Erdheim-Chester disease with chorioretinal and orbital involvement: a case report.

A 42-year-old woman presented with bilateral proptosis, chemosis, leg pain, and vision loss. Orbital, chorioretinal, and multi-organ involvement of Erdheim-Chester disease, a rare non-Langerhans histiocytosis, with a negative BRAF mutation was diagnosed based on clinical, radiological, and pathological findings. Interferon-alpha-2a (IFNα-2a) was started, and her clinical condition improved.

Erdheim-Chester disease with chorioretinal and orbital involvement: a case report.

A 42-year-old woman presented with bilateral proptosis, chemosis, leg pain, and vision loss. Orbital, chorioretinal, and multi-organ involvement of Erdheim-Chester disease, a rare non-Langerhans histiocytosis, with a negative BRAF mutation was diagnosed based on clinical, radiological, and pathological findings. Interferon-alpha-2a (IFNα-2a) was started, and her clinical condition improved.

Evaluation of Demographic Features of Eyelid Lesions.

Objectives: This study was an evaluation of demographic and histopathologic features of eyelid lesions.

Methods: The medical records of 261 patients (296 eyelid lesions) who attended a single clinic between 1997 and 2011 were examined retrospectively. The incidence of benign and malignant lesions, the pathological classification, and age and sex data were investigated.

Cervicofacial emphysema following unilateral external dacryocystorhinostomies: A case report.

Cervicofacial emphysema (CFE), mostly seen after trauma or dental procedures, is an unexpected, extremely rare condition after uncomplicated dacryocystorhinostomy (DCR). It may be misdiagnosed as angioedema or necrotizing fasciitis. In this article, we present the case of a 40-year-old female with CFE twice after uncomplicated unilateral DCR for left and right sides on different operative days.

Lagophthalmos and frozen globe as the initial presentation of invasive breast carcinoma.

A 75-year-old woman presented with six months history of progressing lagophthalmos and immobility of the left eye. Magnetic resonance imaging (MRI) of the orbit demonstrated infiltration of orbital fat and the extra-ocular muscles. We performed transverse blepharotomy of the left eyelid to correct lagophthalmos; and during surgery, we took a biopsy sample from levator muscle and orbital fat.

Incision-sparing management of canaliculitis.

Purpose: To report our results of canaliculitis treatment with our incision-sparing technique which includes dilation of the punctum and compression of the canaliculus to express the sulphur granules, curettage and irrigation of the canaliculus with antibiotic solutions, and topical antibiotic use.

Methods: The medical records of all patients treated for canaliculitis between October 2009 and March 2013 were rewiewed. The punctum of affected canaliculus was dilated under local anesthesia.

Comparison of revision surgeries with transcanalicular diode laser and external approaches in cases with failed transcanalicular diode laser dacryocystorhinostomy.

Purpose: To compare the success rates of revision surgeries with transcanalicular diode laser (TCDL) and external approaches in cases with failed TCDL dacryocystorhinostomy (DCR).

Methods: The medical records of the consecutive TCDL DCR surgeries performed for nasolacrimal duct obstruction between October 2009 and March 2013 were reviewed. Cases with the presence of canalicular stenosis, bone deformities, lacrimal sac neoplasms, additional intranasal deformities, dacryolithiasis, history of previous nasolacrimal surgery, and follow up less than 3 months were excluded from the study.

The efficacy of the combined procedure in involutional entropion surgery: a comparative study.

Purpose: To evaluate the efficacy of the combined procedure in the management of involutional entropion.

Methods: In this study, we reviewed 45 eyes of 36 patients who underwent the combined procedure (lateral tarsal strip, retractor tightening, and everting sutures) for the management of involutional lower eyelid entropion and compared the results with 31 eyes of 25 patients who underwent the Wies procedure. Exclusion criteria included previous lower eyelid surgery and follow-up of less than 6 months.

Effect of suturing the silicone rod to the tarsal plate and the suture material used on success of frontalis suspension surgery.

Purpose: To evaluate the effect of suturing the silicone rod to the tarsal plate and the suture material used in suturing on surgical success of frontalis suspension for congenital ptosis.

Methods: Eighty eyes of 56 consecutive patients who underwent frontalis suspension surgery using silicone rods for congenital ptosis between 2005 and 2011 were included in this retrospective study. The surgical results of eyes were compared, in which silicone had not been sutured to the tarsal plate (group 1), with those sutured with monofilament polypropylene suture (group 2), and those sutured with polybutylate-coated braided polyester suture (group 3).

Long-term outcomes of pegged and unpegged bioceramic orbital implants.

Purpose: To evaluate the long-term outcomes of pegged and unpegged bioceramic orbital implants.

Methods: A retrospective analysis of 101 cases of evisceration, enucleation, or secondary implant surgery with placement of a bioceramic porous implant was conducted. Type of surgery, existence of a peg, peg system used, time of pegging, problems encountered before and after pegging, treatment methods, and final status were recorded.

The outcome of silicone intubation and tube removal in external dacryocystorhinostomy patients with distal canalicular obstruction.

Purpose: To evaluate the outcome of silicone intubation and tube removal in external dacryocystorhinostomy (DCR) patients with distal canalicular or common canalicular obstruction.

Method: Seventy-five eyes of 69 patients with distal or common canalicular obstruction who had undergone external DCR and silicone tube insertion were included in the study. Silicone tube was left in place at least for 3 months.

A case of recurrent bloody tears.

Well-known causes of blood-tinged epiphora are conjunctival lesions, tumors of the lacrimal apparatus, and systemic bleeding disorders. We describe an unusual patient who presented with recurrent episodes of bloody tearing which began following an erythema multiforme-like drug eruption. He experienced chronic conjunctivitis which resulted in a few minor symblephara.

Congenital intrascleral cyst.

Congenital intrascleral cysts are rare. They are mostly located at the limbus with corneal involvement. We report a case of a 30-month-old boy with a bulber conjunctival cyst noticed at birth.

Conjunctival papilloma caused by human papillomavirus type 11 treated with systemic interferon in a five-year-old boy.

Conjunctival papilloma is a benign tumor of the conjunctival mucosa. In childhood, papilloma represents 7-10% of conjunctival tumors. Human papillomavirus (HPV)-6 and HPV-11 are the major HPV types responsible for conjunctival lesions.

Characteristics of pellet injuries to the orbit.

Purpose: To investigate the features of orbital injuries by pellets fired from the front.

Design: Retrospective, 4 cases of pellet injuries.

Methods: Five orbits of 4 patients who sustained pellet injuries received from the front were reviewed retrospectively.

Simple alternative to the Wright needle in frontalis sling surgery.

The Wright needle is a widely used instrument for insertion of fascia lata or a synthetic material during frontalis suspension surgery; however, difficulties in handling this instrument are frequently encountered by many surgeons. We describe an 18-gauge needle with a 4/0 monofilament polypropylene suture as an alternative to the Wright needle for placement of the sling material in frontalis suspension surgery. Less slippage and easier control of the needle's direction and depth of tissue penetration result in more accurate placement of the material and a reduction in damage to the surrounding tissues.

Anterior limbal approach in the treatment of a late and extensive post-traumatic retrobulbar abscess.

The authors report a case of acute development of an extensive retrobulbar abscess 3 weeks after an orbital floor fracture. Urgent drainage of the abscess was performed by an anterior transconjunctival approach. A dramatic recovery was observed a few days following the operation.

Myopia in preterm children at 12 to 24 months of age.

Purpose: To examine biometric factors that may influence the high incidence of myopia in pre-term children at 12 to 24 months of age.

Patients And Methods: Fifty eyes of 25 patients with myopia and 70 eyes of 35 patients with emmetropia at 12 to 24 months of age were selected from a group of preterm children who had been screened for retinopathy of prematurity and returned for follow-up examinations. Forty eyes of 20 full-term children of the same age were also included in the study as a control group.