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    Prevalence and associated factors of external punctal stenosis among elderly patients in Turkey.
    Arq Bras Oftalmol 2017 Sep-Oct;80(5):296-299
    Department of Ophthalmology, School of Medicine, Uludağ University, Bursa, Turkey.
    Purpose: To estimate the prevalence of external punctal stenosis (EPS) in the elderly population and investigate associated factors.

    Methods: A total of 278 patients ≥65 years of age were evaluated for evidence of EPS from January to July 2016. Associated systemic, ocular, demographic, and lifestyle factors were investigated. Read More

    Diseases of the retina and the optic nerve associated with obstructive sleep apnea.
    Sleep Med Rev 2017 May 29. Epub 2017 May 29.
    Grenoble Alpes University, HP2 Laboratory, INSERM U1042, Grenoble, France; Department of Ophthalmology, University Hospital of Grenoble, Grenoble, France. Electronic address:
    Many associations between ocular disorders and obstructive sleep apnea (OSA) have been studied, such as nonarteritic anterior ischemic optic neuropathy, glaucoma, papilledema, retinal vein occlusion, eyelid hyperlaxity, lower-eyelid ectropion and recurrent corneal erosions. The objective of this review is to synthetize the possible vascular disorders of the retina and the optic nerve associated with sleep apnea patients and to discuss the underlying pathophysiological hypotheses. Main mechanisms involved in the ocular complications of OSA are related to intermittent hypoxia, sympathetic system activation, oxidant stress, and deleterious effects of endothelin 1. Read More

    Comparison of Polypropylene Sling with Combined Transconjunctival Retractor Plication and Lateral Tarsal Strip for Correction of Involutional Lower Eye Lid Ectropion.
    Open Ophthalmol J 2017 31;11:285-297. Epub 2017 Aug 31.
    Department of Ophthalmology, Gurunanak eye center, Maulana Azad Medical College, New Delhi-110002, India.
    Purpose: The study aims to compare the effectiveness and complications of transconjunctival retractor plication (TRP) with lateral tarsal strip (LTS) and the polypropylene sling (PS) surgery for treatment of involutional lower lid ectropion.

    Method: A prospective randomised pilot study was conducted on 30 eyes of 30 patients suffering from epiphora having horizontal eyelid laxity >6mm and age >50 years at a tertiary care centre from December 2014 to March 2015. They were randomly divided into two equal groups for TRP with LTS (group A) and PS (group B). Read More

    Entropion and ectropion repair: a snapshot of surgical practice in the United Kingdom.
    Orbit 2017 Oct 20:1-5. Epub 2017 Oct 20.
    a Department of Oculoplastic and Orbital Surgery, Bristol Eye Hospital , University Hospitals Bristol NHS Trust , Bristol , UK.
    We aim to provide a snapshot of the current surgical practice for correction of entropion and ectropion, the two most common oculoplastic procedures carried out in the UK, by surveying 135 consultant oculoplastic surgeons via the tool Survey Monkey. Forty-seven (35%) consultants responded. For entropion, 44% of surgeons opted for lateral tarsal strip (LTS) + everting sutures (ES). Read More

    Ophthalmic manifestations in Rothmund-Thomson syndrome: Case report and review of literature.
    Indian J Ophthalmol 2017 Oct;65(10):1025-1027
    Department of Ophthalmology, Regional Institute of Ophthalmology, Bangalore Medical College and Research Institute, Minto Eye Hospital, Bengaluru, Karnataka, India.
    A 24-year-old male patient presented to us with diminution of vision in both eyes with watering and photophobia for the past 8 years. General physical examination showed short stature and poikiloderma. Ocular findings include photophobia with reflex tearing, dry eye, cicatricial ectropion, symblepharon approaching pupillary area of cornea, and multiple superficial punctuate erosions on the cornea. Read More

    Subcuticular Suture Technique: Alternative to Frost Suture to Prevent Ectropion After Transcutaneous Incision of Lower Eyelid.
    J Maxillofac Oral Surg 2017 Dec 16;16(4):508-509. Epub 2017 Mar 16.
    Department of Oral and Maxillofacial Surgery, MCODS, Manipal, India.
    Introduction: An ectropion is a complication that can arise from reconstruction in the infraorbital region. Often, this complication occurs despite proper positioning of the lower lid at the time of closure. Various transcutaneous approaches to orbit skeleton have investigated in view of complication arising from them. Read More

    Congenital ectropion uveae with glaucoma: a case report.
    Int Ophthalmol 2017 Oct 12. Epub 2017 Oct 12.
    All India Institute of Medical Sciences, Patna, India.
    Congenital ectropion uveae (CEU) is a rare anomaly characterized by ectropion uveae, iris hypoplasia, iridotrabecular dysgenesis and glaucoma. The apparent ectropion uveae results from the spread of iris pigment epithelium beyond the iris ruff and onto the anterior surface of the iris. Conclusion Open-angle glaucoma results due to angle dysgenesis, so patients should be carefully examined periodically for its early detection. Read More

    [Urethral ectropion may hide a carcinoma!]
    Pan Afr Med J 2017 3;27:249. Epub 2017 Aug 3.
    Université Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Hopital Ibn Sina, Service d'Urologie B, Rabat, Maroc.
    The incidence of female urethral cancer is rare and accounts for 0.02% of all women's cancers. It is dominated by epidermoid carcinoma, which most commonly develops in the distal portion of the urethra, extending to inguinal lymph nodes. Read More

    Cyto-colpo-histologic correlation: about an analytical study of 120 colposcopies.
    Tunis Med 2016 Oct;94(10):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

    The Versatility of Cheek Rotation Flaps.
    Arch Craniofac Surg 2016 Dec 23;17(4):190-197. Epub 2016 Dec 23.
    Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.
    Background: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. Read More

    Is Orbital Floor Reconstruction With Titanium Mesh Safe?
    J Craniofac Surg 2017 Oct;28(7):e692-e694
    *Al-Kindy Teaching Hospital †College of Dentistry, University of Baghdad, Baghdad, Iraq.
    To reconstruct the orbital floor defects there are a lot of reconstruction materials, the surgeon must choose one of them. The authors share their experience with 10 patients suffering from orbital trauma causing orbital floor fracture; those fractures were reconstructed using titanium mesh. No complications were encountered postoperatively apart from 1 patient with ectropion. Read More

    Outcomes of lower eyelid retractor recession and lateral horn lysis in lower eyelid elevation for facial nerve palsy.
    Eye (Lond) 2017 Sep 1. Epub 2017 Sep 1.
    Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK.
    PurposeTo report outcomes and complications of lower eyelid retractor recession and lateral horn lysis (RR) for lower eyelid elevation in patients with facial nerve palsy (FNP).Patients and methodsRetrospective review. Patients with FNP undergoing RR alone (group 1) or with adjunctive procedures (canthal suspension-group 2, tarsorrhaphy-group 3, and full-thickness skin graft-group 4) during a 5-year period were included. Read More

    Outcomes of two surgical techniques for major trichiasis treatment.
    Orbit 2017 Aug 30:1-5. Epub 2017 Aug 30.
    a Faculdade de Medicina de Botucatu , Universidade Estadual Paulista , Botucatu , Sao Paulo State , Brazil.
    The purpose of this article is to analyze the outcomes of two surgical techniques to treat major trichiasis. A retrospective chart review of 67 patients (89 eyelids) with major trichiasis was performed who underwent surgical treatment using one of two techniques: intermarginal split lamella with graft (ISLG group) or lid lamella resection (LLR group). There were 30 lids in the ISLG group with mean patient age of 71. Read More

    "The influence of orbital vector on involutional entropion and ectropion".
    Orbit 2017 Aug 30:1-6. Epub 2017 Aug 30.
    a Eye Research Center, Farabi Eye Hospital , Tehran University of Medical Sciences , Tehran , Iran.
    Purpose: This study aimed to evaluate the effect of orbital vector and other biometric parameters (i.e. axial globe length, axial globe projection) on the development of involutional entropion or ectropion. Read More

    Punctal Ectropion repair using the Raus-Garito clamp.
    Orbit 2017 Aug 30:1-6. Epub 2017 Aug 30.
    c Department of Oculoplastic Surgery , Moorfields Eye Hospital , London , United Kingdom.
    Purpose: To evaluate the results from the correction of ectropion of the punctum lacrimale in lower eyelids with a new surgical clamp.

    Design: Prospective study.

    Methods: Eighty eight eyelids in 55 patients with mild and moderate ectropion were included in the study. Read More

    Reconstruction of midface defects with the osteocutaneous radial forearm flap: Evaluation of long term outcomes including patient reported quality of life.
    Microsurgery 2017 Oct 26;37(7):752-762. Epub 2017 Aug 26.
    Department of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California.
    Background: Maxillectomy defects significantly impair quality of life. Prosthetics can overcome some of these issues, but has limitations. The role of the osteocutaneous radial forearm free flap (OC-RFFF) has been established for reconstruction of smaller maxillectomy defects, but its role in larger defects is not well defined. Read More

    Breast cancer in a patient with Kindlers syndrome.
    J Pak Med Assoc 2017 Aug;67(8):1283-1286
    Department of Pathology, The Royal Hospital, Muscat, Sultanate of Oman..
    Breast Cancer (BC) has associated risk factors and genetic factors like BRCA1, and BRCA2. Many benign and malignant disease processes are found concurrently with BC and believed to be additional risk factors like gall bladder stones (cholelithiasis), hypertension, diabetes mellitus, cerebrovascular lesions, arthritis, spine and spinal cord degenerative lesions, infertility, depression, sleep disturbances, obesity, autoimmune diseases (SLE), and thyroid diseases. There are some malignant disease associations like synchronous or metachronous ovarian, colonic and endometrial tumours with Breast cancer. Read More

    Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion.
    Orbit 2017 Aug 24:1-7. Epub 2017 Aug 24.
    a New England Eye Center, Tufts Medical Center , Boston , Massachusetts , USA.
    This article examines the effectiveness of skin-muscle flap excision in conjunction with a lateral tarsal strip for the treatment of involutional entropion. Ninety-six eyelids in 83 consecutive patients with involutional entropion were treated using a standardized surgical procedure. All patients underwent lower eyelid tightening with a lateral tarsal strip, dissection of a skin-muscle flap inferiorly through a subciliary incision and excision of redundant skin as well as orbicularis muscle. Read More

    Adult Orbital and Adnexal Xanthogranulomatous Disease.
    Asia Pac J Ophthalmol (Phila) 2017 Sep-Oct;6(5):435-443. 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 Oct 19;45(10):1647-1654. 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 Sep 17;34(5):584-589. 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

    Clinical, epidemiological and etiological studies of adult aseptic meningitis: Report of 11 cases with varicella zoster virus meningitis.
    Rinsho Shinkeigaku 2017 09 11;57(9):492-498. Epub 2017 Aug 11.
    Department of Neurology, Brain Attack Center, Ota Memorial Hospital.
    We treated 11 cases (52.7 ± 14.9 years, all male) with varicella zoster virus (VZV) meningitis and 437 cases with adult aseptic meningitis from 2004 to 2016. 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 Sep;28(6):1495-1497
    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 Oct 3;118(5):283-288. 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 Oct 5;36(5):256-263. 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 Oct 5;28(5):516-e125. 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 Nov 22;75(11):2449-2455. 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

    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

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