External dacryocystorhinostomy and transnasal canthopexy: new details of combined surgery.

Purpose: To describe the authors' modified combined surgical technique for external dacryocystorhinostomy and transnasal canthopexy.

Methods: A retrospective medical record review was performed including patients with late posttraumatic telecanthus and nasolacrimal duct obstruction treated by their combined dacryocystorhinostomy-transnasal canthopexy technique. In this technique, the bony window is extended superiorly and posteriorly further than in standard dacryocystorhinostomy, to allow pulling the canthus though the window, but at the same time not disturbing the suture of the dacryocystorhinostomy anastomosis.

Four-petal evisceration: a new technique.

Purpose: To describe a new evisceration technique that allows the use of large orbital implants and closure without tension on the wound.

Methods: Interventional prospective study. The technique involves quadrisectioning the sclera and placement of a large orbital implant.

Bilateral simultaneous ancient schwannomas of the orbit.

An unusual case of purely cystic bilateral ancient schwannomas of the orbit is reported. Complete ophthalmologic examination and CT was performed. Diagnosis was established by excisional biopsy of both tumors, including clinicopathologic study.