Orbital hyperostosis following exenteration.

Purpose: To report the development of unilateral, diffuse hyperostosis of orbital bones in 3 postexenteration patients.

Methods: Three advanced cases of periorbital and orbital malignancies are presented, and their clinical, radiologic, and histopathologic features are reviewed.

Results: Postexenteration CT showed thickened orbital walls in all 3 cases.

Sutureless transconjunctival repair of orbital blowout fractures.

Purpose: To evaluate early postoperative results and complications in patients who underwent repair of isolated orbital floor blowout fractures with placement of nonfixed implants through a transconjunctival and sutureless incision.

Methods: We retrospectively reviewed 26 cases of isolated floor fractures repaired by this technique. Criteria for inclusion in this study were transconjunctival approach, nonfixed orbital implants, and sutureless closure.

Bloody tears of unknown cause: case series and review of the literature.

Purpose: To report 4 cases of recurrent unilateral bloody tears.

Methods: Retrospective case series.

Results: One boy and 3 girls, ranging in age from 6 to 14 years, reported spontaneous bloody tearing.

Skin cooling before periocular botulinum toxin A injection.

Purpose: To determine if skin cooling decreases the pain associated with periocular botulinum toxin A injections.

Methods: In this prospective study, 14 patients given bilateral periocular injections for blepharospasm or wrinkle reduction were included. Prior to the injections, one side received a skin cooling agent and the other side served as the control.