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  1. Article ; Online: Review of Surgical Techniques in Evisceration.

    Lai, Kenneth K H / Lam, Matthew C W / Yuen, Hunter K L

    International ophthalmology clinics

    2023  Volume 63, Issue 3, Page(s) 195–208

    MeSH term(s) Humans ; Postoperative Complications ; Retrospective Studies
    Language English
    Publishing date 2023-06-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207382-1
    ISSN 1536-9617 ; 0020-8167
    ISSN (online) 1536-9617
    ISSN 0020-8167
    DOI 10.1097/IIO.0000000000000453
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Se 38: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Doxycycline sclerotherapy in patients with periorbital lymphatic malformation: A case series and literature review.

    Lai, Kenneth K H / Kwok, Yuen Ting / Lam, Stacey C / Lam, Matthew C W / Yuen, Hunter K L

    European journal of ophthalmology

    2023  Volume 33, Issue 6, Page(s) 2170–2177

    Abstract: Purpose: To describe and report the outcomes of doxycycline sclerotherapy in patients with periorbital lymphatic malformations(LMs).: Basic procedures: A retrospective review of consecutive patients diagnosed with periorbital LMs and who received ... ...

    Abstract Purpose: To describe and report the outcomes of doxycycline sclerotherapy in patients with periorbital lymphatic malformations(LMs).
    Basic procedures: A retrospective review of consecutive patients diagnosed with periorbital LMs and who received doxycycline sclerotherapy at Hong Kong Eye Hospital and Queen Elizabeth Hospital, Hong Kong between January 2016 and June 2022. Doxycycline was prepared with a concentration of 100 mg diluted in 10 mL water for injection. A 23-gauge needle aiming at the center of the macrocyst was used to aspirate fluid from the lesion; this was then followed by an intralesional injection of 0.5 to 2 ml of doxycycline depending on the size of the cavity.
    Main findings: A total of eight patients(six females) were included in this study. All of them received doxycycline sclerotherapy for periorbital LMs(five extraconal, three intraconal). The median age for receiving sclerotherapy was 29 years old. Seven patients had macrocystic LMs, and one had mixed macro- and microcystic LM. Two of the LMs had venous components radiologically. The average number of sclerotherapy treatment in one patient was 1.4 ± 0.7times. Seven of the eight patients had excellent response radiologically or clinically. One patient showed a satisfactory response after three cycles of sclerotherapy. No recurrence was experienced at median follow-up of 14 months. None of the patients experienced visual threatening or systemic complication.
    Principle conclusions: Our preliminary experience with doxycycline sclerotherapy has shown encouraging results for the treatment of macrocystic or mixed-type periorbital LMs, with a favourable safety profile. Further clinical trials with longer follow-ups are warranted on this topic.
    Language English
    Publishing date 2023-03-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1089461-5
    ISSN 1724-6016 ; 1120-6721
    ISSN (online) 1724-6016
    ISSN 1120-6721
    DOI 10.1177/11206721231163614
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3342: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Burnishing of exposed porous polyethylene orbital implant: is it useful?

    Lai, Kenneth K H / Lam, Matthew C W / Chong, Kelvin K L / Yuen, Hunter K L

    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie

    2023  Volume 59, Issue 3, Page(s) e239–e244

    Abstract: Objective: To describe and report the surgical outcomes of the burnishing technique for exposed porous polyethylene (PP) orbital implants.: Methods: A retrospective review of consecutive patients who underwent repair of an exposed PP orbital implant ... ...

    Abstract Objective: To describe and report the surgical outcomes of the burnishing technique for exposed porous polyethylene (PP) orbital implants.
    Methods: A retrospective review of consecutive patients who underwent repair of an exposed PP orbital implant at Hong Kong Eye Hospital and Queen Elizabeth Hospital, Hong Kong, between January 2002 and April 2022 was conducted. Exposed PP orbital implants were burnished with an electric drill. The exposed area was then covered by a donor scleral graft followed by conjunctival wound closure. Patients with a shallow lower eyelid fornix would undergo additional fornix deepening procedures that mobilize the conjunctiva and provide adequate coverage of the implant.
    Results: Six patients who had exposed PP orbital implants following enucleation (n = 4) and evisceration (n = 2) underwent repair. Five of the six patients did not experience any recurrence at an average follow-up of 25 months (range, 7-42 months). One patient who suffered from endophthalmitis experienced orbital implant re-exposure 16 months after the revision was managed by reimplantation of an acrylic implant and wrapping with both donor scleral graft and dermis fat graft.
    Conclusion: In conclusion, we described a burnishing technique for repairing exposed PP orbital implants. Our technique is effective in preventing implant re-exposure and is easy to perform.
    MeSH term(s) Humans ; Orbital Implants ; Retrospective Studies ; Male ; Female ; Polyethylene ; Middle Aged ; Porosity ; Aged ; Adult ; Eye Enucleation ; Follow-Up Studies ; Eye Evisceration ; Reoperation ; Prosthesis Implantation
    Language English
    Publishing date 2023-06-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 80091-0
    ISSN 1715-3360 ; 0008-4182
    ISSN (online) 1715-3360
    ISSN 0008-4182
    DOI 10.1016/j.jcjo.2023.05.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 588: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Case report - Acute Corneal Subepithelial Hydrops (ACSH) during Micropulse Transscleral Cyclophotocoagulation (MPTSC).

    Chan, Poemen P / Lam, Matthew C W / Baig, Nafees

    BMC ophthalmology

    2020  Volume 20, Issue 1, Page(s) 409

    Abstract: Background: To present an unusual intra-operative complication of micropulse transscleral cyclophotocoagulation (MPTSC).: Case presentation: A 72-year old Chinese gentleman, who had primary angle closure glaucoma and had received bilateral laser ... ...

    Abstract Background: To present an unusual intra-operative complication of micropulse transscleral cyclophotocoagulation (MPTSC).
    Case presentation: A 72-year old Chinese gentleman, who had primary angle closure glaucoma and had received bilateral laser iridotomy, presented with progressive left eye blurred vision (visual acuity of 20/40 OD and 20/200 OS). Examination reviewed left eye central retinal venous occlusion. The intraocular pressure (IOP) was 19 mmHg OS and was on maximally tolerated topical medications. Four weeks later, the left eye was complication by neovascular glaucoma; the IOP was raised to 26 mmHg despite additional oral acetazolamide and remained elevated after pan-retinal photocoagulation as well as cataract extraction by phacoemulsification. MPTSC was performed 8 days after the phacoemulsification. During the procedure, a sudden protrusion was formed on the corneal surface. On-table examination with operating microscope and portable slit-lamp reviewed an intact corneal epithelium with a globular-shaped collection of fluid at the subepithelial layer - acute corneal subepithelial hydrops (ACSH). The anterior chamber was formed and the globe was intact. After approximately 10-15 minutes, the swelling spontaneously ruptured and became a corneal epithelial defect. The defect healed on the tenth day after the event with conservative management. There was no irreversible corneal damage and the patient subsequently underwent a successful second MPTSC of the left eye because of poorly controlled IOP.
    Conclusion: ACSH is a possible intra-operative complication of MPTSC. We have proposed the possible mechanisms of ACSH. It is best to exercise caution when using MPTSC shortly after any incisional intraocular surgery.
    MeSH term(s) Aged ; Ciliary Body/surgery ; Edema ; Humans ; Intraocular Pressure ; Laser Coagulation ; Tonometry, Ocular ; Treatment Outcome
    Language English
    Publishing date 2020-10-14
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2050436-6
    ISSN 1471-2415 ; 1471-2415
    ISSN (online) 1471-2415
    ISSN 1471-2415
    DOI 10.1186/s12886-020-01669-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Reverse Lid Swinging Approach: A Case Series.

    Lai, Kenneth K H / Lam, Matthew C W / Kwok, Tracy Y T / Leung, Bonnie L C / Ng, Ben C F / Mak, Calvin H K / Yuen, Hunter K L

    Ophthalmic plastic and reconstructive surgery

    2024  Volume 40, Issue 2, Page(s) e62–e65

    Abstract: In this report, the authors describe the reverse lid swinging approach, which comprises lateral canthotomy, superior lateral cantholysis to free the upper eyelid, and an incision at the superonasal conjunctival fornix for orbital exposure. Four patients ... ...

    Abstract In this report, the authors describe the reverse lid swinging approach, which comprises lateral canthotomy, superior lateral cantholysis to free the upper eyelid, and an incision at the superonasal conjunctival fornix for orbital exposure. Four patients underwent orbitotomy using the reverse lid swinging approach for orbital tumor removal (n = 3) or orbital abscess drainage (n = 1). All 4 operations were uneventful, with no optic nerve dysfunction or extraocular dysmotility over the follow-up period. Satisfactory cosmesis was achieved with no visible external scar in all cases. The reverse lid swinging approach provides easy access to medial orbital lesions as demonstrated in the present case series.
    MeSH term(s) Humans ; Cicatrix ; Conjunctiva ; Drainage ; Eyelids/surgery ; Optic Nerve
    Language English
    Publishing date 2024-01-17
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 632830-1
    ISSN 1537-2677 ; 0740-9303
    ISSN (online) 1537-2677
    ISSN 0740-9303
    DOI 10.1097/IOP.0000000000002586
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2159: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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