Periumbilical fat auto-graft associated to a porous orbital implant for socket reconstruction after enucleation.

Having to remove the sclera, fat and the optic nerve in patients undergoing an enucleation, translates in a larger volume that needs to be replaced to achieve good motility and aesthetic results. Using a 20 or 22 mm implant can only partially replace the removed volume. We report the results of our enucleation technique, which includes the use of a porous orbital implant combined with a primary fat graft to replace a higher percentage of the removed volume to achieve a better cosmetic outcome and to avoid implant related complications in high risk patients.

Giant Blue Nevus: A New Association to Nevus of Ota.

Nevus of Ota, also known as oculodermal melanocytosis, is a congenital pigmentary condition that can affect structures in the distribution of the ophthalmic and maxillary divisions of the trigeminal cranial nerve. Malignant transformation, although rare, may occur within nevus of Ota and result in uveal, cutaneous, orbital or even dural melanoma. We present a new association of Nevus of Ota complicated with a giant orbital Blue Nevus in a young white male and the management of this tumor.

Fat transposition with a single subdermal stitch for the treatment of deep tear trough.

Goal: To describe a fixation technique of the medial and central fat pads in the subperiosteal pocket for transconjunctival fat transposition, using a single subdermal, non-removable, non-absorbable stitch.

Materials And Methods: Retrospective study of 19 patients with bilateral deep tear through treated by means of transconjunctival fat transposition. Charts and photographic records were reviewed.

Periumbilical fat graft: a new resource to replace large volume in the orbit.

Goal: To describe the technique we use to obtain a fat graft from the periumbilical area to replace volume in our patients requiring total or partial orbital volume restoration or replacement.

Materials And Methods: Under local anaesthesia a one-piece fat auto-graft is obtained from one of the quadrants of the periumbilical zone through a 10- to 15-mm incision at the umbilicus edge.

Results: Excised adipose tissue contains connective tracts, with medium and small vascular vessels with discrete thickened wall and preserved endothelium, with more blood cells, and less dead cells.

Early frontalis flap surgery as first option to correct congenital ptosis with poor levator function.

Unlabelled: In congenital blepharoptosis the upper eyelid cannot be lifted normally because of congenital impairment in the levator function. The descended eyelid margin partially or completely obstructs of the visual axis with the consequent risk of amblyopia. Frontalis suspension is the surgery of choice for ptosis with poor levator function creating a linkage between the frontalis muscle and the tarsus; the frontalis muscle is used to elevate the eyelid.

Thermal damage influences endonasal dacryocystorhinostomy success.

Objective: To compare the success rates of two surgical methods of endonasal dacryocystorhinostomy (DCR) at the stage of ostium creation. In procedure 1, a Colorado needle is used to create the mucosectomy, while in procedure 2 no heated instruments are applied to the mucosa.

Methods: A total of 173 patients (218 eyes) underwent endonasal DCR between 2006 and 2009.

Photodynamic therapy in the management of circumscribed choroidal hemangioma.

Objective: To evaluate the efficacy of photodynamic therapy (PDT) for symptomatic circumscribed choroidal hemangioma (CCH).

Design: A retrospective case series analysis through chart review of patients with CCH treated by means of PDT.

Participants: Thirteen patients with circumscribed choroidal hemangioma.

Spontaneous regression in a case of racemose haemangioma archer's type 2.

Background: Racemose hemangioma of the retina is a benign arteriovenous communication that can occur as an isolated solitary lesion or as a component of the Wyburn-Mason syndrome. We report a case of a patient with an Archer's type 2 arteriovenous malformation that spontaneously regressed.

Methods: A retrospective clinical chart review.