Effects of orbital decompression on duction, cyclotorsion and diplopia.

Background: Orbital decompression is commonly performed to correct proptosis in patients with Graves' orbitopathy (GO). In literature, the incidence of new-onset constant diplopia after orbital decompression varies. Few studies have evaluated changes in duction and cyclodeviation after orbital decompression.

[Watery eyes: diagnostic and therapeutic considerations].

Tear complaints can arise from either an increased tear production or from a disturbed tear drainage. Increased tear production from the lacrimal gland is a neuroregulated response to a dried out or irritated ocular surface. Dryness often results from a reduced quality of the tear film, but can also be caused by eyelid malposition with increased globe exposure.

Recurrent contracted sockets treated with personalized, three-dimensionally printed conformers and buccal grafts.

Purpose: Recurrent contracted sockets are complex situations where previous surgeries have failed, disabling the wear of an ocular prosthesis. A combined method of surgery and long-term fixation using custom-made, three-dimensional (3D) printed conformers is evaluated.

Methods: Retrospective case series of nine patients with recurrent excessive socket contraction and inability to wear a prosthesis, caused by chemical burns ( = 3), fireworks ( = 3), trauma ( = 2) and enucleation and radiotherapy at childhood due to optic nerve glioma ( = 1) with three average previous socket surgeries (range 2-6).

Case series: effect of dermis-fat implants in different late onset socket problems encountered in retinoblastoma patients.

Background: Cosmetic dissatisfaction, pain, and chronic discharge may present months till years after enucleation in patients operated because of retinoblastoma. If noninvasive treatment modalities are insufficient, socket reconstruction can be considered. In this study, we discuss the results of dermis-fat exchange to treat these problems.

True abscess formation is rare in bacterial orbital cellulitis; consequences for treatment.

Background: Pre- or retroseptal bacterial orbital cellulitis (pOC/rOC) is not an uncommon orbital disease. Treatment consists of antibiotics with or without surgical drainage. Several questions regarding course, complications and outcome of treatment are unanswered and the indication for surgery is not well defined.

[Enophthalmos as a first sign of breast cancer].

Background: Metastasis of breast carcinoma to the orbit is characterized by symptoms of altered appearance and double vision. A combination of enophthalmos, ptosis and impairment of eye movements is typical. Sometimes these symptoms are the first manifestation of breast carcinoma.

Worldwide enucleation techniques and materials for treatment of retinoblastoma: an international survey.

Purpose: To investigate the current practice of enucleation with or without orbital implant for retinoblastoma in countries across the world.

Methods: A digital survey identifying operation techniques and material used for orbital implants after enucleation in patients with retinoblastoma.

Results: We received a response of 58 surgeons in 32 different countries.

Parallax-free exophthalmometry: a comprehensive review of the literature on clinical exophthalmometry and the introduction of the first parallax-free exophthalmometer.

Purpose: To present the first parallax-free exophthalmometer design.

Background: Exophthalmometry is an important clinical tool. We provide a historic overview of clinical exophthalmometer designs, and we review current problems encountered in exophthalmometry.

Unilateral and bilateral medial rectus recession in Graves' Orbitopathy patients.

Purpose: To evaluate the effect of uni- and bilateral medial rectus recession on squint angle and ductions in Graves' Orbitopathy (GO) patients.

Design: Retrospective case series.

Materials And Methods: Consecutive GO patients seen between January 2000 and March 2012 who were operated on one or both medial rectus muscles were selected for the study.

Quality of life improves after strabismus surgery in patients with Graves' orbitopathy.

Objective: To evaluate the influence of strabismus surgery on quality of life (QoL) in Graves' orbitopathy (GO) patients.

Design: Prospective study of case series.

Methods: Consecutive GO-patients who were scheduled for their first strabismus surgery were included in the study.

Orbital rhabdomyosarcomas: A review.

Rhabdomyosarcoma (RMS) is a highly malignant tumor and is one of the few life-threatening diseases that present first to the ophthalmologist. It is the most common soft-tissue sarcoma of the head and neck in childhood with 10% of all cases occurring in the orbit. RMS has been reported from birth to the seventh decade, with the majority of cases presenting in early childhood.