Proptosis of the eye: a potential form of Madelung's disease.

Madelung's disease is a rare disorder characterised by excessive and symmetrical deposits of adipose tissue, typically in the cervicofacial region. Alcohol is a known cause of the condition, however, there are reports that this condition is genetically inherited. Lipomatosis of the orbit has been described in the alcoholic Madelung's disease, however, in our case report, we believe this is the first reported instance of proptosis caused by the genetic form of the condition.

Rectus Muscle Resection for Vertical Strabismus in Thyroid Eye Disease.

Purpose: Rectus muscle resection in thyroid eye disease (TED) is generally avoided due to the risk of worsening restriction or reactivating inflammation. However, for some patients with large-angle strabismus or diplopia in primary gaze despite maximum recession surgery, rectus muscle resection may be beneficial. We report our surgical experience with rectus muscle resection in the management of vertical strabismus associated with TED.

Complications and outcomes of grafting of posterior orbital fat into the lower lid-cheek junction during orbital decompression.

Purpose: To report the complications of grafting of excised posterior orbital fat into the lower lid-cheek junction at the time of orbital decompression surgery.

Methods: Retrospective review of consecutive patients undergoing orbital decompression combined with grafting of posterior orbital fat to the pre-malar and lateral canthal area (FG). A second group of consecutive patients undergoing orbital decompression but no orbital fat grafting (NoFG) were also studied as a form of comparative control.

Effect of Manuka Honey on Eyelid Wound Healing: A Randomized Controlled Trial.

Purpose: To report outcomes of a randomized trial on the role of "active" Manuka honey on eyelid surgical wound healing.

Method: Prospective, randomized, single-blinded study was performed for patients undergoing bilateral upper blepharoplasty. Vaseline was applied 4 times a day to both sides for 6 weeks and in addition, one eyelid was randomized to receive Manuka honey twice daily.

Clinical Outcomes of Ruptured Periorbital and Orbital Dermoid Cysts.

Purpose: To evaluate the clinical outcomes of ruptured dermoid cysts.

Methods: A multicenter, retrospective study of all cases of periorbital and orbital dermoid cysts with histopathological evidence of rupture, including those with clinical rupture, was performed over a 10-year period. Demographics and clinical outcomes of ruptured dermoid cysts were recorded.

Bilateral optic disc edema as a presentation of an obstructing spinal plasmacytoma.

Purpose: To report a rare case of bilateral optic disc edema as presentation of an obstructing spinal plasmacytoma.

Methods: Case report.

Results: A 41-year-old healthy man presented with distortion of his peripheral vision for 9 months.

CADS grading scale: towards better grading of ophthalmic involvement in facial nerve paralysis.

Introduction: Ophthalmologists lack a facial nerve grading instrument (FNGI) that comprehensively encompasses the ophthalmic sequelae of facial nerve paralysis (FNP). Assessment and management of ophthalmic sequelae remains inconsistent, and outcomes of clinical studies are incomparable. We have developed and successfully adopted an FNGI based on four aspects of periorbital involvement: cornea, asymmetry, dynamic function and synkinesis.

Platinum segments: a new platinum chain for adjustable upper eyelid loading.

Purpose: Prospective study evaluating outcomes of individually sutured platinum segment chains in upper eyelid loading.

Methods: Single-centre, single-surgeon, prospective study. Upper eyelid loading with 0.

Ophthalmic grading of facial paralysis: need for a closer look.

Very many variations of facial grading systems have been developed, but none address the ophthalmic complications of facial nerve weakness adequately. The important priorities for ophthalmic surgeon are protecting the ocular surface, maintaining sight and peripheral vision, as well as improving the cosmesis of periocular area. The absence of a universally agreed grading system on the ophthalmic plastic complications of facial nerve paralysis is an obstacle to standardised treatment.

Single Injection of Bupivacaine for Correction of Strabismus.

A retrospective review of 30 patients with eso/exodeviations less than 20 prism diopters (PD) who underwent one injection of BPX into their medial/lateral rectus was carried out. Preoperative deviations were recorded in PD, using the alternate prism cover test. Postoperative angles at 1 and 3 months were measured in the same manner.

Uvulitis following general anaesthesia.

Uvular necrosis following endotracheal general anaesthesia is a rare complication. We report two cases of uvular and soft palate necrosis after atraumatic intubation with endotracheal tube and, in the second case, laryngeal mask airway.

Transient cystoid macular oedema in multiple choroidal naevi.

Choroidal Naevi are generally thought to be trivial. However, sometimes they cause visual loss, visual filed defect and rarely transform into malignant melanoma. We report the first case of unilateral numerous choroidal naevi in a healthy female associated with transient cystoid macular oedema and postulate about its pathogenesis.

Intracranial arachnoid cyst; an unusual cause of epiphora.

Purpose: To describe a case of unilateral intracranial arachnoid cyst in association with enophthalmos and epiphora on the same side.

Methods: Case report.

Results: A young man with symptoms of unilateral epiphora is described.

Bilateral viral retinitis in a patient with immune deficiency because of purine nucleoside phosphorylase deficiency.

Background: Progressive retinal outer necrosis is a devastating viral necrotizing retinitis, which affects predominantly immunocompromised patients. We report a case in which the ocular findings led to a search for an underlying immune deficiency, established as congenital purine nucleoside phosphorylase deficiency.

Methods: Retrospective, interventional case report.

Endophthalmitis following intravitreal injections.

Background: To report the clinical features, culture results, management and visual outcome of patients with endophthalmitis following intravitreal injections.

Methods: Retrospective review of all patients with suspected endophthalmitis after intravitreal injections treated with intravitreal antibiotics (teicoplanin and ciprofloxacin) at a referral centre between January 2003 and December 2010.

Results: Nineteen cases that had aqueous or vitreous biopsy were identified.

Challenges of managing sympathetic ophthalmia in a young child and the role of infliximab.

The authors report the difficult challenges and use of infliximab in the delayed presentation of a 2½-year-old boy with a penetrating eye injury from a small ballpoint pen that led to sympathetic ophthalmia.