BACKGROUND Restoring orbital volume in large blowout fractures is still a technically challenge to the orbital surgeon. In this study, we restored the orbital wall using the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses, and we compared the surgical outcome to that of a conventional transorbital method. METHODS A retrospective review o...

PURPOSE To evaluate the rate and pattern of new-onset diplopia after inferior-medial wall orbital decompression in thyroid-related orbitopathy (TRO) patients. METHODS Medical records of TRO patients who underwent orbital floor and medial wall decompression at the Goldschleger Eye Institute, Sheba Medical Center between 1/1986 and 12/2007 were reviewed and analyzed. MAIN OUTCOME MEASURES pri...

A 21-year-old man was in a motor collision, resulting in skull fractures and subsequent craniectomy (figure). When he was able to communicate, 60 days after injury, he reported vertical oscillopsia and a throbbing sensation around his left eye. Examination revealed monocular left orbital pulsations (video on the Neurology® Web site at Neurology.org). Orbital pulsations can result from a caverno...

BACKGROUND AND PURPOSE Optic neuropathy (ON), a serious complication of Graves ophthalmopathy, is often subclinical and masked by symptoms of orbitopathy. We examined herein bony and soft-tissue CT features associated with ON, including an angular assessment of orbital apex capacity, and their usefulness in the risk prediction of ON. MATERIALS AND METHODS The CT scans of 41 patients with Grav...

PURPOSE This study compares medial orbital wall supporting structures in patients with isolated inferior and medial wall fractures. METHODS The morphologic properties in all consecutive patients with periocular trauma who underwent orbital computed tomography (CT) scans from January 2004 to March 2006 were reviewed. On CT scans, the size of the fracture, the number of ethmoid air cell septa, ...

Fibrous dysplasia (FD) commonly affects the craniofacial structures including orbit. Rarely, growth involving orbital apex can cause intra-orbital or intracanalicular optic nerve compression leading to permanent vision loss.

Titanium micro-mesh implants are widely used in orbital wall reconstructions because they have several advantageous characteristics. However, the rough and irregular marginal spurs of the cut edges of the titanium mesh sheet impede the efficacious and minimally traumatic insertion of the implant, because these spurs may catch or hook the orbital soft tissue, skin, or conjunctiva during the inse...

Orbital emphysema is typically a benign condition that occurs following forceful injection of air into the orbital soft tissue spaces. In many cases there is a history of trauma and fracture of an orbital bone, which permits air entry. However, other mechanisms of orbital emphysema have been reported including infection, pulmonary barotrauma, injury from compressed-air hoses, and complications ...

BACKGROUND AND PURPOSE Patients with LS have an inborn growth hormone resistance, resulting in failure to generate IGF-1. The purpose of this study was to evaluate the size of the eye and orbit in LS. MATERIALS AND METHODS We retrospectively reviewed the MR imaging of the brain in 9 patients with LS for the following parameters: axial diameter of the globe, interzygomatic distance, perpendicu...