RESUMO
PURPOSE: The editorship of medical journals is a leadership role that can affect recognition and career advancement. We determine the gender representation of the editorial boards of oculoplastic surgery journals in comparison to the proportion of women in oculoplastics societies. METHODS: The gender composition of the American, European and Asia-Pacific societies of oculoplastic and reconstructive surgery and the editorial boards of their respective society journals were determined with online searches in March 2021. Statistical tests for the equality of proportions were performed. RESULTS: Excluding 44 individuals with missing gender data, the three combined oculoplastics societies comprised 1,230 distinct members, with 29% women. The editorial review boards of the three official society publications comprised 59 medical editors, 22% of which were women. There was no statistically significant difference in the proportion of women editors versus women OPRS members (p = .201) but the study is underpowered to detect a 7% difference. A sensitivity analysis with the missing data did not alter the conclusions. The mean h-index/m-quotient of the women editors was 20.50/0.87 and for the men 21.05/0.84, with no statistically significant difference (p = .903/0.851). CONCLUSION: Women are underrepresented on the editorial boards of oculoplastic journals. Possible methods to improve gender balance include multicriteria objective decision-making criteria for editor nominations, mentoring peer reviewers that are women, and appointing a journal editor for equity, diversity and inclusion.
Assuntos
Médicas , Ásia , Feminino , Humanos , Masculino , Estados UnidosAssuntos
Adenocarcinoma Sebáceo/patologia , Doenças da Túnica Conjuntiva/patologia , Doenças da Córnea/patologia , Neoplasias Oculares/patologia , Neoplasias Palpebrais/patologia , Doença de Paget Extramamária/patologia , Neoplasias das Glândulas Sebáceas/patologia , Adenocarcinoma Sebáceo/tratamento farmacológico , Administração Tópica , Antibióticos Antineoplásicos/uso terapêutico , Biópsia , Doenças da Túnica Conjuntiva/tratamento farmacológico , Doenças da Córnea/tratamento farmacológico , Neoplasias Oculares/tratamento farmacológico , Neoplasias Palpebrais/tratamento farmacológico , Feminino , Humanos , Pessoa de Meia-Idade , Mitomicina/uso terapêutico , Invasividade Neoplásica , Soluções Oftálmicas , Doença de Paget Extramamária/tratamento farmacológico , Neoplasias das Glândulas Sebáceas/tratamento farmacológico , Acuidade Visual/fisiologiaRESUMO
OBJECTIVE: To determine the indications for ordering orbital imaging and the indications for ordering CT versus MRI by oculoplastic surgeons and to assess the correlation between surgeon's clinical indications for imaging and the radiologist's diagnosis. DESIGN: Retrospective review of imaging requisitions and radiology reports. PARTICIPANTS: Patients of 4 oculoplastic surgeons who required CT or MRI scans. METHODS: Imaging requisitions and radiology reports of patients from 4 oculoplastic surgeons were reviewed to determine the indication for ordering a CT or MRI scan between March 2006 and March 2009. The indications were then compared with the radiologist's diagnosis. RESULTS: A total of 735 patients were included: 449 (61.1%) female and 286 (38.9%) male, with an average age of 50.1 years and an age range of 7 months to 93 years. Of these patients, a total of 632 CT and 223 MRI scans were ordered, 135 of which were follow-up scans. CONCLUSIONS: The most common indication for CT scan was thyroid disease, followed by orbital tumors and then inflammatory disease, while the most common indication for MRI scan was orbital tumors, followed by inflammatory disease and then thyroid disease. CT scans were more commonly ordered than MRI, largely for trauma and to rule out orbital foreign body.
Assuntos
Técnicas de Diagnóstico Oftalmológico/estatística & dados numéricos , Imageamento por Ressonância Magnética/estatística & dados numéricos , Órbita/patologia , Doenças Orbitárias/diagnóstico , Tomografia Computadorizada por Raios X/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Encaminhamento e Consulta/estatística & dados numéricos , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodos , Procedimentos Desnecessários/estatística & dados numéricosRESUMO
PURPOSE: To identify factors associated with outcome of endonasal dacryocystorhinostomy. METHODS: One hundred thirty-four cases of endonasal dacryocystorhinostomy in 111 patients performed for primary acquired nasolacrimal duct obstruction by a single surgeon between March 12, 2002 and November 10, 2008 were included in a retrospective, noncomparative case series. Variables assessed during the surgery included intranasal view, difficulty of bone removal, size of the lacrimal sac, presence of lacrimal sac stones, orbital fat prolapse and degree of bleeding. Successful outcome was defined as patency to lacrimal irrigation at final follow up. RESULTS: One hundred twenty-one of the 134 cases (90%) were patent to irrigation at final follow up (mean 8.8 ± 8.6 months). A small lacrimal sac opening intraoperatively was associated with higher risk of failure (odds ratio [95% confidence interval] of 5.7 [1.6, 20] [p = 0.0072]). Orbital fat prolapse had a trend toward higher risk of failure that approached statistical significance (odds ratio [95% confidence interval] of 5.3 [0.87, 32] [p = 0.0698]). A narrow intranasal view, difficult bony opening, lacrimal sac stones, and bleeding were not associated with outcome. CONCLUSIONS: A small lacrimal sac opening intraoperatively was associated with failure of endonasal dacryocystorhinostomy.
Assuntos
Dacriocistorinostomia/métodos , Ducto Nasolacrimal/cirurgia , Feminino , Seguimentos , Humanos , Obstrução dos Ductos Lacrimais/metabolismo , Masculino , Pessoa de Meia-Idade , Mucosa Nasal/cirurgia , Ducto Nasolacrimal/metabolismo , Cuidados Pós-Operatórios , Estudos Retrospectivos , Lágrimas/metabolismo , Irrigação Terapêutica , Resultado do TratamentoRESUMO
A 31-year-old man presented 5 days after a left bicanalicular laceration from trauma. Identification of the medial cut ends under direct visualization was unsuccessful. A retrograde endoscopic approach was used to identify the common canaliculus or one of the medial cut ends of the canaliculi by injecting the lacrimal sac with saline and observing fluid egress from the wound. Both canaliculi were stented with a silicone tube and both ends of the tube were passed through the identified medial opening in the lacrimal sac. The tubes were retrieved from the nose and tied, and then left for 6 months before removal. The patient did not complain of epiphora and demonstrated bicanalicular patency on irrigation. This is the first description of using an endoscopic retrograde approach to identify the medial ends of a bicanalicular laceration.
Assuntos
Endoscopia , Traumatismos Oculares/cirurgia , Pálpebras/lesões , Lacerações/cirurgia , Aparelho Lacrimal/lesões , Procedimentos Cirúrgicos Oftalmológicos , Adulto , Traumatismos Oculares/etiologia , Humanos , Intubação , Lacerações/etiologia , Masculino , Fraturas Orbitárias/etiologia , Fraturas Orbitárias/cirurgia , Osteotomia , Sapatos/efeitos adversos , Stents , ViolênciaRESUMO
This report describes a case of orbital B-cell lymphoma of extranodal marginal cell type with atypical clinical and radiographic features. This patient presented with choroidal effusion and optic disk swelling of the right eye. A CT scan revealed an intraconal mass surrounding the optic nerve and indenting the globe. A right orbitotomy with biopsy of the mass was performed. Histologic and immunohistochemical analysis confirmed a diagnosis of extranodal marginal zone B-cell lymphoma. This is the first case of primary orbital lymphoma presenting with choroidal effusion described in the literature.
Assuntos
Doenças da Coroide/diagnóstico , Linfoma de Zona Marginal Tipo Células B/diagnóstico , Neoplasias Orbitárias/diagnóstico , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Biomarcadores Tumorais/metabolismo , Doenças da Coroide/fisiopatologia , Doenças da Coroide/terapia , Terapia Combinada , Humanos , Linfoma de Zona Marginal Tipo Células B/fisiopatologia , Linfoma de Zona Marginal Tipo Células B/terapia , Masculino , Neoplasias Orbitárias/fisiopatologia , Neoplasias Orbitárias/terapia , Papiledema/diagnóstico , Papiledema/fisiopatologia , Papiledema/terapia , Radioterapia , Ruptura Espontânea , Tomografia Computadorizada por Raios X , Acuidade VisualRESUMO
PURPOSE: To evaluate the pain associated with local infiltration of the eyelid, using a microprocessor-controlled delivery system (CompuMed, using the Wand), as compared with traditional manual syringe infiltration technique. METHODS: A randomized clinical trial of 30 patients undergoing minor eyelid surgical procedures was performed. Fifteen patients were injected by use of the CompuMed system and 15 patients were injected by the traditional manual syringe technique. The severity of pain was recorded from each patient by using a visual analog scale (0 to 10). The duration of pain experienced by the patient was also recorded. RESULTS: The mean pain level reported was 1.5 in the Wand group and 3.2 in the syringe group (p < 0.01). The mean duration of pain experienced was 1.5 seconds in the Wand group and 34 seconds in the syringe group (p < 0.01). CONCLUSIONS: The Wand was effective at significantly reducing the pain associated with local anesthetic infiltration in minor eyelid surgical procedures. Patients appear to feel pain from the initial needle stick but not during the actual injection.