department of Plastic and Reconstructive Surgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
    Aims: To describe a novel technique for involutional entropion (IE) correction and present a retrospective case study.

    Patients And Methods: The entropion eyelid was corrected by repairing the thin preseptal orbicularis oculi muscle (OOM) of the lower eyelid. Patients underwent correction with this method from 2005 to 2014 and were followed up for 2 years postoperatively. Read More

    Evaluation of moderate and severe blepharoptosis correction using the interdigitated part of the frontalis muscle and orbicularis oculi muscle suspension technique: A cohort study of 235 cases.
    J Plast Reconstr Aesthet Surg 2017 May 16;70(5):692-698. Epub 2016 Nov 16.
    Head & Neck Cosmetic Surgery Center of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Chinese Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing 100144, PR China. Electronic address:
    Background: Blepharoptosis is defined as an abnormally low-lying upper eyelid margin in the primary gaze, causing vertical narrowing of the palpebral fissure. It is difficult to achieve consistently satisfactory results in moderate or severe cases despite many surgical methods being available to correct them.

    Methods: Between January 2001 and December 2014, a retrospective cohort study was conducted using medical records and perioperative photographs of 235 patients. Read More

    Comorbidity profiles among women with postcoital bleeding: a nationwide health insurance database.
    Arch Gynecol Obstet 2017 Apr 28;295(4):935-941. Epub 2017 Feb 28.
    Department of Nursing, Central Taiwan University of Science and Technology, No. 666, Buzih Road, Beitun District, Taichung, 40601, Taiwan, Republic of China.
    Purpose: Most of the existing studies on postcoital bleeding (PCB) in Western countries. To date, no study has focused on the various PCB-related comorbidities in Taiwan women. This work aims to analyze and compare the presence or absence of PCB among Taiwanese women with gynecological comorbidity. Read More

    A Modified Bifurcated Periosteal Flap for Simultaneous Reconstruction of Upper and Lower Lateral Canthal Tendons.
    J Craniofac Surg 2017 Jun;28(4):1093-1095
    Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.
    A bifurcated periosteal flap is useful for simultaneous reconstruction of the upper and lower lateral canthal tendons. The original technique harvested the flap horizontally from the frontal process of the zygoma, which mostly resulted in an insufficient flap length because of the narrowness of the zygoma. Here, the authors report the use of a modified bifurcated periosteal flap, raised from the superolateral orbital rim. Read More

    Congenital Ichthyosis: A Case Treated Successfully With Acitretin.
    Iran J Pediatr 2016 Oct 26;26(5):e2442. Epub 2016 Jul 26.
    Department of Pediatrics, Adana Numune Research and Training Hospital, Adana, Turkey.
    Introduction: Lamellar ichthyosis (collodion baby) is a cornification disorder classified under the category of autosomal recessive congenital ichthyosis and characterized by hyperkeratosis. Early-stage retinoid treatment has been shown to improve survival in these patients. In this article, a lamellar ichthyosis case is presented of an infant who had the symptoms at birth and was treated successfully with acitretin. Read More

    Micro Free Orbital Fat Grafts to the Tear Trough Deformity during Lower Blepharoplasty.
    Plast Reconstr Surg 2017 Jun;139(6):1335-1343
    Atlanta, Ga. From private practice and the Emory University School of Medicine.
    Background: The tear trough deformity is challenging in lower eyelid rejuvenation. Surgical treatment has evolved, with more modern techniques preserving orbital fat and using autologous fat transposition. The senior author (M. Read More

    Congenital upper eyelids ectropion in Down's syndrome.
    GMS Ophthalmol Cases 2017 3;7:Doc03. Epub 2017 Feb 3.
    Department of Oculoplastic and Orbit, Institute of Ophthalmology, "Conde de Valenciana", México City, México.
    Congenital bilateral ectropion of the upper eyelids is a rare, benign condition reported in ophthalmic literature. It is more frequently associated with Down's syndrome, ichthyosis, and sporadic cases in newborns from black population. We report three cases of congenital bilateral upper eyelid ectropion associated with Down's syndrome. Read More

    Recurrent Conjunctival Myofibrosarcoma Managed With Triple Application of Episcleral Brachytherapy.
    Cornea 2017 May;36(5):628-630
    *Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic, Cleveland, OH; †Department of Pathology, The Ohio State University, Columbus, OH; ‡Department of Ophthalmology, Northwestern Medicine, Chicago, IL; and §Department of Pathology, Cleveland Clinic, Cleveland, OH.
    Purpose: To report a case of recurrent conjunctival myofibrosarcoma treated with wide surgical excision, cryotherapy, and triple sequential applications of episcleral brachytherapy.

    Methods: A single case of recurrent conjunctival myofibrosarcoma.

    Results: A 54-year-old man with a history of a renal transplant presented with a recurrent conjunctival tumor. Read More

    Activation of p38 and Erk Mitogen-Activated Protein Kinases Signaling in Ocular Rosacea.
    Invest Ophthalmol Vis Sci 2017 Feb;58(2):843-848
    Department of Ophthalmology, Albany Medical College, Albany, New York, United States 5Department of Molecular and Cellular Physiology, Albany Medical College, Albany, New York, United States.
    Purpose: Rosacea-related cutaneous inflammation is a common cause of ocular surface disease. Currently, there are no specific pharmacologic therapies to treat ocular rosacea. Here, we aimed at determining the differences in intracellular signaling activity in eyelid skin from patients with and without ocular rosacea. Read More

    Endoscopic dacryocystorhinostomy following head and neck radiation therapy.
    Orbit 2017 Feb 6;36(1):30-34. Epub 2017 Feb 6.
    a Department of Ophthalmology, Division of Oculoplastic Surgery , University of Washington , Seattle , Washington , USA.
    This article determines the efficacy of endoscopic dacryocystorhinostomy (endoDCR) in patients who have undergone adjuvant external beam radiation therapy (XRT) following head and neck cancer resection. A retrospective chart review was performed on all patients who underwent endoDCR between 2006 and 2014 at a tertiary referral center. Cases were reviewed and selected for the following inclusion criteria: history of adjuvant sinonasal XRT following head and neck cancer resection, preoperative probing and irrigation demonstrating nasolacrimal duct obstruction (NLDO), postoperative probing and irrigation following silicone tube extubation. Read More

    [Long-term results of the compatibility of a coralline hydroxyapatite implant as eye replacement].
    Ophthalmologe 2017 Feb 3. Epub 2017 Feb 3.
    Augenklinik, Asklepios Klinik Barmbek, Hamburg, Deutschland.
    Background: Coralline hydroxyapatite has been used since 1983 as volume replacement. Through 2001, a total of 200 hydroxyapatite implants were used in our department.

    Objective: This prospective study was undertaken to measure the subjective and objective long-term tolerance of this implant. Read More

    Comparison Between Botulinum Toxin A Injection and Lacrimal Punctal Plugs for the Control of Post-LASIK Dry Eye Manifestations: A Prospective Study.
    Ophthalmol Ther 2017 Jun 2;6(1):167-174. Epub 2017 Feb 2.
    Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
    Introduction: Laser in situ keratomelieusis (LASIK) is one of the commonest refractive procedures performed nowadays. The dry eye problem is nearly universal in all patients after LASIK and it can be so annoying that the post-operative patient satisfaction is sometimes precluded. Conventional treatment includes the use of artificial tears. Read More

    A young Botswana patient with congenital iris ectropion uvea.
    Pan Afr Med J 2016 29;25:42. Epub 2016 Sep 29.
    Department of Anaesthesia and Critical care Medicine, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
    Congenital iris ectropion is a rare condition; non-progressive anomaly characterised by the presence of iris pigment epithelium on the anterior surface of the iris stroma and is frequently associated with anterior iris insertion, dysgenesis of the drainage angle and glaucoma. This paper describes unusual case of bilateral case of congenital iris ectropion in adult patient with pupillary abnormality, normal anterior chamber angle structure and with no evidence of glaucoma. Read More

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