Single-staged Tunneled Forehead Flap for Medial Canthal and Eyelid Reconstruction.

Purpose: The paramedian forehead flap, while initially used for reconstruction of nasal defects, has been adapted for repair of anatomical subunits in the medial canthal and eyelid area. A significant obstacle for utilizing the flap has been the bulky, unsightly vascular pedicle that is maintained between surgical stages. We describe our surgical experience using the tunneled variation in a single stage procedure.

Gastrointestinal stromal tumor metastatic to the orbit.

A 53-year-old woman was referred to the authors with a history of left eyelid swelling and retro-orbital pain. She had a history of a prior stomach gastrointestinal stromal tumor (GIST) with metastasis to the liver and intrahepatic bile duct. Examination showed global motility restriction with no relative afferent pupillary defect, and exophthalmometry confirmed 4 mm of left-sided proptosis.

Recurrent anophthalmic socket infections due to leakage of reposited infectious fluid from a microfractured glass orbital implant.

Recurrent anophthalmic socket infections resulted in spontaneous extrusion of a spherical glass implant filled with sequestered fluid. Orbital imaging had revealed a fluid collection within the implant. While rarely used in developed countries, these implants are commonly used around the world due to their low cost and success in anophthalmic socket rehabilitation.