Orbit

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Recognising meibomian gland inversion in patients with facial palsy to improve the ocular surface

Katja Ullrich & Raman Malhotra

doi : 10.1080/01676830.2019.1705500

Orbit, Volume 40, Issue 1 (2021), Pages: 1-8

Facial nerve palsy (FNP) is known to worsen Meibomian gland dysfunction on the affected side. Chronic Meibomian gland dysfunction leads to a variant of upper eyelid marginal entropion associated with excessive tarsal curling, termed Meibomian gland inversion (MGI). Surgical correction with grey line split, tarsoplasty and anterior lamellar repositioning (GLS surgery) appears to further improve the ocular surface in these patients who have previously undergone upper eyelid loading.

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Validating three-dimensional imaging for volumetric assessment of periorbital soft tissue

Jonathan N. Hyer, Fabiola Murta, Valerie A. R. Juniat & Daniel G. Ezra

doi : 10.1080/01676830.2020.1711780

Orbit, Volume 40, Issue 1 (2021), Pages: 9-17

To evaluate the accuracy and interobserver variability of three-dimensional (3D) stereophotogrammetric imaging for volumetric assessment in the periorbital region and to propose a protocol for measurement.

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Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency

Abdulmajeed Alaboudi, Osama Al-Shaikh, Dalal Fatani & Adel H. Alsuhaibani

doi : 10.1080/01676830.2020.1717548

Orbit, Volume 40, Issue 1 (2021), Pages: 18-23

To study acute dacryocystitis in a pediatric age group, focusing on patients’ demographic profiles, clinical presentation, and management outcome.

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External levator resection for involutional ptosis: is intraoperative suture adjustment necessary for good outcomes?

Phillip M. Radke, Tal J. Rubinstein, Daniel J. Repp & Bryan S. Sires

doi : 10.1080/01676830.2020.1725064

Orbit, Volume 40, Issue 1 (2021), Pages: 24-29

To directly compare an algorithmic external levator resection technique with the choice of intraoperative adjustment to the same technique without intraoperative adjustments.

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Acute angle plication of optic nerve glioma as a mechanism of rapidly progressive visual loss

Andrea A. Tooley, Nailyn Rasool, Ashley Campbell & Michael Kazim

doi : 10.1080/01676830.2020.1733027

Orbit, Volume 40, Issue 1 (2021), Pages: 30-33

The majority of pediatric patients with optic nerve gliomas (ONG) remain asymptomatic; however, a subset of patients suffer rapid, irreversible visual loss. The purpose of this study was to determine anatomic differences of ONG noted either by imaging or by intra-operative observation between patients with gradual visual dysfunction and those with rapid visual loss.

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Tear transit time evaluation using real-time technique for dynamic MR dacryocystography

Swati Singh, Anuj Dhull, Dinesh Selva & Mohammad Javed Ali

doi : 10.1080/01676830.2020.1735453

Orbit, Volume 40, Issue 1 (2021), Pages: 34-38

To explore the utility of a novel real-time dynamic magnetic resonance dacryocystography (MRDCG) technique to assess the transit times through the lacrimal drainage system (LDS).

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Polytetrafluoroethylene frontalis suspension in blepharospasm with eyelid apraxia: an effective and well-tolerated adjunct to botulinum toxin therapy

Adam R. Sweeney, Christopher R. Dermarkarian, Katherine J. Williams, Richard C. Allen & Michael T. Yen

doi : 10.1080/01676830.2020.1739081

Orbit, Volume 40, Issue 1 (2021), Pages: 39-43

To report the efficacy of polytetrafluoroethylene (PTFE) frontalis suspension for blepharospasm with eyelid apraxia and postoperative botulinum toxin requirements.

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Oculofacial plastic surgery-related online search trends including the impact of the COVID-19 pandemic

Daniel B. Azzam, Sanja G. Cypen & Jeremiah P. Tao

doi : 10.1080/01676830.2020.1852264

Orbit, Volume 40, Issue 1 (2021), Pages: 44-50

The authors aim to characterize oculofacial plastic surgery-related online interest that may be useful in forecasting demand and in designing patient-directed online resources.

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Cystic squamous cell carcinoma of the orbit

H. Oliphant, J. Wall, L. Abbeel, K. Allan & S. N. Rajak

doi : 10.1080/01676830.2020.1711779

Orbit, Volume 40, Issue 1 (2021), Pages: 51-54

Both primary and secondary squamous cell carcinoma (SCC) of the orbit are rare entities, though cystic SCC is even more so. It may provide a significant diagnostic conundrum to oculoplastic surgeons.

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Extramammary orbital myofibroblastoma: a rare orbital tumor

Sinha Dimpi, Sharma Sukrity, Kale Sudhir Kumar, Gorur Mohammed Imran & Kaur Tripti

doi : 10.1080/01676830.2020.1711781

Orbit, Volume 40, Issue 1 (2021), Pages: 55-59

Extra-mammary myofibroblastomas are rare benign mesenchymal neoplasms, histologically and immune-phenotypically identical to mammary myofibroblastomas. Histologically, they are characterized by the abundance of spindle cells in hyalinized collagenous stroma with positive expression of CD 34 and desmin. We present an extremely rare case of extra-mammary myofibroblastoma of the orbit in a 29-year – old male who presented with painless proptosis of the right eye, with a description of clinical, radiological, and histological findings.

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A rare case of orbital angioleiomyoma

Shiao Wei Wong, James Laybourne, Luciane Irion & Anne Cook

doi : 10.1080/01676830.2020.1717547

Orbit, Volume 40, Issue 1 (2021), Pages: 60-64

A 65-year old woman presented with 3-year history of painless, gradual swelling of the right upper eyelid associated with proptosis. Computed tomography (CT) and magnetic resonance imaging (MRI) of the orbit showed a well circumscribed soft tissue mass in the supero-lateral orbit. An excision biopsy of the lesion was performed via lateral orbitotomy. Histopathology examination and immunochemistry staining confirmed the diagnosis of cavernous angioleiomyoma.

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High-risk human papillomavirus positive primary squamous cell carcinoma of the lacrimal gland: a case report

Jiawei Zhao, Harry Quon, Wayne Koch, Lisa M Rooper & Ashley A Campbell

doi : 10.1080/01676830.2020.1718714

Orbit, Volume 40, Issue 1 (2021), Pages: 65-68

A 78-year-old Caucasian female presented with a painless mass in the right orbit that had progressively enlarged over several months. Computed tomography scan of the orbits showed a right lacrimal gland mass with no bony erosion. Histopathologic analysis of the biopsy specimen revealed invasive squamous cell carcinoma positive via in-situ hybridization for high-risk human papillomavirus. The patient underwent successful removal of the right lacrimal gland tumor en bloc, followed by adjuvant radiotherapy. This is an extremely rare case of primary squamous cell carcinoma of the lacrimal gland and the first report describing human papillomavirus positivity in this tumor location.

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Plasma cell granuloma of the conjunctiva in a young female

Md. Shahid Alam, Vathsalya Vijay, Atanu Barh & Krishnakumar Subramanian

doi : 10.1080/01676830.2020.1727538

Orbit, Volume 40, Issue 1 (2021), Pages: 69-72

Plasma cell granuloma is a rare non-neoplastic inflammatory condition of unknown etiology commonly involving lung and gastrointestinal tract. Conjunctival disease per se is very rare and usually associated with involvement of other organs. We report a case of conjunctival plasma cell granuloma without any systemic involvement in a 9-year-old girl who presented with bilateral reddish vascularised subconjunctival episcleral mass. An excision biopsy of the mass in the left eye followed by histopathologic examination and Immunohistochemistry confirmed the diagnosis.

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Punctal pseudoepitheliomatous hyperplasia mimicking a mass lesion

Nandini Bothra & Mohammad Javed Ali

doi : 10.1080/01676830.2020.1737145

Orbit, Volume 40, Issue 1 (2021), Pages: 73-74

A 46-year-old lady presented with progressively growing mass from the inner side of the right upper eyelid. The mass was elevated, pinkish with surface vessels, engulfing the puncta. Careful evaluation revealed a patent punctal opening. Excision biopsy of the mass was carried out. Histopathology showed pseudoepitheliomatous hyperplasia with few inflammatory cells. We describe a case of punctal pseudoepitheliomatous hyperplasia masquerading as a punctal granuloma or papilloma.

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Cutaneous T-cell lymphoma of the eyelid masquerading as dermatitis

Sitara H. Hirji, Michelle M. Maeng, Ann Q. Tran, Wen-Hsuan W. Lin & Lora R. Dagi Glass

doi : 10.1080/01676830.2020.1739080

Orbit, Volume 40, Issue 1 (2021), Pages: 75-78

Cutaneous T-cell lymphoma (CTCL) may pose a diagnostic challenge for physicians, as clinical presentation and histologic analysis may mimic benign dermatologic conditions. The authors present a case of recurrent CTCL in which the recurrence was limited to the eyelid and misdiagnosed as a contact dermatitis. To the best of the authors’ knowledge, this is the first reported case of recurrent CTCL that has presented solely as dermatitis of the eyelid.

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