Multinational Comparison of Prophylactic Antibiotic Use for Eyelid Surgery.

Importance: Antibiotic stewardship is important in controlling resistance, adverse reactions, and cost. The literature regarding antibiotic use for eyelid surgery is lacking.

Objectives: To determine standard care and assess factors influencing antibiotic prescribing practices for eyelid surgery.

A modified lacrimal sac implant for high-risk dacryocystorhinostomy.

Purpose: The reported 5% of patients with nasolacrimal duct obstruction who fail dacryocystorhinostomy likely include patients with severe mucosal disease or anatomical anomalies. The technique described herein avoids mucosal anastomosis and minimizes mucosal manipulation by inserting a permanent silicone conduit from the lacrimal sac into the nasal cavity.

Methods: This retrospective review of 9 surgical cases was performed with institutional review board approval.

A modified levine palpebral spring for the treatment of myogenic ptosis.

Purpose: Surgical treatment of myogenic ptosis usually requires a form of frontalis suspension. Complications can include entropion, headache, contour abnormalities, and poor eyelid excursion. The Levine palpebral spring has been used successfully to augment eyelid closure in more than 2,000 patients.

Wegener's granulomatosis of the orbit: a review of clinical features and updates in diagnosis and treatment.

Wegener's Granulomatosis (WG) is an uncommon systemic vasculitic disease involving the respiratory system and kidneys. It is the most common antineutrophil cytoplasm antibody (ANCA)-associated vasculitis. Orbital involvement in WG is a rare but potentially devastating disorder leading to visual loss and deformity.