Customised orbital implants
This is a literature review of the outcomes of orbital fracture repairs using custom-made orbital implants. Customised implants were manufactured in one of three ways, all using a 3D printer; manual moulding of an implant based on a 3D-printed model...
Steroid-eluting Spongostan improves endoscopic DCR success
This is a retrospective analysis of a change in technique for endoscopic dacryocystorhinostomy (endo-DCR) surgery. The authors compared the outcomes of 55 patients between 2011 and 2013 with 187 from 2013 to 2020 who all underwent endo-DCR. In 2013 the...
Risk factors for visual impairment in facial nerve palsy
1 December 2022
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Bell’s palsy, facial nerve paralysis, lagophthalmos, ocular surface exposure, paralytic ectropion
Facial nerve palsy (FNP) is known to be associated with corneal exposure due to the nature of the condition, but how many of those will go on to develop severe visual impairment (SVI)? This study investigates the risk factors associated...
Lacrimal drainage system malignancies
1 December 2022
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Lacrimal sac, malignancy, nasolacrimal duct, squamous cell carcinoma, transitional cell carcinoma
This retrospective case series looks at the rare cases of lacrimal drainage system malignancies. The authors have identified 14 patients in 24 years, at a tertiary referral centre in the Indian subcontinent. Many previous publications have found squamous cell carcinoma...
Ocular adnexal mantle cell lymphoma
3 October 2022
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Characteristics, mantle cell lymphoma, ocular adnexal lymphoma, recurrence, treatment
In this study the authors compare primary ocular adnexal (OA) mantle cell lymphoma (MCL) with initially systemic MCL occurring over a 30-year period. MCL is a rare form of lymphoma accounting for 5-11% of OA lymphomas and therefore knowledge of...
Computer-assisted surgery in the orbit
In this paper the authors describe the growing use of computer-assisted surgery in ophthalmology. It is already described as a powerful adjunct in neurosurgery and sinus surgery and here they describe their experience of using it for the orbit; specifically...
Anatomical variations of the nasolacrimal system
The authors report a retrospective observational case series of 734 dacryocystography images; 689 from adult patients and 45 from paediatric patients. Of these 734 images, 35 (4.8%) were found to have an anatomical variant where the nasolacrimal duct emerged from...
Adjuvant radiotherapy in orbital malignancy
This is a retrospective review of high dose volumetric modulated arc radiotherapy (VMAT) for adjuvant treatment of patients with orbital malignancy who had already undergone local excision or exenteration. VMAT differs from conventional external beam radiotherapy in that it is...
How to reconstruct an upper lid defect
1 June 2022
| Hetvi Bhatt
|
Oculoplastics, Orbit
|
Eyelid tumor, surgical techniques, tarsoconjunctival upper eyelid flap, upper eyelid graft, upper eyelid reconstruction
In this 10-year review, the authors look at published techniques for repairing upper lid defects and their respective success. Of the 10 studies included in this paper, they divide the techniques described within to bridging and non-bridging. Bridging techniques tend...
Hidden spread of sebaceous cell carcinoma
This was a review of 29 patients who had undergone orbital exenteration for sebaceous cell carcinoma. Prompted by the increasing use of topical treatments for intraepithelial disease, the authors were keen to discover the frequency of spread of tumour cells...
Transconjunctival eyelid weight insertion
This is a description of a new surgical technique to insert upper lid weights via a posterior, transconjunctival route. Following local anaesthetic, the upper lid was everted over a Desmarres retractor with a silk traction suture. A 5mm high central...
COVID-related mucormycosis
The authors report a retrospective case-control study of 73 patients with COVID-19 associated mucormycosis (CAM) between 1st March and 30th May 2021. They compared various factors between the two groups – patients who survived CAM (47 [64%]) and those that...
