Yolk sac tumours of the orbit and sinonasal tract
3 August 2023
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Endodermal sinus tumour, orbit, paediatric, sinus, yolk sac tumour
This paper outlines two case reports of patients with yolk sac tumours (YSTs) and carries out a review of the literature on this rare malignancy. YSTs are a type of germ cell tumour and primarily occur in the gonads. Ten...
Hughes flap for lower lid retraction
This is a retrospective case series looking at the use of Hughes flap for cicatricial lower lid retraction. Fourteen patients were identified across five different hospitals with varying aetiologies ranging from previous lid lesion excision and reconstruction to trauma. The...
Differentiating orbital tumours on MRI
This is a literature review examining the ability of specific MRI modalities to differentiate between benign and malignant tumours of the orbit. The authors identified 29 articles reporting diffusion weighted image (DWI) values and corresponding apparent diffusion coefficients (ADC) for...
Local surgical treatment of trigeminal neuralgia
This is a retrospective review of a new surgical treatment of intractable periorbital neuropathic pain. Five patients with post-herpetic (three), post-traumatic (one) and idiopathic (one) neuralgia underwent transection of the nerves supplying the dermatomes affected by the neuropathic pain. The...
Electrocautery and implantable cardiac devices
This is a literature review of the risks associated with bipolar and monopolar electrocautery in patients with a permanent pacemaker (PPM) or implantable cardioverter defibrillator (ICD). The authors found 12 publications which met their inclusion criteria, but within these there...
Incomplete teprotumumab treatment for thyroid eye disease
This is a multi-centre retrospective analysis of clinical outcomes in patients who were on teprotumumab for thyroid eye disease but had the usual regime of eight infusions, three weeks apart, interrupted due to COVID-19. Manufacturing was suspended between Dec 2020...
Pupil abnormalities after orbital surgery
This is a retrospective review of 287 patients who underwent removal of an orbital cavernous haemangioma (cavernous venous malformation), to ascertain the incidence of surgically induced pupillary abnormalities. Forty-four patients had lesions removed from the anterior or extraconal orbit, none...
Bleomycin for conjunctival lymphangioma
This is a retrospective review of 16 eyes which underwent intralesional / sub-conjunctival injections of bleomycin sclerotherapy for conjunctival lymphatic malformations (lymphangiomas). The mean age was 18 (range three to 59 years). Four of the lesions were microcystic and 12...
Hydrogel expanders in the management of congenital anophthalmia
3 April 2023
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Congenital anophthalmia, hydrogel orbital expander, orbit CT scan, orbital growth
This is a retrospective case series of 11 anophthalmic orbits in eight children. Anophthalmia can result micro-orbitism, congenital fornix atresia, constricted socket, phimotic lids and reduced palpebral aperture. Expanders play an important role in improving the orbital volume and forniceal...
Outcomes from evisceration with primary implant in 1800 patients
3 April 2023
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
ig data, electronic medical records, epidemiology, evisceration, exposure, extrusion, implant, migration, orbit, prosthesis, ptosis, risk factors, socket
This is a retrospective analysis of 1800 patients who had evisceration with orbital implant between 2013-2019. As the largest published series on this topic, the authors are able to give relatable real-world data on complications following surgery. They use a...
Teprotumumab for chronic TED
3 February 2023
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Chronic, proptosis, teprotumumab, thyroid eye disease
This retrospective case series looks at the use of teprotumumab in nine patients with thyroid eye disease (TED) of clinical activity score ≤one and >nine months duration, in an American cohort. Current European guidelines have suggested the use of teprotumumab...
Does vicryl stand the test of time?
3 February 2023
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Aponeurosis, Vicryl, ethibond, ptosis, suture
This retrospective study aimed to assess whether the long-term success of ptosis surgery was influenced by use of absorbable or non-absorbable sutures. Four hundred and fifty-five operations in 330 patients met the inclusion criteria. One hundred and sixty-nine operations were...
