Abstract
No consensus exists in the literature regarding the risk factors associated with new or residual diplopia after pure orbital blowout fracture (BOF) repair.
To assess and evaluate the risk factors associated with diplopia after surgical repair of pure BOF.
Patients with pure BOF who were managed surg...
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PMID: 20613563
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Abstract
Remote cerebellar hemorrhage (RCH) after spinal surgery is encountered extremely rarely. A 64 year-old female patient developed symptoms of deteriorating consciousness and diplopia arising on the first postoperative day after recurrent spinal surgery. Cranial CT scan showed cerebral edema and eviden...
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PMID: 20669119
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Abstract
We present the radiologic features of a benign schwannoma of the middle turbinate with dural invasion in a 71-year-old woman....
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PMID: 19821257
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Abstract
OBJECTIVE: To highlight the possibility of pituitary apoplexy after functional endoscopic sinus surgery for elimination of sinonasal infection, an important preparatory step for safe trans-sphenoidal access to the pituitary fossa. CASE REPORT: A 67-year-old man with a known pituitary macroadenoma de...
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PMID: 19930782
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Abstract
A single surgeon performed all surgeries between October 2000 and April 2008. All patients had symptoms and signs of orbital soft tissue entrapment and radiographical evidence of orbital blowout fractures involving the orbital floor and/or medial wall. The characteristics and outcomes of 19 consecut...
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PMID: 20508048
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Abstract
Tumor size ranged from 1 to 6 cm in diameter, with a median at 2.5 cm. The presenting symptoms of the patients were anisocoria (six cases), diplopia (six cases), ptosis (five cases), hemianopia (four cases), and ataxia (two cases). Extent of tumor resection was Simpson grade II in 19 patients, grade...
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PMID: 20148271
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Abstract
We report here on the case of a 58-year-old woman in whom ophthalmoplegia was the first neuromuscular manifestation of DM1 and led to the diagnosis. Among the multisystem abnormalities associated with DM1, muscle-related symptoms are prominent, and usually involve the facial and neck muscles early o...
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PMID: 20092863
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Abstract
In this 21-year experience, GKS for petroclival meningiomas obviated initial or further resection in 98% of patients and was associated with a low risk of adverse radiation effects. The authors believe that radiosurgery should be considered as an initial option for patients with smaller-volume, symp...
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PMID: 19731986
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Abstract
In this case series, a lateral rectus muscle posterior fixation suture was useful in addressing incomitant exodeviations. It is unknown whether this technique is superior to alternative surgical approaches.
Copyright 2010 American Association for Pediatric Ophthalmology and Strabismus. Published by...
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PMID: 20451855
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Abstract
This report demonstrates the potential of combining two objective optical methods to show the presence of minor lens opacities that may severely degrade quality of vision.
Copyright 2010, SLACK Incorporated....
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PMID: 20415326
PDF is available here.
Abstract
The presenting symptoms included headache for three patients and diplopia for one patient. All patients had bilateral PAC, more prominent on one side. All lesions were centered posterolateral to the Meckel's cave. They were isointense to cerebrospinal fluid signal intensity and continuous with Mecke...
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PMID: 20108203
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Abstract
The presentation of vomiting and bradycardia after closed head trauma should invariably prompt concern for significant intracranial injury, yet other less common causes for the clinical picture do exist. This case reports one such scenario in which fracture to the patient's inferior orbital wall res...
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PMID: 20145507
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Abstract
A case of acquired Brown syndrome caused by surgical repair of medial orbital wall fracture is reported in the present paper. A 23-year-old man presented at the hospital with right periorbital trauma. Although the patient did not complain of any diplopia, the imaging study revealed a blow-out fractu...
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PMID: 20157416
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Abstract
Patients with IO disinsertion during DS may be at increased risk of developing TD postoperatively. We recommend sparing or reattaching the IO muscle during DS when possible to reduce the risk of developing untreatable TD....
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PMID: 19882516
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Abstract
We report a rare case of a 17-year-old girl with seronegative neurobrucellosis and depression and diplopia. Results of agglutination tests for Brucella both in serum and CSF were negative. Diagnosis was made only by positive culture of Brucella mellitensis with inoculation of the patient's cerebrosp...
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PMID: 20697164
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Abstract
We report acute isolated fourth nerve palsy in an 18-year-old lady due to a midbrain hemorrhage probably due to a midbrain cavernoma. The case highlights the need for neuroimaging in selected cases of isolated trochlear nerve palsy....
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PMID: 20029150
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Abstract
The white-eyed orbital floor blowout fracture is most commonly seen in children and adolescents. The orbital floor is the most common fracture location with entrapment of inferior orbital contents and/or the inferior rectus muscle in a "trapdoor" fashion. Other sites may also be fractured either sim...
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PMID: 20090487
PDF is available here.
Abstract
Ocular complications, transient loss of vision and diplopia, and blanching of the skin of the infraorbital region were reported in a female patient after an inferior alveolar nerve block for extraction of the permanent mandibular left third molar tooth. Injection of the anesthetic solution into the...
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PMID: 20178228
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Abstract
Preoperatively 6 patients were esotropic, measuring between 2 and 16Delta (mean, 8Delta), and 9 patients had vertical deviations that measured between 2 and 6Delta (mean, 3.5Delta). Final postoperative esodeviations ranged from 1 to 8Delta (mean, 5.8Delta), and hyperdeviations ranged from 0 to 4Delt...
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PMID: 20126485
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Abstract
Eight patients were treated with a combination of inferior oblique surgery and horizontal muscle surgery at the same time. One patient was treated with simultaneous inferior oblique and superior rectus surgery. Seven patients had vertical correction with inferior oblique surgery alone. Twenty-three...
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PMID: 20126484
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Abstract
The new AS-20 seems to be more sensitive than the VFQ-25 for detecting reduced HRQOL in Adult Strabismus, and therefore may be a more useful tool for clinical assessment and clinical trials....
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PMID: 19570519
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Abstract
The overall incidence of topical anesthesia-related change in ocular alignment after uneventful cataract surgery was 5%. However, no patients had symptomatic diplopia. Topical anesthetic cataract surgery could abolish the risk of postoperative diplopia and improve the heterophoric status of preexist...
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PMID: 19404663
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Abstract
A 7-year-old boy presented with vertical double images. A paediatric examination and magnetic resonance imaging of the head did not show any pathological findings. The diagnosis was an acquired click syndrome of the superior oblique muscle. In cases with inflammatory and systemic origin the underlyi...
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PMID: 19593572
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Abstract
A case of neurobrucellosis complicated by optic, abducens and vestibulocochlear nerve palsies is reported. Brucella melitensis was isolated in the cerebrospinal fluid, and the patient was diagnosed with retrobulbar neuritis. Despite medical treatment, the patient developed optic atrophy. Multiple cr...
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PMID: 19593297
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Abstract
Confocal microscopy showed hyperreflective granules in Bowman layer, deep stroma, and Descemet membrane. The granules were below the resolution of anterior segment optical coherence tomography. Confocal and specular microscopy showed an abnormal reflection from the region of Descemet membrane. Centr...
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PMID: 19512897
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Abstract
The median composite questionnaire score correlated well with the patients' subjective complaints (Spearman's rho 0.70, p=0.000001) and their driving difficulties. There was a weak correlation with the clinical assessment of diplopia in the field of binocular vision based on the suggestions of Haase...
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PMID: 19484245
PDF is available here.
Abstract
The vergence system is an important element in human eye movement control. It comprises horizontal, vertical, and torsional components, the largest of which is convergence. Vergence performance is largely involuntary, although voluntary effort can influence convergence. Vergence function can be damag...
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PMID: 19301185
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Abstract
We report a patient who suffered from brainstem injury following ventriculoperitoneal (VP) shunt placement in the fourth ventricle. DISCUSSION: A 20-year-old man with complex hydrocephalus and trapped fourth ventricle underwent a suboccipital placement of a VP shunt. Postprocedure patient developed...
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PMID: 19296115
PDF is available here.
Abstract
A 47-year-old woman presented with an extremely rare case of trochlear nerve neurinoma manifesting as left hemiparesis. Magnetic resonance imaging demonstrated a cystic tumor, 4 cm in diameter, in the right ambient and cerebellopontine cisterns, compressing the midbrain and upper pons. The preoperat...
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PMID: 19465794
PDF is available here.
Abstract
Doses of 0.075 mg x kg(-1) of rocuronium in healthy awake subjects breathing spontaneously are acceptably tolerated and cause brief muscle weakness that may be of use in situations that require skeletal muscle relaxation at specific moments....
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PMID: 19537261
PDF is available here.
Abstract
We report a patient with antineutrophil cytoplasmic antibody-associated vasculitis with oculomotor nerve palsy. The patient presented with a high fever, diplopia, blepharoptosis and impairment of ocular movement of the left eye except for lateral gaze. Multiple erythematous and livedoid lesions were...
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PMID: 19187297
PDF is available here.
Abstract
Tube shunts are typically used in eyes with refractory glaucoma. There is increased interest in studying the efficacy of GDDs. Most of the attention has been focused on comparing trabeculectomy with the Baerveldt implant (Advanced Medical Optics, Inc., Santa Anna, California, USA). The other leading...
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PMID: 19240545
PDF is available here.
Abstract
We find this case to be exceptional as ocular symptoms led to the diagnose of a non-ocular serious, possible life threatening condition, bearing in mind that previously occured non-ocular symptoms couldn't elucidate the cause....
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PMID: 19899551
PDF is available here.
Abstract
We present two patients with metastatic carcinoma to the sphenoid from the thyroid and pancreas and two patients with metastatic renal cell carcinoma to the left nasal vestibule....
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PMID: 19909719
PDF is available here.
Abstract
Ocular tilt reaction (OTR) includes skew deviation, eye torsion and head tilt. It is usually accompanied by a tilt in the subjective visual vertical. OTR seems to reflect an otolithic dysfunction. This case report shows an OTR of central origin as a result of simultaneous paramedial thalamic and mes...
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PMID: 19909722
PDF is available here.
Abstract
We describe a longstanding case of acquired motor fusion disruption which was managed successfully with botulinum toxin injection....
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PMID: 19861751
PDF is available here.
Abstract
An opaque IOL is a safe method for treating intractable diplopia. This survey confirms that its practice is widely accepted in the UK....
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PMID: 20001512
PDF is available here.
Abstract
We describe here a case of fronto-ethmoidal sinus mucocele in a patient with an important fronto-ethmoidal tumefaction and an increased prominence of his left eyeball. An endoscopic approach was done after explain to the patient the eventual risks and complications of the procedure, especially to hi...
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PMID: 20597413
PDF is available here.