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Radiofrequency ablation micro-dissecting of eyelid nevus with XL-RFA device under operating microscope

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International Journal of Ophthalmology(English edition) 2019年第7期12卷 1116-1121页

作者： Jing-Xin Wang Yi-Lan Li Yue-Ming Gao Li-Ning Zhang Li-Ping Huang Qing-Hua He Hui-Min Xie Tian-Yu Jiang Zi-Shan Jia Xing-Lin Wang Medical School of Chinese PLA Beijing 100853China Department of Rehabilitation Zhengzhou Central Hospital Affiliated to Zhengzhou University Zhengzhou 100853Henan ProvinceChina Rehabilitation Medicine Center the 1st Medical Center Chinese PLA General Hospital Beijing 100853China Department of Ophthalmo-center Chinese PLA General Hospital Beijing 100853China

AIM: To study the effect of an innovative micro-dissection procedure by radiofrequency ablation (MRA) in removing eyelid ***: Fifty-six consecutive outpatients with eyelid nevus were treated with MRA using a monopolar device. The effect of MRA was determined after following-up for 6mo to ***: Fifty-two cases (52 eyes, 92.9%) were cured once, and 4 cases (4 eyes, 7.1%) received second treatment for small residual. All cases healed well after surgery, with no pigmentation, no scars, no loss of eyelashes, no deformation of eyelid margin. There was no visual impairment after ***: MRA of eyelid nevus using the XL-RFA device is highly efficient without significant complications.

关键词： radiofrequency ablation micro-dissecting eyelid nevus

A tooth lesion in the eyelid in a Chinese infant: a rare case report

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International Journal of Ophthalmology(English edition) 2019年第11期12卷 1807-1808页

作者： Jian Liu Jun Chen You-Sheng Zhang Jie Zhu Xiao Lin Yuan-Jian Wei Department of Ophthalmology Affiliated Nanping First Hospital of Fujian Medical University

Dear Editor,My name is Jun Chen and I am currently working as an ophthalmologist at the Affiliated Nanping First Hospital of Fujian Medical University.I am writing this letter to present a case of a tooth lesion in the *** are believed to be developmental malformations of normal,mature-appearing tissues in an abnormal anatomic location[1].Choristomas consist of dermis-like tissue or ectopic tissues of mesoectodermal origin(lacrimal and other glands,fat,nerve,brain,cartilage,bone,and teeth)[2].An ectopic tooth in the eyelid was first reported by Van Der Straeten[3]in 1934,then reported by Subramaniam et al[4]in 1966 and finally by Jakobiec et al[5]who named it palpebral odontogenic choristoma in ***,we describe a case of a tooth lesion in the eyelid in a Chinese *** to Declaration of Helsinki,a written voluntary informed consent was obtained from the patient for publication of this case report and accompanying images.

关键词： A tooth lesion in the eyelid in a Chinese infant a rare case report

eyelid Fissure Narrowing after Recession of the Medial Rectus Muscle

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Surgical Science 2011年第7期2卷 376-378页

作者： Hirohiko Kakizaki Yasuhiro Takahashi Akihiro Ichinose Masayoshi Iwaki 不详

A 67-year-old male had suffered from eye movement disturbance from Graves’ orbitopathy. His right eye was fixed in an esotropic position. Examination by synoptophore showed that his right eye deviation was 22 degrees medially. The upper eyelid margin reflex distance (MRD) was 3.5 mm OD and 5.6 mm OS, and the lower eyelid MRD was 5.1 mm OU. Six mm medial rectus muscle recession with tenotomy was performed in the patient. The next day after the surgery, his eye position did not change and the right eyelid fissure demonstrated narrowing with upper eyelid lowering and lower eyelid elevation. The right upper eyelid MRD was decreased to 1.9 mm and the right lower eyelid MRD was similarly decreased to 4.3 mm. On the same day, 4 mm resection of the ipsilateral lateral rectus muscle was performed, but the same MRDs were ob-served postoperatively. Patients undergoing medial rectus muscle recession in Graves’ orbitopathy need to be informed of this potential complication.

关键词： Graves’ Orbitopathy Lower eyelid Elevation Margin Reflex Distance Medial Rectus Muscle Upper eyelid Lowering

eyelid Kaposi Sarcoma in HIV-Negative Patient

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Journal of Cancer Therapy 2024年第3期15卷 92-97页

作者： Malalaniaina Andrianarison Malala Razakanaivo Rindra Rafanomezantsoa Mendrika Fifaliana Rakotoarisaona Odilon Laza Fandresena Arilala Sendrasoa Irina Mamisoa Ranaivo Léa Raobela Lala Soavina Ramarozatovo Fahafahantsoa Rapelanoro Rabenja Unit of Dermatology University Hospital Center of Public Health and Care Analakely Antananarivo Madagascar Unit of Radiotherapy University Hospital Center Joseph Ravoahangy Andrianavalona Antananarivo Madagascar Unit of Ophthalmology University Hospital Center Joseph Ravoahangy Andrianavalona Antananarivo Madagascar Unit of Pathology University Hospital Center Tambohobe Fianarantsoa Madagascar Unit of Dermatology University Hospital Center of Joseph Raseta Befelatanana Antananarivo Madagascar Unit of Dermatology University Hospital Center Morafeno Toamasina Madagascar Unit of Dermatology and Internal Medicine University Hospital Center of Joseph Raseta Befelatanana Antananarivo Madagascar

Introduction: Kaposi sarcoma disease is a proliferative and multifocal disorder with dual components, vascular and fibroblastic cellular, cutaneous and visceral expression. Kaposi Sarcoma can affect the ocular surface and adnexa and can masquerade as other entities, delaying prompt diagnosis can lead to diagnostic wandering delaying treatment. Our aim is to describe a case of KS of the eyelid in an HIV seronegative patient. Case Presentation: A seventy-year-old man developed a bilateral growing tumoral reddish purple vascular mass on both the lower and upper eyelid involving rapidly for 6 months. Both feet and the two shanks show the presence of a brown-violet tumor-shaped formation. The patient was negative for HIV. Histology examination showed a nodular tumor-like mass with a fibro hemangioma-epitheliomatous. Polymerase chain reaction was positive for human herpes virus 8. Initial chemotherapy followed by surgery was proposed to the patient. Unfortunately, the patient rejected treatment and was lost to follow-up. Conclusion: This case reports the difficulty of managing KS in developing countries.

关键词： eyelid HHV-8 Interferon Kaposi Sarcoma

Correlation and Expression of COX-2 and P53 Protein in Basal Cell Carcinoma of eyelid

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2009年第3期29卷 383-386页

作者：陈志雄杨炯黄琼 Department of Geriatrics Renmin Hospital of Wuhan University Department of Ophthalmology Renmin Hospital of Wuhan University

The correlation between the expression of COX-2 and p53 protein in basal cell carcinoma （BCC） of eyelid and apoptosis was investigated. Specimens of BCC were collected from 40 cases （aged 28-68 y） at the Department of Pathology, Renmin Hospital of Wuhan University, and Department of Pathology, Zhongnan Hospital of Wuhan University during from 1999 to 2006. Five specimens of paracancerous tissues served as control group. Immunohistochemical staining was performed to detect the expression of COX-2 and p53 in the tissues. The average absorbance （A） and the average positive area rate of COX-2 and p53 protein were measured by image analysis. The positive area rate of COX-2 and p53 protein was analyzed by linear correlation analysis. It was found that COX-2 and p53 proteins were highly expressed in BCC of eyelid, and weakly expressed in paracancerous tissues. Image analysis revealed that the expression of COX-2 and p53 proteins in BCC of eyelid was sig- nificantly higher than that in paracancerous tissues （P〈0.01）. Spearman rank correlation analysis demonstrated a positive correlation between the expression of COX-2 and p53 （r=0.113, P=0.421）. It was concluded that COX-2 can increase the expression of p53 protein, therefore suppressing apoptosis.

关键词： eyelid basal cell carcinoma COX-2 p53 protein

Severe Symmetric and Chronic Lower eyelid Lymphedema in the Setting of Neck Surgery and Psoriasis

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Open Journal of Ophthalmology 2012年第4期2卷 103-109页

作者： Michael E. Possin Cat N. Burkat Oculoplastics Service Department of Ophthalmology and Visual Sciences University of Wisconsin-Madison Madison USA

Purpose: To present a patient with bilateral severe and symmetric lower lid lymphedema in the setting of previous neck surgery and chronic psoriasis, and to review the potential relationships of neck surgery, irradiation, psoriasis, and rosacea to chronic lymphedema. Design: Single case report with literature review. Methods: A 60-year-old female with long-standing psoriasis presented with a 2-year history of severe, symmetric bilateral lower eyelid edema that developed after total laryngectomy and selective right neck dissection for recurrent Squamous Cell Carcinoma (SCC). 10 years prior she underwent radiation and radical left neck dissection for metastatic disease. Surgical management entailed transcutaneous debulking of the masses combined with ectropion repair and suture tarsorrhaphy. A comprehensive literature review was performed using Pubmed and Medline. Results: Surgical debulking of the soft tissue masses via a transcutaneous incision resulted in significant improvement in the patient’s lymphedema without recurrence at 5 months follow-up. Histopathologic findings were consistent with chronic eyelid lymphedema. Conclusions: Isolated eyelid lymphedema is rare, with many etiologies, and poses a diagnostic challenge. While ophthalmologists are familiar with the ocular manifestations of rosacea such as conjunctivitis or blepharitis, it is important to consider rosacea as an etiology of eyelid lymphedema. Reviewing the history for previous surgery or radiation to the head and neck, or other dermatologic inflammatory disorders is also warranted. Rosaceous lymphedema is typically less severe than in post-surgical/radiation patients, and does not respond well to medical treatment;however, it often shows a favorable response to debulking blepharoplasty surgery, with or without skin grafting. This patient with a history of severe psoriasis and bilateral neck dissections with radiation for SCC also responded well to surgery without recurrence of lymphedema. Therefore,

关键词： Lyphedema eyelid Edema Psoriasis Blepharoplasty Rosacea eyelid Lymphatics Facial Lymphatic System Facial Edema Squamous Cell Carcinoma

Merkel Cell Carcinoma of eyelid: A Rare Clinical Presentation and Diagnostic Challenge

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Open Journal of Ophthalmology 2013年第1期3卷 16-18页

作者： Manpreet Singh Swati Singh Usha Singh Zoramthara Zadeng Department of ophthalmology Advanced Eye Center Post Graduate Institute of Medical Education and Research Chandigarh India.

The purpose of this paper is to report a case of rare localised (limited to eyelid) malignant eyelid tumor in a 70 year old Indian male. Histopathology confirmed it to be a Merkel cell carcinoma. Surgical excision and eyelid reconstruction was done successfully. No local or systemic recurrence has been noted at a follow up of 2 years. The well defined nature of a highly malignant tumor, its localised presentation and management is being described in following report.

关键词： Merkel Cell Carcinoma eyelid Clinical Features Management

Anthropometric Analysis of the Upper eyelid and Eyebrow in Patients Attended by the Plastic and Reconstructive Surgery Service of the Hospital Central Sur De Petróleos Mexicanos

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Journal of Biosciences and Medicines 2022年第8期10卷 47-56页

作者： Alejandro Costa-Dulché Jaime García-Espinoza Daniel De-Luna-Gallardo Cuahutemoc Márquez-Espriella Rodrigo Dávila-Díaz Blanca Arámbula-Sánchez Marco Cuervo-Vergara David Flores-Soto Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos Mexico City Mexico

Upper eyelid blepharoplasty is one of the most frequently performed surgeries by plastic surgeons worldwide. A prospective observational study was conducted to describe the anthropometric measurements of the upper eyelid and eyebrow in a Mexican population. The researcher measured the anthropometry of the eyelids and eyebrows to establish the diagnosis and surgical plan according to the checklist created and applied by the plastic and reconstructive surgery service. In anatomical position with a caliper instrument, the marginal reflex distance (MRD1), the tarsal thickness, the length of the vertical and horizontal slit, and finally the distance at which the external canthus is located with respect to the internal canthus were measured in millimeters. For the anthropometry of the eyebrows, the distance from the eyebrows to the hairline, the position in millimeters of the orbital rim with respect to the eyebrow, and the angle of its apex were measured. A sample of 210 patients was obtained, of which 65 were male and 145 females, divided by age groups. It was observed that in the three age groups, females presented a vertical palpebral fissure with a higher mean than males. Similar is the case of tarsal thickness, in which the difference was significantly greater in the female of the three age groups. On the other hand, it was observed that the horizontal slit in males was higher than that of females, while the MDR1 was similar in both sexes. Finally, it was identified that in the group of 41 to 50 years old significant decreases are observed both in the vertical cleft, tarsal thickness and the position of the external canthus compared to the group of 20 to 30 years old, this is due to the aging process. When evaluating the anthropometrics of the eyebrows, a greater distance from the trichion to the eyebrow was observed in males than in females, in contrast to the position of the eyebrow with respect to the supraorbital rim and its apex, in which it was shown that in f

关键词： eyelid Upper-eyelid Eyebrow Anthropometrics Facial-Analysis

Swinging eyelid Procedure: An Useful Approach for Reduction of Zygomaticomalar Fracture

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Surgical Science 2011年第3期2卷 147-150页

作者： Hirohiko Kakizaki Yasuhiro Takahashi Hidetaka Miyazaki Akihiro Ichinose WengOnn Chan 不详

The swinging eyelid procedure is a versatile technique to approach orbital and periorbital surgical fields with less visible scar. Although mainly used in orbital surgeries, this procedure can also be used to expose the zygomatic arch and periorbital areas. The swinging eyelid procedure, therefore, enables appropriate reduction of zygomaticomalar fracture under direct visualization. We used this technique for a 27 years old man with a displaced zygomaticomalar fracture that pushed on the lateral rectus muscle. Good functional and cosmetic results were obtained postoperatively without ocular motility impairment.

关键词： Swinging eyelid Procedure Transconjunctival Approach Reduction Zygomaticomalar Fracture Lateral Rectus Muscle