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Biomedical subjects

D R Jordan

Publications and source records attributed to D R Jordan.

At least 109 records · Page 6Linked to original sources

Irradiated homologous aorta in eyelid reconstruction. Part II. Human data.

Reconstruction of posterior lamellar eyelid defects requires a tissue substitute that is either identical to the tissue lost (i.e., surrounding or nearby tarsus) or donor tissue that serves the same supportive role. With extensive lid defects, at times an alternative tissue to tarsus may be required. Irradiated homologous aorta is available as a posterior lamellar substitute. It provides a structural framework for the surrounding lid tissues to grow on and is incorporated into the normal eyelid anatomy. It is available to the reconstructive ophthalmic surgeons as an alternative donor tissue in the presence of extensive lid defects.

Adenocarcinoma↗

Orbital panniculitis as the initial manifestation of systemic lupus erythematosus.

Inflammation of the fat in lupus erythematosus also known as lupus erythematosus profundus (panniculitis) is a rare clinical entity. As the presenting feature of lupus, it is even more unusual. In this report, we describe an elderly woman who presented with an orbital mass infiltrate as the initial manifestation of lupus that had the classical histological features of lupus panniculitis.

Aged↗

Failed dacryocystorhinostomy: the sump syndrome.

A dacryocystorhinostomy may fail due to a problem along the canaliculus, at the ostomy site of nasolacrimal sac to nose, due to an intranasal problem or related to the stent. The "sump syndrome" occurs when a residual nasolacrimal sac forms, collects fluids, and leads to tearing. This entity, although uncommon, has a characteristic clinical history and radiologic appearance.

Dacryocystorhinostomy↗

Initial comfort and surface wettability: a comparison between different contact lens materials.

A clinical investigation was performed to compare the initial comfort and surface wettability of the Novalens (Ocu-Tec), ENVISION (Polymer Technology Corporation) and D3X4 (Wesley-Jessen). Fifteen subjects were randomly fit with each one of these three lens materials. Initial comfort was significantly better with the D3X4 lens; no significant difference was found between the two rigid lens materials. No significant difference in lens surface wettability was found between the three materials.

Adult↗

Surgical results and pathological findings in the oculopharyngeal dystrophy syndrome.

The oculopharyngeal dystrophy syndrome is an autosomal dominant disorder commonly seen in patients of French-Canadian descent. The syndrome is characterized by progressive ptosis and dysphagia, with onset in midlife. In this series 26 patients (47 eyelids) underwent surgery to correct the ptosis. The aponeurotic advancement technique, performed in 28 of the lids, resulted in an average elevation of 2.5 mm (mean follow-up interval 8.6 months). The combined aponeurosis-Müller's muscle advancement technique, performed in 17 lids, resulted in an average elevation of 3.5 mm (mean follow-up period 8.0 months). Müller's muscle as well as the levator muscle was found to be involved in the dystrophic process.

Blepharoptosis↗

Complications associated with alloplastic implants used in orbital fracture repair.

BACKGROUND: The treatment of orbital wall fractures involves observation and/or surgical reduction with repositioning of herniated orbital tissues. To prevent reherniation of tissue and development of enophthalmos, the orbital floor or wall defect is commonly covered with an alloplastic implant. Complications associated with these implants are infrequent and generally appear as isolated case reports. METHODS: The authors reviewed the files of four consultative oculoplastic surgeons and searched for individuals with complications secondary to their alloplastic implants used during orbital fracture repair. FINDINGS: Seventeen patients were identified with a variety of complications related to their alloplastic implant. CONCLUSION: Although these implants are relatively inert and develop a fibrous capsule walling them off from the surrounding orbit, they remain foreign bodies and are thus subject to possible complications at any time. The authors review the spectrum of complications occurring with various alloplastic implants.

Adult↗

Ectropion following entropion surgery: an unhappy patient and physician.

Ectropion following entropion surgery is an uncommon situation that creates an unhappy patient and physician when it occurs. The precipitating events that lead to this situation may be related to a faulty understanding of the pathophysiology of the entropic process, utilization of an inappropriate technique, overcorrection of entropion repair, bleeding into the operative field with subsequent scarring of the lid, or a combination of the above. Correction of this situation requires restoration of the normal anatomy where possible, release of any scar bands, and often a lid-tightening procedure.

Aged↗