Teprotumumab for chronic TED

This retrospective case series looks at the use of teprotumumab in nine patients with thyroid eye disease (TED) of clinical activity score ≤one and >nine months duration, in an American cohort. Current European guidelines have suggested the use of teprotumumab...

Does vicryl stand the test of time?

This retrospective study aimed to assess whether the long-term success of ptosis surgery was influenced by use of absorbable or non-absorbable sutures. Four hundred and fifty-five operations in 330 patients met the inclusion criteria. One hundred and sixty-nine operations were...

Customised orbital implants

This is a literature review of the outcomes of orbital fracture repairs using custom-made orbital implants. Customised implants were manufactured in one of three ways, all using a 3D printer; manual moulding of an implant based on a 3D-printed model...

Steroid-eluting Spongostan improves endoscopic DCR success

This is a retrospective analysis of a change in technique for endoscopic dacryocystorhinostomy (endo-DCR) surgery. The authors compared the outcomes of 55 patients between 2011 and 2013 with 187 from 2013 to 2020 who all underwent endo-DCR. In 2013 the...

Risk factors for visual impairment in facial nerve palsy

Facial nerve palsy (FNP) is known to be associated with corneal exposure due to the nature of the condition, but how many of those will go on to develop severe visual impairment (SVI)? This study investigates the risk factors associated...

Lacrimal drainage system malignancies

This retrospective case series looks at the rare cases of lacrimal drainage system malignancies. The authors have identified 14 patients in 24 years, at a tertiary referral centre in the Indian subcontinent. Many previous publications have found squamous cell carcinoma...

Ocular adnexal mantle cell lymphoma

In this study the authors compare primary ocular adnexal (OA) mantle cell lymphoma (MCL) with initially systemic MCL occurring over a 30-year period. MCL is a rare form of lymphoma accounting for 5-11% of OA lymphomas and therefore knowledge of...

Computer-assisted surgery in the orbit

In this paper the authors describe the growing use of computer-assisted surgery in ophthalmology. It is already described as a powerful adjunct in neurosurgery and sinus surgery and here they describe their experience of using it for the orbit; specifically...

Anatomical variations of the nasolacrimal system

The authors report a retrospective observational case series of 734 dacryocystography images; 689 from adult patients and 45 from paediatric patients. Of these 734 images, 35 (4.8%) were found to have an anatomical variant where the nasolacrimal duct emerged from...

Adjuvant radiotherapy in orbital malignancy

This is a retrospective review of high dose volumetric modulated arc radiotherapy (VMAT) for adjuvant treatment of patients with orbital malignancy who had already undergone local excision or exenteration. VMAT differs from conventional external beam radiotherapy in that it is...

How to reconstruct an upper lid defect

In this 10-year review, the authors look at published techniques for repairing upper lid defects and their respective success. Of the 10 studies included in this paper, they divide the techniques described within to bridging and non-bridging. Bridging techniques tend...

Hidden spread of sebaceous cell carcinoma

This was a review of 29 patients who had undergone orbital exenteration for sebaceous cell carcinoma. Prompted by the increasing use of topical treatments for intraepithelial disease, the authors were keen to discover the frequency of spread of tumour cells...