Oculoplastics News

In complicated ptosis cases with poor levator function that underwent silicone rod frontalis suspension surgery, the majority of patients achieved a subjectively acceptable result, but some had increased eyelid height and resulting revision, a study found.

With no statistical difference in pain level in use of 30-gauge or 32-gauge needles in periocular botulinum toxin type A injections, other differences should be considered when selecting the appropriate needle for those injections, a study found.

Optimal cosmetic reconstruction can often be achieved with the use of a hydroxyapatite ocular implant. It has a lower rate of infection and implant extrusion as compared with other implants. These implants are made up of calcium phosphate, a normal constituent of bone. The porous configuration allows for fibrovascular tissue ingrowth and implant integration into orbital tissues. A hydroxyapatite ocular implant does not react like a foreign body, resists extrusion and migration, appears to be relatively resistant to infection, and can be used as a direct motility implant after orbital tissue integration. However, any exposure of the implant may be a potential setting for infection. Hence, optimal coverage of the implant is imperative. In this article, Drs. Naugle and Fry describe a useful surgical method of using posterior auricular muscle complex graft for the surgical management of hydroxyapatite ocular implant exposure.

An anterior staphyloma, as seen in Figure 1, is a challenging entity.

An enhanced frozen-section control technique for basal cell carcinoma helped preserve healthy tissue at the surgical margins, according to a study.

Somatostatin receptor scintigraphy proved effective in confirming clinical diagnoses of optic nerve sheath meningioma, according to a study.

In addition to already recognized risk factors for the progression of choroidal nevi to melanoma, ultrasonographic hollowness and the absence of halo may also predict progression, according to a study.

Brachytherapy with a single radioactive isotope effectively reverses ciliary body tumor growth with generally manageable complications, offering a reasonable alternative to enucleation and other surgical interventions.

Most patients with ocular melanoma said in a survey they would want to undergo genetic testing to determine the risk of their cancer spreading, according to a team of UCLA researchers.

Scintigraphy more often correlates with clinical evaluation of epiphora compared with dacryocystography, which may be insufficient to identify physiological dysfunction of the lacrimal system.