TY - JOUR. T1 - Comparison of surgical outcomes of large orbital fractures reconstructed with porous polyethylene channel and porous polyethylene titan barrier implants. AU - Kim, Chang Yeom. AU - Jeong, Byung Jin. AU - Lee, Sang Yeul. AU - Yoon, Jin Sook. PY - 2012/5. Y1 - 2012/5. N2 - Purpose: To compare the postoperative outcomes of large orbital fractures repaired with porous polyethylene (PP) channel implants (PPCIs) and PP titan barrier implants (PPTBs). Methods: Medical records of 42 patients who underwent surgical reconstruction for a large orbital fracture with either PPCI or PPTB were reviewed retrospectively. The degree of diplopia, determined with a binocular single vision test, and enophthalmos, measured by a Hertel exophthalmometer, was compared between 2 implant groups. Orbital volumes were calculated using CT scans and the measuring tool. Results: Of the 42 patients examined, 16 received PPCI and 26 received PPTB. No significant difference in the degree of diplopia was observed ...

MalaCards based summary : Enophthalmos is related to yemenite deaf-blind hypopigmentation syndrome and intraocular pressure quantitative trait locus. An important gene associated with Enophthalmos is ERCC6 (ERCC Excision Repair 6, Chromatin Remodeling Factor). The drugs Ketamine and Bupivacaine have been mentioned in the context of this disorder. Affiliated tissues include bone, eye and breast, and related phenotypes are nervous system and vision/eye ...

title: Comparison of surgical outcomes of large orbital fractures reconstructed with porous polyethylene channel and porous polyethylene titan barrier implants, doi: 22460672, category: Article

Background. Extensive bone loss after orbital trauma requires reconstruction to preserve ocular function and aesthetics. The optimal material for orbital reconstruction remains controversial. Today a multitude of both autogenous and alloplastic materials have been used for orbital reconstruction, including methylmethacrylate, Teflon, silicone, Supramid, Marlex, Silastic, gelatin film, bioactive glas, bone and cartilage (Haug 1999). The use of alloplastic materials has been tempered by complications such as infection, displacement and extrusion, fistula and cyst formation. During the past two decades, autogenous bone grafts have become increasingly popular for orbital reconstruction. Unfortunately, problems with bone grafts can occur and include unpredictable rates of bone resorption and the risk of subsequent dystopia or delayed enophthalmos, donor site complication, time consumption with harvesting and variable graft thickness and irregularities along with difficulty in graft contouring (Park ...

Soparkar CN, Patrinely JR, Cuaycong MJ, Dailey RA, et al. The silent sinus syndrome. A cause of spontaneous enophthalmos. Ophthalmology. 1994 Apr; 101(4):772-8. Montgomery WW. Mucocele of the maxillary sinus causing enophthalmos. Eye Ear Nose Throat Mon. 1964 May; 43:41-4. Eto RT, House JM. Enophthalmos, a sequela of maxillary sinusitis. AJNR Am J Neuroradiol. 1995 Apr; 16(4 Suppl):939-41. Numa WA, Desai U, Gold DR, Heher KL, et al. Silent sinus syndrome: a case presentation and comprehensive review of all 84 reported cases. Ann Otol Rhinol Laryngol. 2005 Sep; 114(9):688-94. Sivasubramaniam R, Sacks R, Thornton M. Silent sinus syndrome: dynamic changes in the position of the orbital floor after restoration of normal sinus pressure. J Laryngol Otol. 2011 Dec; 125(12):1239-43. Kass ES, Salman S, Montgomery WW. Manometric study of complete ostial occlusion in chronic maxillary atelectasis. Laryngoscope. 1996. Oct; 106 (10): 1255-8. Suh JD, Ramakrishnan V, Lee JY, Chiu AG. Bilateral silent sinus ...

Enophthalmos is the posterior displacement of the eyeball within the orbit due to changes in the volume of the orbit (bone) relative to its contents (the eyeball and orbital fat), or loss of function of the orbitalis muscle. It should not be confused with its opposite, exophthalmos, which is the anterior displacement of the eye. ...

Enophthalmos is an important physical sign which can be easily missed. A 64-year old female presented with painless and progressive shrinking of her right eye. Visual acuity was 6/6 in both eyes. The main clinical findings included exophthalmometry readings of 14 mm in the right eye and 22 mm in the left eye and a linear scar on her right forehead. This scar is a feature of linear scleroderma and called

ICD-9 code 376.50 for Enophthalmos unspecified as to cause is a medical classification as listed by WHO under the range - DISORDERS OF THE EYE AND ADN

The re-establishing of exact orbital volumes is a main goal in orbital reconstruction to avoid long-term sequelae [14-16]. Measurement of the orbital volume is reliable and three-dimensional shape analysis allows for post-operative reconstruction control as far as radioopaque reconstruction material was applied.. Orbital volume was significantly enlarged in complex orbital trauma that meets the authors indication for the use of navigation-assisted surgery. In minor orbital trauma, such as orbital floor fractures limited to the anterior third, the degree of the orbital enlargement was not significant compared to the unaffected side. That could be because of the normal existing facial asymmetry [17] or bony variability [18]. Different studies with comparable volumetric methods state that enophthalmos is mainly related to enlargement of the bony orbit and exact reconstruction and repositioning of orbital soft tissue will correct or at least significantly improve post-traumatic enophthalmos, ...

Purpose:. Primary aim:. Three dimensional volumetric assessment of the changes in orbital soft tissues in patient with post-enucleation socket syndrome, using the new 16-slice multi-detector computed tomography scanner.. Background:. Post-enucleation socket syndrome (PESS - enophthalmos, superior sulcus deformity, ptosis or upper eyelid retraction and lower eyelid laxity1) is a well recognized late complication of enucleation surgery. The underlying pathophysiology, however, has not been well established. It is especially prominent when there is inadequate orbital volume replacement or contraction of the socket.2. Superior sulcus deformity (Fig.1) manifests as a deep groove or space between the upper eyelid and the superior orbital rim. In a review by Smerdon and Sutton, it was the only significant factor related to poor cosmetic satisfaction.3 It was suggested that the loss of orbital volume and relaxation of tissues were the causes.4. With the advance in orbital implant development, most ...

You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under My PayPerView. You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal ...

Silent sinus syndrome is a spontaneous, asymptomatic collapse of the maxillary sinus and orbital floor associated with negative sinus pressures. It can cause painless facial asymmetry, diplopia and enophthalmos . Usually the diagnosis is suspected clinically, and it can be confirmed radiologically by characteristic imaging features that include maxillary sinus outlet obstruction, sinus opacification, and sinus volume loss caused by inward retraction of the sinus walls. Treatment is surgical involving making an outlet for mucous drainage from the obstructed sinus. References Illner A, Davidson HC, Harnsberger HR, Hoffman J (2002).

The silent sinus syndrome represents maxillary sinus atelectasis that results in painless enophthalmos, hypoglobus and facial asymmetry 1-3. Some authors restrict the term to patients with no history of sinusitis, trauma or surgery 2. Epidemiolo...

TY - JOUR. T1 - Endoscopic sinus surgery for the treatment of frontoethmoidal mucocele complicated with orbital abscess. T2 - a case report.. AU - Chen, Tsung-Ming. AU - Lee, T. J.. AU - Huang, T. S.. PY - 1997/1/1. Y1 - 1997/1/1. N2 - Mucoceles may develop after several decades following sinus surgery. They can progressively expand over many years and destroy the surrounding bones, which may result in severe complications such as orbital infection or intracranial lesions. A 68-year-old woman was hospitalized with the chief complaints of exacerbated right orbital swelling and progressive visual loss for one week in May 1995. Under the impression of the right frontoethmoidal mucocele complicated with orbital abscess, she underwent endoscopic sinus surgery for marsupialization and wide drainage of the mucocele. The symptoms subsided one week post-operatively without ophthalmological sequelae. There has been no recurrence one-year post-operatively. Endoscopic sinus surgery is an effective treatment ...

A 39-year-old man presented to his ophthalmologist with a complaint of his right eye looking different from his left eye for the past 6 months. He denied any pain, foreign body sensation, double vision or other ocular complaints. He also denied any history of trauma or recent facial surgery; he had a history of a broken nose as a teenager and nasal surgery to correct it at that time. Full Story →. ...

Chloe Lukasiak, former Dance Moms star, joins The Doctors to discuss undergoing surgery for silent sinus syndrome, which caused one of her eyes to appear larger than the other.

Am J Sports Med 2001;29(1)67в71. Tu Мnnermann,S. They interact with a вdeath inhibitorв (CED-9 in C. See Liposuction, of face and neck Sun-reactive skin types, 138, 138t Superficial circumflex iliac artery, in iliac crest free flaps, Well butrin Superficial cybalta, 5f, 9, 9f Superficial musculoaponeurotic system, 9 facial incisions and, 29 in rhytidectomy, 156в157, 157f with skin elevation and undermining, 160в163, 162fв163f temporalis transposition and, 675 Superficial wellbutirn microfils, in aesthetic dentistry, 355 Superficial temporal parietal fascia flap, 573в574, 574f advantages and disadvantages of, 574 anatomy of, Wellbutrin taken with cymbalta, 574f for cymbalta fda approval depression base defects, 585 surgical technique for, 574, 574f Page 927 пппппп908 Index Superior constrictor muscle, 875t Superior sulcus deformity, reconstruction in, 656, 656f Superior withh flap, 562в563, 563f Supramid (polyamide mesh) implants, 61, 66, 66f Supratip, 111t Sural nerve graft, in wellbutrin

Pulsating proptosis may be due to carotid-cavernous fistula, arterial orbital vascular malformation, or transmission of cerebral pulsations due to a bone defect such as in the sphenoid dysplasia of type 1 neurofibromatosis. Proptosis that increases on bending the head forward or with Valsalva maneuver can be a sign of venous orbital vascular malformation (orbital varices) or bone defect. Intermittent proptosis may be the result of a sinus mucocele. The Hertel exophthalmometer (see Chapter 2) is the standard method of quantifying the magnitude of proptosis. Serial measurements are most accurate if performed by the same individual with the same instrument. Pseudoproptosis is apparent proptosis in the absence of orbital disease. It may be due to an enlarged globe from high myopia or buphthalmos, lid retraction, extraocular muscle weakness or paralysis, asymmetrical orbital size, or posterior displacement (enophthalmos) of the contralateral globe. ...

Blowout fractures demonstrating significant entrapment or enophthalmos are treated by orbital exploration and reinforcement of the floor with mesh or bone grafting. Experience with this condition propranool prevent an unnecessary bowel resection.

19 yrs old Male asked about Regarding Dark Circles and Sunken Eyes, 2 doctors answered this and 38 people found it useful. Get your query answered 24*7 only on | Practo Consult

N-channel, metal-oxide-silicon, field-effect transistors (MOSFETs) often utilize additional P-type (boron) doping under the thick, field, isolation oxid...

Born Dead Icons, hailing form Quebec, play dark/melodic d-beat in the vein of From Ashes Rise/Tragedy; throw in some crusty sprinkles on top and Im sold. Its nothing to original but definitely worth checking if you are a fan of the genre, and you like hearing your d-beat on the slower side of things. The band broke up in 07, releasing this record, their first lp, in 2000 ...

A very lovely and beautiful pedigree female rottweiler is available. At just 16 weeks of age and with her distinct black and tan color,large box head,and large body she is a must have to breeders or wants to improve their breeding project or dog lovers who wants to experience what a pedigree rottweiler looks like ...

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Hollow Eyes/Dark Circles (also referred to as tired or sunken eyes). Many people complain that their lower eye area is hollow or they have dark circles under their eyes, thus making them look tired and older than they feel. This is a common concern that often presents in combination with other challenges around the eyes. There could be several issues at hand in this situation that warrants a consultation with a physician for treatment options. In some patients, the positioning of the brow bone may cast a shadow under the eyes.. Learn More ...

One great moment this past week was when I gave one of our AIDS patients (M.) a toothbrush that was donated by one of my patients back home to hand out here. She is wasted and quite ill, on treatment for TB and PCP pneumonia and not eating well at all. She had teeth that have been stained by her iron supplementation and had no toothbrush to clean them. She lay gaunt in bed with sunken eyes as we started on examination of her. When we were done, I asked her if she would like a toothbrush and toothpaste to clean her teeth. I gave her the package and had to open the brush packet as she was too weak to do so herself. She looked at our team with a huge smile. Now for the past two days, her smile has graced us each day on rounds as her teeth are getting whiter by the day. Thanks, Mr. and Mrs. Walker, for the gift you gave to M. and many others here. I am not sure if she will survive but she has known compassion and caring from strangers in a far away land. If she can pull through and get on HIV ...

One great moment this past week was when I gave one of our AIDS patients (M.) a toothbrush that was donated by one of my patients back home to hand out here. She is wasted and quite ill, on treatment for TB and PCP pneumonia and not eating well at all. She had teeth that have been stained by her iron supplementation and had no toothbrush to clean them. She lay gaunt in bed with sunken eyes as we started on examination of her. When we were done, I asked her if she would like a toothbrush and toothpaste to clean her teeth. I gave her the package and had to open the brush packet as she was too weak to do so herself. She looked at our team with a huge smile. Now for the past two days, her smile has graced us each day on rounds as her teeth are getting whiter by the day. Thanks, Mr. and Mrs. Walker, for the gift you gave to M. and many others here. I am not sure if she will survive but she has known compassion and caring from strangers in a far away land. If she can pull through and get on HIV ...

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Blowout fractures in the medial orbital wall may lead to enophthalmos, ocular dysmotility, and diplopia. Ten consecutive patients with unilateral, isolated fractures of the medial orbital wall were retrospectively studied. The radiologic accuracy of the medial orbital wall reconstructions and the long-term clinical outcomes were assessed. All cases were treated through a bicoronal approach and by use of porous polyethylene-titanium implants. The total fracture area and the orbital volume increase from the blowout were measured on computed tomographic scans. Next, we evaluated the reconstruction in the posterior part of the medial wall. This was done by calculating the ratio between the defect area and the implant area located behind the anterior ethmoidal canal. The patients were examined at least 1 year after the operation, and the rates of enophthalmos and diplopia were evaluated. The mean fracture defect area was 2.45 cm(2) (range, 0.41-4.16 cm(2)), and the mean volume increase from the ...

A retrospective study of patients with orbital fractures had 48% patients in the age group of 20 - 40 years with male : female ratio of 10:1. Road traffic accidents (71.43%) were the most common cause followed by injury due to fall (20%). Eighty five percent of patients had normal visual acuity at presentation and 65.57% patients had no ocular complaints. Diplopia was present in 14.2% of patients. Of the orbital fractures infraorbital rim was involved in 43.13%, floor in 19.6%, lateral wall in 13.7%, pure blow out in 14.28% and the roof in 2.9%. Important ocular findings were extraocular movements restriction in 9 (10.3%), infraorbital dysaesthesia in 3 (3.4%), enophthalmos in 2, RAPD and globe rupture in 1 patient each. 32 patients underwent surgical management. At the end of 4 months of follow up, 3 had restriction of EOM, 1 patient had vision loss due to globe rupture, 2 had RAPD (optic nerve compression), 1 had lagophthalmos, 1 had exotropia and 1 had atrophic bulbi. ...

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TY - JOUR. T1 - Correlation between orbital volume, body mass index, and eyeball position in healthy East Asians. AU - Yoo, Jun Ho. AU - Lee, Young Hen. AU - Lee, Hwa. AU - Kim, Jung Wan. AU - Chang, Minwook. AU - Park, Minsoo. AU - Baek, Se Hyun. PY - 2013/5/1. Y1 - 2013/5/1. N2 - PURPOSE: The objectives of this study were measure the orbital volume of healthy Koreans and analyze the differences between orbital tissue volume with respect to age and sex and to assess any correlation between body mass index (BMI), eyeball position, and orbital volume. METHODS: We retrospectively evaluated the scan results of patients who had undergone orbital computed tomography scans between November 2010 and November 2011. We assessed the scan results of 184 orbits in 92 adults who had no pathology of the orbit. The individuals were classified into 3 groups with respect to age. Orbital volume, effective orbital volume (defined as the difference between orbital and eyeball volume), extraocular muscle volume, ...

Entropion may also develop later in life secondary to other changes around the eye. It can arise from spasm and pain associated with corneal and other eye diseases. It may occur when the eye itself moves backwards into the orbit (enophthalmos), or when the eye becomes shrunken following a severe injury or infection. Occasionally entropion develops following loss of normal neurologic function of the eyelids.. Entropion can occur alone or may be accompanied by other eye problems such as abnormal eyelashes, corneal ulcers and scarring, and ectropion (outward rolling of the eyelid). Since entropion is the inward rolling of the eyelid, the hair on the affected lid continuously rubs against the cornea. This can cause significant discomfort and trauma to the cornea.. Entropion most often affects the outer aspect of the lower eyelids of one or both eyes. The upper eyelids may also be involved. In some dogs the entire eyelid is rolled inward, or a portion of the lid may be rolled in and another portion ...

I was playing hockey one week ago and got hit in the face with a puck. I ended losing vision in that eye for a few days (but is basically completely recovered now 1 week later) and a fracture close to my nose on section where the maxillary meets the zygomatic. The Korean doctor says I need surgery but when I look at the Xray & touch it the fracture feels about a cm or 2 wide and a cm or 2 deep at most. I have read multiple times on internet that surgery is only necissary if fracture greater than 50 percent of orbital floor by the look of the xray its looks to be 10 to 20 percent. I feel great and I kind of doubt that my eye would sink (enophthalmos). So can anyone weigh in a little bit ...

To help localize injuries, a thorough history should begin with questions directed toward whether the patient has vision changes, malocclusion, or facial numbness (Table 162-1). The physical examination begins with inspection, noting facial asymmetry, facial elongation, exophthalmos or enophthalmos, and periorbital or mastoid ecchymoses. Next, palpate the entire face, noting step-offs and tenderness that suggest fractures, and crepitus that suggests a sinus fracture. Finally, perform a focused and thorough examination of the eyes, nose, ears, and mouth, as described in Table 162-1. ...

A thorough history should begin with questions directed toward whether the patient has vision changes, malocclusion, or facial numbness (Table 162-1). The physical examination begins with inspection, noting facial asymmetry, facial elongation, exophthalmos or enophthalmos, and periorbital or mastoid ecchymosis. Next, palpate the entire face, noting step-offs and tenderness that suggest fractures, and crepitus that suggests a sinus fracture. Finally, perform a focused and thorough examination of the eyes, nose, ears, and mouth, as described in Table 162-1. ...

Purpose: : To compare the mRNA expression of IL-1α, IL-8, MCP-1, and TGF-ß1 following topical ethanol treatment and mechanical debridement. Methods: : Fifty-eight pigmented rabbit corneas were divided into four groups. Group I (n=18) received mechanical epithelial debridement, group II (n=18) underwent 20% ethanol application for 30 seconds, and group III corneas underwent 20% ethanol application for 60 seconds. Group IV (n=4) did not undergo any procedure. Corneal epithelial and stromal keratocyte change was examined with H&E and TUNEL stains, while the mRNA expression of IL-1α, IL-8, MCP-1, and TGF-ß1 were examined with real-time polymerase chain reaction (PCR). Results: : Stromal keratocyte apoptosis was noticed for three days in group I and up to seven days in group III. Topical ethanol induced significant TUNEL staining of corneal epithelium and stromal keratocyte in an application time dependent manner. In group I, the expression of IL-8 mRNA showed two spikes of up-regulation on day 0 ...

Fig. showing preop picture of the patient. The preoperative picture shows the patient having swelling over her left forehead with the left eye pushed downwards and outwards.. O/E. 1. Vision normal in both eyes. 2. Swelling over left forehead, boggy to touch, with bone deficit.. 3. Proptosis left eye. Left eye pushed downwards and outwards.. CT scan paranasal sinuses coronal cuts showed:. 1. Hyperdense mass involving the left frontal ...

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Importance: Orbital fractures are common in ocular trauma, and there is a need to develop predictive tools to estimate risk of concurrent ocular injury. Objective: To identify clinical and radiographic features that are associated with increased risk of substantial ocular injury in the setting of orbital fracture. Design, Setting, and Participants: Retrospective consecutive case series of patients who sustained orbital fractures between 2012 and 2018. Examinations were done at 1 of 2 level 1 trauma centers in the emergency or inpatient setting. A total of 430 consecutive patients (500 eyes) between 2012 and 2017 met inclusion criteria for the training sample. After building a predictive model, 88 additional consecutive patients (97 eyes) between 2017 and 2018 who met inclusion criteria were collected as a test sample. Main Outcomes and Measures: The primary outcome measure was substantial ocular injury distinct from orbital fracture. Results: The mean age of our patient population was 53.5 years ...

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Los Angeles facial plastic surgeon, Dr. Hootan Zandifar, MD, discusses Derrick Roses return to basketball and facial masks for orbital fracture.

The ERACC Web Log: Recent articles I have read by people complaining about how things on Linux do not work like they do on Microsoft led me to coin the phrase Microsoft Trained Brain Syndrome (MTBS).

Diagnostic criteria for Organic Brain Syndrome. This is a general term that refers to physical disorders that cause a decrease in mental function, usually not including psychiatric disorders.

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Subperiosteal implants are an option for dental patients who do not want to undergo the surgical process of having implants placed into their jawbone. This may occur because they do not want to spend the time it takes to have implants surgically insert into their jawbone, as this implant process can take anywhere from four to six months to complete. It also may occur because they do not have a sufficient amount of jawbone. While jawbone restoration is an option, this procedure adds many more months to the surgical implant process.. Subperiosteal implants allow patients to still get the benefits of using dental implants to replace their missing teeth. Instead of needing to undergo a surgical process to place the implant, a dentist can install a metal frame underneath the gums, which means the frame sits on top of the jawbone. Once the gums fully heal over the frame, the dentist can begin the implant choice that procedure. This less invasive tooth replacement option is becoming more popular, as ...

It goes without saying that dark circles and sunken eyes can make a face look aged and tired.. Our targeted treatments include the use of cutting-edge technologies. Juvéderm or Volbella solutions are injected by physicians using micro cannulas-small, pliable tubes that look like tiny needles with rounded ends. This specialized equipment minimizes bruising and pain.. These treatments fill circles under the eyes gently. They can also help in correcting sunken eyes, even if the hollows extend as far as the cheeks. The hydrating properties of the injected solution reach deep under the skin to add volume in ways that anti-wrinkle creams simply cannot.. ...

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Methods In order to calculate the orbital volume from axial CT slice images of the patients, using our first described measurement method, the segmentation of the orbital cavity and the bony skull was performed using Amira 3D Analysis Software. The files were then imported into the Blender program. The stereographic skull model was aligned based on the Frankfurt horizontal plane and superposed according to defined anatomical reference points. The anterior sectional plane ran through the most posterior section of the lacrimal fossa and the farthest dorsal point of the anterior latero-orbital margin, which is positioned perpendicular to the Frankfurt horizontal plane. The volume of each orbital cavity was then determined automatically by the Blender program. ...

You are reading a State of Dystopia post. These entries note the news events that put us on the cyberpunk dystopia timeline. Read them now to see the future were going towards. Or read them in the future to figure out where things went wrong. Please forgive me for missing a monthly post - I just moved to a new area and have been between jobs. Anyway, heres a roundup with dystopian events and reporting from both April and May. As always, this is loosely organized: starting with environmental news, then corporate evil, surveillance, and so on.. Without further ado:. ...

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A 66-year-old Asian female presented with a chief complaint of burning in her left eye for the past three months. She spoke limited English, which made it difficult (at least initially) to obtain a thorough history. Her medical history included diabetes, hypertension and high cholesterol, for which she was taking metformin, amlodipine and atorvastatin. Best-corrected visual acuity was 20/200 OD and 20/60 OS. The reduction in her right eye was attributed to amblyopia, and the reduction in the left eye was attributed to nuclear sclerosis. Pupils were normal, round and equally reactive to light. Gross observation showed facial asymmetry with the left eye pushed down and out. Extraocular motilities showed a restriction on upgaze (80%) and adduction (50%). Due to the language barrier, she was unable to perform cover test. Exophthalmometry revealed proptosis in the left eye, which measured 15/19.5mm, and resistance to retropulsion was noted in the left eye. Other than cataracts, her anterior and ...

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Worse than death: The far-future dystopia of genome hacking.. This scientists thought experiment will give you nightmares.. ...

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Symptoms of Dehydration in Women are dry mouth, thirst, head ache, dark urine, tiredness, sunken eyes are. Find out more signs of dehydration in women

It was not in the first few moments that I saw all these things, though I saw more of them in the first moments than might be supposed. But I saw that everything within my view which ought to be white, had been white long ago, and had lost its lustre and was faded and yellow. I saw that the bride within the bridal dress had withered like the dress, and like the flowers, and had no brightness left but the brightness of her sunken eyes. I saw that the dress had been put upon the rounded figure of a young woman, and that the figure upon which it now hung loose had shrunk to skin and bone. Once, I had been taken to see some ghastly waxwork at the Fair, representing I know not what impossible personage lying in state. Once, I had been taken to one of our old marsh churches to see a skeleton in the ashes of a rich dress that had been dug out of a vault under the church pavement. Now, waxwork and skeleton seemed to have dark eyes that moved and looked at me. I should have cried out, if I could. ...

I have a big issue. I have a 3.5 year old female piggy who was always happy and healthy and recently we encountered a big issue. She stopped eating and started having a breathing issue. They diagnosed her with URI and gave us baytril. She didnt take it well but I gave it to her for 5 days, a small break and another 4 days. The respiratory breathing went away, still fixing her stomach and she lost weight. I took her to another vet for second opinion, they did full body x ray, blood work, poo work and didnt find anything besides small spots in the lungs but they said it is not pneumonia. Then, the respiratory breathing and stopping eating happened again a week later. Back on batyril and also asked for some diuretic in case there is fluid in the lungs. The heart looked normal on the x rays. She has sunken eyes and is def. not herself. Doesnt want to eat hay much or pallets. they checked her teeth and looked at her head x ray and didnt find anything wrong with her teeth. She means the world to ...

nivea hand soap It was used in England, Germany, France, as well as many other countries to make luggage, clothing, shoes, handbags, and many other usefully products as different cultures saw fit You might at first be surprised at the price tag, but these designs are done by individually by hand, rather than mass-produced by machine Take advantage of the quality as you can experiment pairing it with heavy embellished, contrast hued or printed crop top or with the skirt beneath the saree to give out the entire look an interesting twist. influenza cough,Google, of course, is not the first to try its hand at making the shopping mall work on the internet Believe that you are the best of the best, that your time is valuable, that you deserve an amazing woman, that people should respect you, believe it!, if you believe it, people will believe it.. dial complete liquid hand soap,If you see that your chameleon has sunken eyes, you can assume that it is dehydrated And the field of financial gerontology ...

I would be roused from this calm by a little gremlin of an usher.. You cant sit here! Do your job!. No ones here yet, Id respond. I would motion to the empty, hallowed, bowl of vacant seats.. She had sunken eyes and a red bow attached to the side of her dyed-blonde hair. She had targeted me at my first game, and since then, I was a marked man. She was old and demonic, the bane of all the fan photographers, who would wave out in warning to each other as she approached. She knew that none of us really did our job. Possibly she disliked us because we were not only bad at our jobs, but actively avoiding her and hiding our ill-begotten chicken fingers. I believe she thought that a certain standard of service was being sullied by our presence, a standard she worked hard to maintain, and it probably was.. If I shot 200 photographs, I got paid for the day. By the time the regular season was underway, I was able to get 200 pictures before the game even started. I would haunt the corridors that led ...

A beardie that is dehydrated will often perk up after given fluids. If the beardie does perk up some, you will often have a better chance of curing the health problem. Of course, if a beardie acts ill, its often very ill and should be taken to a reptile vet immediately. Also, most medications can be damaging to the kidneys and should be given with plenty of water. Ask your vet to make sure that the fluids will not interfere with the medicine. Symptoms of dehydration are sunken eyes, wrinkled skin, lack of appetite, and lethargy. A good way of checking to see if your beardie is dehydrated is to gently pinch the skin on the side of their back between your fingers. If the skin rolls back into place almost immediately then the beardie is likely well hydrated. In a dehydrated beardie the skin may stay in a pinched, or tented position. Depending upon the cause of the beardies illness, fluid should be offered by mouth, or by subcutaneous injection. Ask your vet for details. Remember, dehydration is ...

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We at vom Aztlan Rottweilers We at vom Aztlan Rottweilers we import exceptional Rottweilers for those interested in a quality ADRK German bred dog. We are a COE Rottweiler Importer. In Germany, there are also problematic issues concerning the breeding of Rottweiler these days. With a limited number of approved stud dogs available and the growing demand for German Rottweilers overseas our gene pool continues to get smaller and smaller. For us the use of a stud dog after it has been sold overseas is not an option. As the quality of a producer can only be viewed through his products were left with a lot of guessing work with most of the males being sold before we ever get to see the actual product. Modern techniques such as DNA or shipping of semen are currently prohibited in Germany as is using bloodlines worldwide.

We at vom Aztlan Rottweilers We at vom Aztlan Rottweilers we import exceptional Rottweilers for those interested in a quality ADRK German bred dog. We are a COE Rottweiler Importer. In Germany, there are also problematic issues concerning the breeding of Rottweiler these days. With a limited number of approved stud dogs available and the growing demand for German Rottweilers overseas our gene pool continues to get smaller and smaller. For us the use of a stud dog after it has been sold overseas is not an option. As the quality of a producer can only be viewed through his products were left with a lot of guessing work with most of the males being sold before we ever get to see the actual product. Modern techniques such as DNA or shipping of semen are currently prohibited in Germany as is using bloodlines worldwide.

And then with one tap, half the mortice fell out on the front leg mortice, in one chunk, which looked suspicious so I checked and sure enough, it had split back past the intended knifewall (which Id tapped with the chisel to deepen but that didnt help) and theres a quarter-inch wedge missing. I recovered the wedge and Ill glue it in at the end, but why did…. ...

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In MOM, a science-fiction novel that will be of particular interest to Asia hands, Collin Piprell takes an astonishing leap into the mid-21st century. It

Eukanuba Rottweiler is specifically made to nourish the overall health, including strong muscle tone, joint health and shiny coat of Rottweilers. This food provides high-quality animal proteins to help build and maintain strong muscle tone and body condit