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Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

Imaging and histological relationship of orbital schwannomas

This is a retrospective review of 15 patients with orbital schwannomas comparing the radiological characteristics, in particular the signal intensity on MRI with the histological sub-types of the tumours. Five patients had MRI imaging alone, three had CT alone and...

Intralesional laser treatment for fillers complications

The authors of this paper present their experience in dealing with fillers complications. With an astonishing group of 219 patients over a seven-year period this may be one of the largest series of treated fillers complications in the literature.The authors...

Prostaglandin-associated periorbitopathy

This is a masked study of 33 patients who had been taking a prostaglandin analogue in one eye only for at least a year, to look for signs of prostaglandin-associated periorbitopathy (PAP). The investigators devised a new grading system to...

Old dogs can learn new tricks: the use of an often overlooked treatment modality for pathologically fractured mandibles

Figure 1: Timeline detailing key events in the patient’s treatment. Whilst commonly affecting the feet, spine and hips in adults, osteomyelitis (OM) can also present to the oral and maxillofacial surgery (OMFS) clinic as pathology of the jaws. Case reports...

Successful nose replantation

This case report describes a superb result following the delayed replantation (after eight hours) of the distal right nostril following a dog bite. The patient was a heavy smoker. Two arteries and two veins were anastomosed, one measuring 0.6mm and...

Aesthetic Plastic Surgery of the East Asian Face

One can think of very few communities to which the East Asian diaspora has not migrated over the course of the last few centuries. Thus, even northern European surgeons such as myself are regularly faced with aesthetic challenges pertaining to...

Propranolol as diagnostic tool for infantile haemangiomas

Infantile haemangiomas are common, benign vascular tumours. Other vascular lesions, which can mimic infantile haemangiomas, include myofibroma, vascular malformations, rhabdomyosarcoma or dermatofibrosarcoma protuberans. The diagnosis of a haemangioma can usually be made based on clinical presentation and medical examination. This...

Is patient masking leading to an increase in post-op infection after eyelid surgery?

Due to the COVID-19 pandemic, the use of facemasks or face coverings in the clinical setting has become necessary. It is important to recognise that facemasks can be a source of infection after eye surgery and consider ways to minimise...

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars

This paper by Abedini et al., is a randomised observer blinded controlled trial comparing the efficacy, safety profile, and recurrence rates of intralesional verapamil versus intralesional triamcinolone acetonide in the treatment of keloid and hypertrophic scars. Whilst corticosteroids represent the...

How I Do It - The original Blue Peel

The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...