Aktuelle Aspekte zur Lid-, Tränenwegs- und Orbitachirurgie im Kindesalter

Avgitidou, Georgia; Koch, Konrad R.; Cursiefen, Claus; Heindl, Ludwig M.

doi:10.1007/s00347-014-3054-8

Cited by 13 publications

(7 citation statements)

References 48 publications

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“…A new prospective is represented by the use of gene therapy to provide a healthy copy of the mutated genes. However, when the upper eyelid interferes with the visual axis (Figure 1) causing a reduction of the visual field or induces amblyogenic astigmatism or abnormal head position, surgical intervention is mandatory and has to be performed as soon as possible 47–49. In other cases, surgery may be postponed; some authors recommend waiting until 4 years of age to make the most accurate preoperative examination 46…”

Section: Timingmentioning

confidence: 99%

Clinical presentation and management of congenital ptosis

Marenco

Macchi

et al. 2017

OPTH

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Congenital ptosis is a rare condition characterized by lower positioning of the upper eyelid that is present at birth and is a clinical condition that is persistent if not treated. It may be unilateral or bilateral and may be associated with other ocular disorders or systemic conditions, including Marcus Gunn, Horner, and Duane syndromes. It is a benign condition but causes functional, cosmetic, and psychological problems in children. However, not all patients need to undergo surgery, and usually only patients at risk of amblyopia need a prompt surgical correction, while in other cases, surgery can be postponed. The grade of ptosis, the eyelid function, and the amblyopic risk are the parameters that affect the ophthalmologist’s decision on timing of surgery and the surgical technique to be used. In fact, there are several types of surgical techniques to correct a congenital ptosis, although very often more than one is needed to obtain an acceptable result. This paper reviews the causes of congenital ptosis and associated diseases. Particular emphasis is given to surgical management and different procedures available to correct the upper eyelid anomaly and avoid permanent damage to visual function.

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Section: Timingmentioning

confidence: 99%

Clinical presentation and management of congenital ptosis

Marenco

Macchi

et al. 2017

OPTH

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“…In some more extreme cases of proptosis, canthotomy [6], drainage [1, 7], decompressive surgery, or cortisone therapy due to inflammatory causes [1, 3] would be indicated. This may apply as well for newborns [1] since the orbit is of smaller size and therefore, the surgical treatment would be indicated, as it would be in other types of intraorbital mass [10, 11, 12]. …”

Section: Discussionmentioning

confidence: 99%

Spontaneous Unilateral Subperiosteal Hematoma in the Orbit due to Self-Induced Asphyxia: Unusual Cause of Unilateral Exophthalmos

Subiras

Koch

Schrittenlocher

et al. 2017

Case Rep Ophthalmol

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Background: To report an unusual case of subperiosteal bleeding of nontraumatic etiology. Case Description: A 48-year-old female presented with an acute protrusion of the left eye after nonaccomplished suicide by means of asphyxia using a cable around the neck. At the time of presentation, the MRI showed an orbital subperiosteal hematoma causing an exophthalmos. After conservative treatment, there was a complete remission of the lesion. Conclusion: Nontraumatic subperiosteal bleedings without involvement of the intraocular structures and no vision-threatening intraorbital changes should be treated conservatively.

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“…Bezüglich der transkanalikulären (minimalinvasiven) OP-Techniken ist vor allem die Sondierung und Überdruckspülung der TNW in Lokalanästhesie zu nennen [2,3,43,44]. Nachteil ist, dass das Verfahren i. d. R. nur innerhalb des 1.…”

Section: Diskussionunclassified

Stufenkonzept zur Therapie der konnatalen Dakryostenose

Heichel

2017

Klin Monatsbl Augenheilkd

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Unresolved epiphora in childhood is one of the most frequent issues in paediatric ophthalmology. In this context, connatal nasolacrimal duct obstruction (CNLDO) is the most important differential diagnosis and the condition is caused by a persistent Hasner's membrane in most cases. As there is a risk of complications, treatment should be considered. Therapeutic options include conservative and invasive approaches. As CNLDO is associated with high spontaneous recovery rates during the first years of life, the indication for invasive interventions must be carefully deliberated in that period. Conservative treatment with digital compression of the lacrimal sac should be performed whenever CNLDO is suspected. Invasive treatment is recommended in case of complications such as acute dacryocystitis or recurrent ascending infections. Furthermore, CNLDO seems to be amblyogenic. In addition to probing and syringing, temporary intubation of the lacrimal duct is possible. Further transcanalicular approaches include dacryoendoscopy or balloon dacryoplasty. Dacryocystorhinostomy should be reserved for special indications, although it has a low rate of complications and treatment is successful in 90 % of cases. The available treatment approaches can be integrated into a graduated treatment concept, which is influenced by many factors and should therefore be individualised.

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Aktuelle Aspekte zur Lid-, Tränenwegs- und Orbitachirurgie im Kindesalter

Abstract: Eyelid and orbital diseases during childhood may require fast surgical intervention to prevent amblyopia. Initial conservative treatment is recommended for connatal dacryostenosis and capillary hemangioma.

Cited by 13 publications

References 48 publications

Clinical presentation and management of congenital ptosis

Clinical presentation and management of congenital ptosis

Spontaneous Unilateral Subperiosteal Hematoma in the Orbit due to Self-Induced Asphyxia: Unusual Cause of Unilateral Exophthalmos

Stufenkonzept zur Therapie der konnatalen Dakryostenose

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