摘要:

Capillary hemangioma in the infant may result in amblyopia, refractive error, or strabismus, and is often disfiguring. Treatment is challenging with respect to maintaining vision, as well as preserving function of the eyelids and ocular adnexa and obtaining the best possible cosmetic outcome. Neodymium-YAG laser photocoagulation may be a useful modality for the treatment of these lesions. We review the characteristics of the three types of lasers currently in wide use in skin surgery, with particular emphasis on their applicability for treatment of juvenile hemangioma. A possible role for the Nd-YAG laser in the management of these tumors is suggested.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Recovery after loss of one eye requires an adjustment to monocular vision and resolution of a significant, serious emotional trauma. The impact on everyday life is not well documented. We surveyed 125 monocular patients by questionnaire regarding their recovery. Eighty-five of 125 respondents reported that loss of one eye had not changed their life in any permanent way. Only seven reported persistent visual problems, whereas 12 described problems in employment and 21 had anxiety or poor self-image. Among 49 adults who had suddenly lost a sighted eye, 50% reported that their adjustment period for driving, work, recreation, home activities, or walking was < 1 month. Ninety-three percent thought that their adjustment was completed by 1 year. In conclusion, most patients were able to resume everyday activities after a short period of adjustment. Problems with employment and self-image were frequent, but visual problems were unusual.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Careful evaluation of the patient undergoing blepharoplasty should include an assessment of lacrimal gland position. Lacrimal gland prolapse, if unconnected at the time of surgery, will result in lid asymmetry. The purpose of this article is to review the anatomy of the lacrimal gland, the causes of herniation, and the surgical management in conjunction with blepharoplasty.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Intranasal abnormalities are the most common cause of dacryocystorhinostomy failure. The nasal endoscope facilitates recognition of these abnormalities and provides photo documentation to guide the surgeon to the appropriate postoperative management.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

We report a case of nasolacrimal duct obstruction with histopathology compatible with localized sarcoidosis, in a patient with no evidence of systemic disease. Excisional biopsy of the nasolacrimal duct revealed multiple noncaseating granulomas. Previously reported cases of sarcoidosis involving the lacrimal drainage system all had systemic disease, and these cases are reviewed. Our case illustrates the potential value of nasolacrimal duct biopsy during dacryocystorhinostomy.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Mucoepidermoid carcinoma of the lacrimal sac was diagnosed in a 62-year-old woman who presented with epiphora and a fixed painless mass in the area of the lacrimal sac. Histopathologic findings included nests and islands of neoplastic cells in a fibrotic stroma. The tumor nests contained both glandular spaces and solid epithelial areas. Treatment entailed dacryocystectomy with silastic intubation and subsequent medial maxillectomy and ethmoidectomy. The patient was tumor free on 1-year follow-up. Clinical features, histopathological findings, prognosis, and management of this rare tumor are reviewed in this article.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

A 44-year-old woman with a history of previous ptosis surgery presented with a moderate ptosis of the left upper eyelid and a large cystic mass extending over the length of that lid. The mass was excised completely and histologically found to be a conjunctival ductal cyst. The levator aponeurosis was disrupted by the cyst and required reconstruction. This case demonstrates an acquired ptosis associated with a large conjunctival cyst as a late complication of ptosis surgery.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Terminal duct adenocarcinoma, of minor salivary gland origin and arising from the base of the nose, eroded through the lateral nasal bone to present as a medial canthal mass. Although rare, these tumors should be considered in the differential diagnosis of periorbital adnexal masses.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

A 54-year-old woman presented with a 1-day history of ptosis of the left upper lid. On examination, the patient exhibited a moderate ptosis, poor levator function, lid lag on down-gaze, and no limitation of ocular motility. A computed tomography (CT) scan with contrast demonstrated enhancement of the levator muscle and levator aponeurosis on the involved side. Treatment consisted of systemic steroid administration and led to complete resolution of the ptosis in 2 weeks. The combined clinical and CT scan findings give a characteristic pattern of an isolated levator myositis.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

A modified technique for the correction of adult-acquired ptosis has been developed. This method allows the surgeon to make minor adjustments to lid level and contour 1–2 days postoperatively. The technique permits the surgeon to set the lid level without having to deal with many of the variables found at the time of surgery.

ISSN:0740-9303    

出版商:OVID    

年代:1988

数据来源: OVID