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Analysis and outcome of explanted hydroxyapatite orbital implants

This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...

Less extrusion of StopLoss Jones tubes

This is a retrospective comparison of the survival of StopLoss Jones tubes with conventional Lester Jones tubes. Between 2014 and 2016, 31 StopLoss and 59 Lester Jones tubes were inserted. The authors compared the extrusion and sinking-in rates between the...

CD73 in aggressive basal cell carcinoma

This is a retrospective review looking at levels of CD73 in aggressive basal cell carcinomas (BCCs) that invade the orbit. Eleven patients who underwent orbital exenteration for invasion by BCCs were compared with 10 matched controls who had simple nodular...

Topical steroids and ptosis surgery

This is a retrospective review examining the effect of prior topical steroid use on patients undergoing ptosis surgery. Out of a total of 406 eyelids undergoing ptosis repairs, 44 had received topical steroids for an average of 3.7 years prior...

Carcinoid tumours

This is a retrospective review of 28 patients with carcinoid tumours affecting the orbit. The mean age at presentation of the orbital involvement was 62 years, with a slight female preponderance, and 21% had carcinoid syndrome. Proptosis and diplopia were...

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...

Pupil abnormalities after orbital surgery

This is a retrospective review of 287 patients who underwent removal of an orbital cavernous haemangioma (cavernous venous malformation), to ascertain the incidence of surgically induced pupillary abnormalities. Forty-four patients had lesions removed from the anterior or extraconal orbit, none...

Corneal neurotisation with an allograft

This is the first reported use of an acellular nerve allograft for corneal neurotisation. Seven patients received a 7cm long commercially prepared acellular nerve allograft. This was coapted to a functioning supratrochlear, supraorbital or infraorbital nerve and then tunnelled to...

IgG4-related disease or Graves orbitopathy

This is retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...

Orbital filler for enophthalmos in Parry-Romberg syndrome

This is a retrospective review of three patients with enophthalmos in sighted eyes secondary to Parry-Romberg syndrome. The patients were all female, aged between 24 and 54. All three patients had 4mm of relative enophthalmos prior to treatment. They each...

Fixed or variable Muller’s muscle resection

This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...

Acute dacryocystic retention

This is a retrospective study of patients with acute dacryocystic retention (ADR). The condition is distinct from infectious dacryocystitis, and is characterised by an acute onset of pain and epiphora associated with a tender but not inflamed lacrimal sac thought...