A case of mistaken identity: the role of lacrimal gland pleomorphic adenoma tissue diagnosis.

Purpose: Lacrimal gland lesions have diverse pathologies. Bone remodelling on imaging may suggest a benign lacrimal gland pleomorphic adenoma (LGPA) rather than a malignant process.

Methods: The authors report a case of malignant pleomorphic adenocarcinoma, which was misdiagnosed clinico-radiologically as a benign LGPA.

The lower lid diamond: a simple entropion repair to correct both horizontal and lower-lid retractor laxity.

Purpose: To describe a simple technique for involutional entropion correction and to present the findings of a pilot study.

Methods: Consecutive case series of 42 procedures. Patients presenting with involutional entropion in the absence of lateral canthal tendon laxity (lateral canthus could be distracted 1 cm or more medially) underwent a modified full-thickness eyelid shortening combined with retractor plication.

A novel technique to facilitate dacryocystectomy using viscoelastic substances.

The procedure of dacryocystectomy is described in a patient with Wegener's granulomatosis where bone preservation is essential for future reconstructive procedures. With the aid of canalicular clamps, viscoelastic substance is used to distend the lacrimal sac thereby facilitating easier dissection. We describe the use of canalicular clamping and injection of a viscoelastic substance into the lacrimal sac to facilitate easier dissection during dacryocystectomy.

Radiologically manifested accessory extraocular muscles in thyroid eye disease.

The authors describe 3 patients with Graves orbitopathy who all have accessory orbital structures on orbital imaging. These structures are isodense on CT and isointense on MRI to the extraocular muscles and have a similar anatomical appearance to accessory extraocular muscles previously described in the literature. The authors propose that Graves orbitopathy involves these accessory muscles and makes them visible on imaging.

Eyelid contracture may indicate recurrent basal cell carcinoma, even after Mohs' micrographic surgery.

Mohs' micrographic surgery (MMS) is an effective means of margin control in the management of periocular basal cell carcinomas (BCC). We describe three cases of recurrent BCC that presented with progressive eyelid contracture after MMS. They illustrate high-risk factors for recurrence, namely large tumor size, medial canthal location, previous treatment, and aggressive histological features.

Confident complete excision of lid-margin BCCs using a marginal strip: an alternative to Mohs' surgery.

Aims: To report a new technique of tissue preparation, using a marginal strip, after the excision of eyelid basal cell carcinomas (BCCs) and to report the long-term results of BCCs excised using this technique.

Method: After the excision of eyelid BCC with a safety margin of 4 mm, a 1 mm strip was excised along the whole perimeter from the margin of the freshly excised specimen. This marginal strip had intact conjunctival mucosa along one edge and skin along the other.

Adrenal suppression and failure to thrive after steroid injections for periocular hemangioma.

Purpose: To evaluate the effects of steroid injections for periocular capillary hemangioma on adrenal function and body composition.

Design: Noncomparative, interventional case series.

Participants: Four patients with periocular hemangioma.

Multi-center study on the characteristics and treatment strategies of patients with Graves' orbitopathy: the first European Group on Graves' Orbitopathy experience.

Unlabelled: To improve management of patients with Graves' orbitopathy, a multi-center collaborative approach is necessary in order to have large enough sample sizes for meaningful randomized clinical trials. This is hampered by a lack of consensus on how to investigate the eye condition. The European Group on Graves' Orbitopathy aims to overcome this and has designed a preliminary case record form (CRF) to assess Graves' orbitopathy patients.

Orbital cellulitis with gas.

Orbital cellulitis due to presumed gas-producing organisms has been associated with poor visual prognosis. We report successful visual recovery in a 14-year-old boy with orbital cellulitis and gas in the orbit on CT scan. The patient was treated with intravenous antibiotics and prompt orbital decompression.