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Biomedical subjects

Paul Rosser

Publications and source records attributed to Paul Rosser.

3 recordsLinked to original sources

Clinical controversy: congenital unilateral and jaw-winking ptosis.

Paediatric ptosis is routinely more challenging than adult ptosis with considerations such as amblyopia, difficulty of examination and at what age surgery should be performed. Unilateral severe congenital ptosis and jaw-winking ptosis raise additional questions of which surgical procedure and whether unilateral or bilateral surgery should be performed. A panel of international experts answer questions relating to two clinical scenarios.

Age Factors↗

Enucleation versus evisceration.

The choice of enucleation and evisceration for removal of an eye remains controversial in certain circumstances. An international panel was asked to give their surgical management of two clinical cases that require either enucleation or evisceration. Case one follows multiple vitreoretinal procedures, and the risk of sympathetic ophthalmia is considered in the surgical management. Case two has had postoperative endophthalmitis, and the possibility of implant infection following insertion of an orbital implant with evisceration and enucleation is discussed.

Adult↗

Dirofilarial infection of the orbit.

PURPOSE: We report on two cases of dirofilaria involving the orbit. There have been no previous case reports of superior rectus involvement in the literature. METHODS: The presenting history, ocular examination, relevant investigations and treatments are discussed. RESULTS: In both cases the lesion was debulked surgically with subsequent histopathological identification of a dirofilarial worm. Postoperatively both patients were relieved of their presenting symptoms with no recurrence of the lesion. CONCLUSIONS: Dirofilarial involvement of the orbit is uncommon. It should be considered as a rare infectious form of specific orbital inflammation and considered in the differential diagnosis of orbital inflammatory lesions.

Adult↗