*  GMS | 104th DOG Annual Meeting | Orbital reconstruction with Biosprites hydroxyapatite implant made in Vietnam and Bioceramic...

The outcomes between 2 groups were evaluated by variables as diplopia, restriction of ocular motility, enophthalmos, hypoglobus ...

*  Grady M. Hughes, MD | Swedish Medical Center Seattle and Issaquah

Grady M. Hughes, MD is a specialist in Ophthalmology who has an office at 1600 East Jefferson Street Suite 202 in Seattle, WA and can be reached at 206-320-5686.
swedish.org/swedish-physicians/profile.aspx?name=hughes grady m&id=160972

*  Proptosis |authorSTREAM

Contra lateral enophthalmos. Contra lateral orbital fracture. Contra lateral small globe. Contra lateral cicatricial tumor 7 ...

*  Dark circles under eyes and Dry skin - Symptom Checker - check medical symptoms at RightDiagnosis

AND Enophthalmos (1 match). *AND Enophthalmos in children (1 match). *AND Enopthalmos (1 match) ...

*  LAPAROFAN™ 'J' Shape Retractor

MEDPOR Enophthalmos Shapes. 3. Sugita Aneurysm Clip L-Shaped (S). 4. Sugita Aneurysm Clip L-Shaped (M). 5. Sugita Aneurysm Clip ...

*  Nasoorbitoethmoid Fractures: Background, Pathophysiology, Presentation

Long-term sequelae of NOE fractures include blindness, telecanthus, enophthalmos, midface retrusion, cerebral spinal fluid (CSF ... This may result in telecanthus, enophthalmos, diplopia, and apparent midface retrusion. Isolated medial canthal tendon ...

*  Dependant edema and Edema - Symptom Checker - check medical symptoms at RightDiagnosis

AND Enophthalmos in children (1 match). *AND Episodic severe fatigue (1 match) ...

*  CT demonstration of dorsal midbrain hemorrhage in traumatic fourth cranial nerve palsy.

A 21-year-old man who suffered a traumatic brain injury from a motor vehicle accident recovered brain function except for an isolated left fourth cranial nerve palsy. Brain CT showed a focal hemorrhage in the right dorsal midbrain, directly in the br

*  Table of contents | British Journal of Ophthalmology

Enophthalmos following orbital trauma: a diagnostic catch Vasileios Achtsidis, Maria Elena Gregory, Fiona Roberts, Ewan G Kemp ...

*  Horner's Syndrome in Dogs | VCA Animal Hospital

The affected eye often appears sunken (enophthalmos). *The third eyelid of the affected eye may appear red and raised (prolapse ...

*  Leber congenital amaurosis | Genetic and Rare Diseases Information Center (GARD) - an NCATS Program

Enophthalmos (eye balls are dislocated backward). *Abnormal retinal pigment. *Extreme farsightedness (hyperopia) ...

*  Sutured for a Living: Orbital Blowout Fractures

Enophthalmos is perhaps one of the most distressing and common problems seen in orbital fracture management. *The majority of ... Enophthalmos and Diplopia in Fractures of the Orbital Floor; Br J Plast Surg 9:265, 1957; Converse JM and Smith B. Superior ... Patients without significant enophthalmos (2 mm or more), a lack of marked hypo-ophthalmus, absence of an entrapped muscle or ... My question is, if my eye is indeed a low severity blowout what range of enophthalmos should I be expecting? Does it always ...

*  woolensort22

Figure 8 Herniated orbital volume (x) by enophthalmos (y). Figure 9 Orbital discrepancy (x) by enophthalmos (y). The suggest ... Figure 8 Herniated orbital volume (x) by enophthalmos (y). Figure 9 Orbital discrepancy (x) by enophthalmos (y). The imply ...

*  Fuchs' Endothelial Dystrophy disease: Malacards - Research Articles, Drugs, Genes, Clinical Trials

enophthalmos 10.1. COL8A2 VSX1 18. corneal dystrophy, posterior polymorphous 2 10.1. COL8A2 SLC4A11 VSX1 ZEB1 ...

*  Duane syndrome type 1 | Genetic and Rare Diseases Information Center (GARD) - an NCATS Program

... enophthalmos).[3][5]. Unfortunately, surgery does not restore function to the affected nerve and muscle, and no surgical ...

*  An eye on canine orbital disease: Causes, diagnostics, and treatment

2. Enophthalmos in a dog as a consequence of a retrobulbar mass.. ... occasionally enophthalmos can result if the space-occupying mass is anteriorly located in the orbit so that it pushes the globe ...

*  Radiation Oncology/NSCLC/Overview - Wikibooks, open books for an open world

Horner's syndrome - enophthalmos, ptosis, miosis, ipsilateral loss of sweating, hoarseness due to recurrent laryngeal nerve ...

*  Orbital fracture | definition of orbital fracture by Medical dictionary

... or enophthalmos. Diplopia and limited upward movement are present usually as a result of a muscle or its fascia being entrapped ...
medical-dictionary.thefreedictionary.com/orbital fracture

*  Flashcards - Endocrine

What disease has Enophthalmos? Horner's * What are the Hyperthyroid diseases and their descriptions ? ...

*  Swelling of the Optic Disk in the Retina of Dogs | petMD

Exophthalmos, enophthalmos, and strabismus are all diseases which cause the dog's eyeball to be abnormally positioned. ...

*  Publications | Prevention Research Center

Retracting globe: enophthalmos and retraction due to an accessory extraocular muscle. Journal of neuro-ophthalmology : the ...

*  STUDY WITH FUN: Horner's syndrome: components

Enophthalmos. Email ThisBlogThis!Share to TwitterShare to FacebookShare to Pinterest. ...

*  San Antonio, TX lawyers - Legal Bistro

Enophthalmos. Sunken eyeball. Enterobiasis. An intestinal infection caused by a pinworm. The most common type of nematode ...

(1/20) The silent sinus syndrome.

Patients with silent sinus syndrome typically present for investigation of facial asymmetry. Unilateral, spontaneous enophthalmos and hypoglobus are the prominent findings at examination. Imaging of the orbit and sinuses characteristically show unilateral maxillary sinus opacification and collapse with inferior bowing of the orbital floor. It has been suggested that SSS is due to hypoventilation of the maxillary sinus secondary to ostial obstruction and sinus atelectasis with chronic negative pressure within the sinus. Treatment involves functional endoscopic sinus surgery for reestablishing a functional drainage passage, and a reconstructive procedure of the floor of the orbit for repairing the hypoglobus and cosmetic deformity. Ophthalmologists, otorhinolaryngologists, and radiologists must be familiarized with this relatively newly reported disease.  (+info)

(2/20) Lagophthalmos in enophthalmic eyes.

AIMS: To report a case series of enophthalmic patients with lagophthalmos. METHODS: A retrospective review of the electronic medical records at a tertiary health care centre of all patients with the diagnoses of "enophthalmos" and "lagophthalmos". Patients who had a history of diseases (such as Graves' orbitopathy), trauma or surgery of the orbit and eyelid were excluded. Enophthalmos was defined as exophthalmometric reading of 14 mm or less in both eyes. RESULTS: Seven patients (14 eyes) with bilateral enophthalmos were found to have concomitant lagophthalmos. All patients had deep superior sulci bilaterally. The upper eyelids were seen to be severely retro-placed behind the superior orbital rim. The extraocular motilities were full with no focal neurological deficit. The orbicularis oculi function was normal with no facial paralysis. The orbits were soft on retropulsion and no facial asymmetry was noted. The mean exophthalmolmetry reading measured 12.6 (SD 1.1) mm. The lagophthalmos varied from 1-5 mm. One patient (one eye) with 3 mm lagophthalmos developed a corneal ulcer and was treated with topical antibiotics and gold weight placement in the upper eyelid. CONCLUSION: Enophthalmic patients with deep superior sulci and retro-placed upper eyelids may present with lagophthalmos and exposure keratopathy.  (+info)

(3/20) Correction of superior sulcus deformity and enophthalmos with porous high-density polyethylene sheet in anophthalmic patients.

PURPOSE: Superior sulcus deformity is the main cosmetic problem in anophthalmic patients. Many methods of correcting enophthalmos have been reported, especially in patients with orbital wall fracture. The purpose of this study is to review the long term results of effectiveness in superior sulcus deformity correction by subperiosteal Medpor sheet implantation in anophthalmic patients. METHODS: Subperiosteal Medpor sheets were used in 11 eyes of 11 anophthalmic patients. To estimate the effectiveness, photographs were taken and exophthalmometric value with their own prosthesis using Hertel exophthalmometer was measured in all patients before and after surgery. RESULTS: The overall cosmetic results in superior sulcus deformity were 'excellent' in 3 (27.3%), 'good' in 6 (54.5%), 'fair' in 2 (18.2%). The overall results in enophthalmos were 'excellent' in 3 (27.2%), 'markedly improved' in 4 (36.4%), 'slightly improved' in 4 (36.4%). Most patients had a marked increase in orbital volume, except two patients. They received irradiation treatment in early childhood so showed unsatisfactory results in both superior sulcus deformity and enophthalmos. CONCLUSIONS: Subperiosteal Medpor sheet implantation is considered to be a reliable and safe procedure without serious complication and with an excellent cosmetic result.  (+info)

(4/20) Wide clinical variability among 13 new Cockayne syndrome cases confirmed by biochemical assays.

Cockayne syndrome is a multi-systemic, autosomal recessive disease characterised by postnatal growth failure and progressive multi-organ dysfunction. The main clinical features are severe dwarfism (<-2 SD), microcephaly (<-3 SD), psychomotor delay, sensorial loss (cataracts, pigmentary retinopathy, and deafness), and cutaneous photosensitivity. Here, 13 new cases of Cockayne syndrome are reported, which have been clinically diagnosed and confirmed using a biochemical transcription assay. The wide clinical variability, ranging from prenatal features to normal psychomotor development, is emphasised. When cardinal features are lacking, the diagnosis of Cockayne syndrome should be considered when presented with growth retardation, microcephaly, and one of the suggesting features such as enophthalmia, limb ataxia, abnormal auditory evoked responses, or increased ventricular size on cerebral imaging.  (+info)

(5/20) Evaluation of computer-based volume measurement and porous polyethylene channel implants in reconstruction of large orbital wall fractures.

PURPOSE: To describe the use of computer-based orbital volume measurement as a predictor of late enophthalmos, and to assess the effectiveness of the MedPor (Porex Surgical Products Group, Newnan, GA) porous polyethylene channel implant to restore orbital volume in repairing large orbital wall fractures. METHODS: Sixteen patients with unilateral large orbital fractures were included. Computed tomographic (CT) scans were used to obtain computer-based orbital volume measurement to predict the likelihood of late enophthalmos and to assess the change in orbital volume before and after surgery. The effectiveness of a channel implant was evaluated by the orbital volume and postoperative exophthalmetric measurement. RESULTS: The average time interval between injury and surgery was 17.4 +/- 10 days, and the mean follow-up was 9 months. The orbital volume of the injured orbit was significantly increased (mean, 4.22 +/- 2.61 cm2) compared with the unaffected orbit before surgery (t = 3.046, P = 0.005). There was not a significant difference in orbital volume between the two orbits after orbital reconstruction (t = 0.069, P = 0.945). The orbital volume change after reconstructive surgery was significantly positively correlated with the decrease of enophthalmos (r = 0.715, P = 0.001; enophthalmos [E] = 0.72; volume increment [V] = 0.06). To resolve 2 mm enophthalmos, more than 2.9 cm3 orbital volume augmentation is recommended for early reconstructive surgery. Postoperative CT scan showed most of the channel implants to be well positioned. CONCLUSIONS: Computer-based orbital volume measurement from a CT scan is useful in the posttraumatic evaluation of orbital fractures, and it can help predict the degree of late enophthalmos that can be expected. Orbital reconstruction with the MedPor channel implant (Porex Surgical Products Group), when indicated, is recommended, especially for large orbital wall fractures.  (+info)

(6/20) Management of posttraumatic enophthalmos.

Posttraumatic enophthalmos is one of the common sequelae that appears after facial injury and remains a challenge to treat for craniomaxillofacial surgeons. Several theories have been advocated regarding enophthalmos; however, the most well accepted concept is the enlargement of the orbital cavity after displacement due to orbital fractures. Generally, a 1 cm3 increase in orbital volume causes 0.8 mm of enophthalmos. Thorough knowledge of the orbital anatomy is fundamental and critical for the successful surgical correction of enophthalmos because most treatment failures are due to inadequate orbital dissection from fear of injuring the optic nerve and globe. A complete preoperative plan should be built on a comprehensive clinical examination of the periorbital soft tissue and bony components, detailed ophthalmic examination, and high resolution computed tomography scans in the axial, coronal and reformatted sagittal planes. Based on the anatomic deformities, there are two major fracture types including orbital blow out fractures and zygomatico-orbital fractures, resulting in posttraumatic enophthalmos. Treatment modalities and methods of approach are adapted according to the severity of the orbital deformities. Minor complications include ectropion, entropion, dystopia, diplopia, and residual enophthalmos. Rare but severe complications such as intraconal misplacement of the bone graft or retrobulbar hemorrhage with subsequent blindness may be encountered. The success of the procedures depend on adequate dissection and mobilization of the displaced soft tissue, correct repositioning of the dislocated or malunited bony orbit, and proper intra-orbital grafting.  (+info)

(7/20) The ophthalmic implications of the correction of late enophthalmos following severe midfacial trauma.

Severe midfacial trauma presents several challenges to the reconstructive surgeon. Acute rigid fixation of the facial skeleton accompanied by bone grafting to restore the confines and volume of the orbit provide the best opportunity for acceptable aesthetic results. The severity of the trauma causes the late postoperative complication of enophthalmos. Injury to orbital structures with subsequent cicatricial change results in significant alteration in extraocular motility with resultant diplopia. There are no reports in the literature which critically evaluate the effect of late enophthalmos correction on extraocular motility, diplopia, and vision in patients who have suffered Le Fort or NOE fractures. A retrospective study is presented which reviews the results of late surgery for the correction of enophthalmos in 40 patients, all of whom had severe "impure" orbital fractures. This study addresses the following questions: (1) Can the globe effectively be repositioned?, (2) Is there a change in subjective diplopia?, (3) Does a change in extraocular motility occur, and if it does, is it predictable?, (4) Is there a risk to visual acuity? and finally, (5) Do the answers to questions 1 through 4 suggest that late surgical intervention for the correction of enophthalmos should be recommended for this patient population? During a 9-year period, 44 patients with severe diplopia trauma received surgery for enophthalmos correction. A review of 40 patients on whom 56 operations were performed is presented. Thirty-eight patients had enophthalmos and 35 had inferior displacement of the globe. Medial displacement of the globe occurred in 11 patients. Twenty-nine patients had diplopia. Six patients had vision too poor on the injured side to have diplopia. Enophthalmos was improved in 32 patients. Dystopia of the globe was improved in 31 cases. However, neither enophthalmos nor dystopia of the globe could be improved with every operation. Only 35 of the 48 operations for enophthalmos for which measurements were available produced an improvement; in 1 case the enophthalmos was thought to be worse postoperatively. Dystopia operations resulted in improvement in 40 of 48 operations; in 2 instances dystopia was worse postoperatively. Diplopia was unchanged by 33 operations, improved by 11 procedures, and worsened by 6. If patients are considered before and after their total reconstruction course, diplopia was improved in 9 of the 29 patients. In seven of these nine, diplopia was eliminated. There was no change in or production of diplopia in 19 patients, and 5 patients had worsening of their double vision.(ABSTRACT TRUNCATED AT 400 WORDS)  (+info)

(8/20) Pulsating enophthalmos in association with an orbital varix.



  • The outcomes between 2 groups were evaluated by variables as diplopia, restriction of ocular motility, enophthalmos, hypoglobus. (egms.de)