Recurrence rate of pleomorphic adenoma of the lacrimal gland: systematic review and meta-analysis.

Purpose: The aim is to increase the understanding of lacrimal gland pleomorphic adenoma's recurrence rate and the factors that influence it.

Methods: A systematic search of PubMed, SCOPUS, Cochrane Library, and CINAHL was conducted following PRISMA guidelines. The data in the included studies were extracted and analyzed.

Revision dacryocystorhinostomy: systematic review and meta-analysis.

Purpose: The goal of this study is to determine if a certain revision DCR approach (external, endoscopic endonasal, laser transcanalicular) is superior to others. Additionally, this investigation evaluates the effect of the primary surgery on success of revision.

Methods: This investigation is a systematic review and meta-analysis.

"Feasibility and utility of a simple computerized test for measuring saccade latency in progressive supranuclear palsy- a proof-of-concept study".

Background: Reliable detection of slowed vertical saccades may help discriminate progressive supranuclear palsy (PSP) from the subset of Parkinson's disease patients who lack tremor (akinetic-rigid or PD-postural instability and gait disorder PIGD subtype), and from age-related oculomotor changes. We investigated the feasibility of a camera-less computerized behavioral saccade latency paradigm previously validated in PD to discriminate probable PSP-Richardson syndrome (PSP-RS) from PD-PIGD and age-matched controls.

Methods: In this proof-of-concept case-control study, reflexive saccade latencies were measured in 5 subjects with probable PSP-RS, 5 subjects with PD-PIGD subtype, and 5 age-matched controls using the behavioral paradigm.

Orbital Fractures and Associated Ocular Injuries in Operation Iraqi Freedom and Operation Enduring Freedom Referred to a Tertiary Care Military Hospital and the Effect on Final Visual Acuity.

Purpose: To update the incidence of orbital fractures in U.S. Soldiers admitted to the former Walter Reed Army Medical Center from 2001 to 2011 after sustaining combat injuries in Operation Iraqi Freedom and Operation Enduring Freedom.

Esophageal adenocarcinoma and urothelial carcinoma orbital metastases masquerading as infection.

Orbital metastases can masquerade as other orbital processes. We present two cases of orbital metastases, the first being the first reported adenocarcinoma of the esophagus presenting as an orbital metastasis prior to the primary being known, and the other as the first urothelial carcinoma to present as orbital cellulitis. The first patient presented with left upper eyelid pain.

Periorbital nodular fasciitis arising during pregnancy.

Nodular fasciitis (NF) is a benign proliferation of fibroblasts and myofibroblasts that rarely occurs in the periorbital region. We report what we believe to be the first case of periorbital NF associated with pregnancy. A case of intravascular fasciitis, a NF variant, has been reported during pregnancy, but it was not located in the periorbital region.

Residency training in refractive surgery.

Purpose: To evaluate resident refractive surgery caseload and surgical outcomes in an academic medical center.

Setting: Walter Reed Army Medical Center, Washington, DC, USA.

Design: Comparative case study.

Rectus abdominus free flap in the reconstruction of the orbit following subtotal exenteration.

An 18-year-old woman with recurrent embryonal rhabdomyosarcoma underwent a right subtotal exenteration sparing the eyelids and conjunctiva to remove the tumor. A rectus abdominus muscle free flap was secured to the right temporalis muscle. The temporalis muscle was then advanced into the temporal fossa defect and the rectus abdominus flap placed into the right orbital cavity and right maxillary sinus.

Growth of a presumed orbital venous anomaly during pregnancy with spontaneous resolution postpartum.

A 27-year-old pregnant woman in her second trimester presented with a 3-month history of gradual proptosis, decreased vision, and choroidal folds in her right eye. MRI revealed an intraconal mass with inhomogeneous enhancement consistent with a vascular lesion. The patient was followed clinically and the lesion remained stable for the remainder of her pregnancy and delivery by Cesarean section.

Ophthalmic artery occlusion in relapsing polychondritis.

Purpose: To describe ophthalmic artery occlusion in a patient with relapsing polychondritis.

Methods: Observational case report

Results: : An acute episode of relapsing polychondritis caused ophthalmic artery occlusion with resultant visual acuity of no light perception.

Conclusion: Ophthalmic artery occlusion can occur in patients with relapsing polychondritis.

Combat ocular trauma visual outcomes during operations iraqi and enduring freedom.

Objective: To report the visual and anatomic outcomes as well as to predict the visual prognosis of combat ocular trauma (COT) during Operations Iraqi and Enduring Freedom.

Design: Retrospective, noncomparative, interventional, consecutive case series.

Participants: Five hundred twenty-three consecutive globe or adnexal combat injuries, or both, sustained by 387 United States soldiers treated at Walter Reed Army Medical Center between March 2003 and October 2006.

The ocular manifestations of atopic dermatitis and rosacea.

Atopic dermatitis and rosacea are chronic diseases that have both dermatologic and ocular manifestations. The occurrence of ocular disease is often proportionately higher than that of dermatologic disease. Even if the skin abnormalities appear well controlled, these patients require ophthalmic evaluation as well.

Adult orbital xanthogranuloma with associated adult-onset asthma.

: The authors report a case of adult orbital xanthogranuloma with associated adult-onset asthma in a 44-year-old man. Adult orbital xanthogranuloma was diagnosed on the basis of the clinical findings of bilateral, indurated, yellow eyelid lesions in a patient presenting with adult-onset asthma. Incisional biopsy of the eyelid lesions demonstrated a diffuse histiocytic infiltrate of the orbit and Touton giant cells without evidence of necrobiosis.

Ocular surface, ocular adnexal, and lacrimal complications associated with the use of systemic 5-fluorouracil.

Purpose: To determine the prevalence rates and associated characteristics of patients who have ocular surface, ocular adnexal, and lacrimal complications associated with the systemic use of the cancer chemotherapeutic agent 5-Fluorouracil (5-FU).

Methods: An exposure-based cohort study was designed. Adult patients who had completed at least 3 months of systemic 5-FU therapy within the past 5 years were eligible for enrollment.