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Biomedical subjects

S M Betharia

Publications and source records attributed to S M Betharia.

At least 19 recordsLinked to original sources

CT evaluation of orbital osseous hemangioma.

Two patients with osseous hemangioma of the orbit, and with typical features on plain radiography and computed tomography, are reported. The typical features of osseous hemangioma of the orbit on computerised tomography (CT) are: expansile bony lesion limited by a thin sclerotic rim, bony trabeculae radiating from the centre to the periphery of the lesion, and absence of an associated extra-tumoral soft tissue mass. To the best of our knowledge this is the first report of osseous hemangioma of the orbit evaluated by CT.

Hemangioma

Evaluation of peribulbar anesthesia in eye camps.

Modified peribulbar anesthesia was administered with a 26-gauge, half-inch, insulin needle to 367 eyes of 360 patients in three eye camps in India. The intraocular procedures consisted of cataract extraction in 349 eyes, trabeculectomy in 11 eyes, and combined cataract extraction and trabeculectomy in seven eyes. The overall success rate of the anesthesia technique was 90.2% (supplemental anesthesia was required in 36 eyes). There was good lid and globe akinesia and anesthesia, adequate pupillary dilatation for intracapsular cataract extraction, and excellent hypotony. No significant local or systemic complications were observed, except for mild to moderate chemosis in some eyes, which did not produce any intraoperative or postoperative problems. We found this technique easy to learn, relatively safe, effective, and well tolerated by our patients.

Anesthesia, Local

Transconjunctival levator resection: a modified simple technique.

A modified simple technique for transconjunctival levator resection is presented. Fifteen patients with congenital ptosis with a varying amount of levator action were operated on with this technique. The modification included different techniques for passing the sutures and avoiding separate sutures to form the lid fold. Lidocaine injections administered subconjunctivally and beneath the skin orbicularis lamina facilitate the dissection of the levator, and as much of the levator can be resected as is required. The use of a ptosis clamp was avoided by means of white cotton stay sutures passed through the levator. The postoperative reaction was minimal, and excellent dynamic lid folds were formed.

Blepharoptosis

Levator sling for Marcus Gunn ptosis.

A modified simple technique of sling operation is presented in 15 cases using the levator aponeurosis as the material for the sling as originally devised by Lemagne and Bemcher. The levator is cut behind the superior transverse ligament and the posterior part of the levator is cauterised and allowed to retract into the orbit. The horns are cut from behind forwards, and the levator, which is kept attached on the tarsal plate, is used to lift up the lid. This method eliminates the jaw winking phenomenon as well as lifting the lid.

Blepharoptosis

Frontalis sling: a modified simple technique.

A modified simple technique of brow suspension by using 4-0 Supramid (non-absorbable thread) suture and only one skin incision is described in 25 eyes of 15 cases of ptosis, including cases of congenital and mechanical ptosis and ptosis with Marcus Gunn phenomenon. This technique avoids the use of any special instruments such as the Reese ptosis knife and Wright needle.

Blepharoptosis

Unusual Marcus Gunn phenomenon in adults.

Two unusual cases of Marcus Gunn phenomenon in adults are presented. The first case was characterised by a bilateral jaw-winking phenomenon along with an asymmetric bilateral congenital ptosis, whereas the second case had bizarre spontaneous movements of the affected lid, deficient abduction and pseudoptosis in association with jaw-winking. The pathogenesis of Marcus Gunn phenomenon is discussed.

Adolescent

Fine needle aspiration cytology of orbital and adnexal masses.

Fine needle aspiration (FNA) biopsy was performed on 35 patients with orbital and adnexal masses. Histopathologic study was performed on 15 of the cases. Examples of benign and malignant primary orbital neoplasms, as well as inflammatory lesions diagnosed this way, are described. The diagnostic accuracy of the technique in evaluating orbital masses was 97.1%; there was one false-negative case. The study indicated that this simple technique has considerable diagnostic value in palpable orbital masses.

Adolescent

Leiomyoma of the orbit.

A rare case of leiomyoma located anteroinferiorly in the orbit of a 39-year-old male patient is reported. The histopathogenesis and management is discussed.

Adult

Facial cleft syndrome--a case report.

A rare case of facio-orbital anamoly having dermolipoma with posterior extension, lid notch, ectropion, assymetric hypertelorism and lipoma of corpus callosum is presented. The classification of the facial cleft deformities and the surgical management is highlighted.

Adult

Skin grafting in severely contracted socket with the use of 'Compo'.

The results of split thickness autologous skin grafting along with the use of a dental impression material (Compo), a thermoplastic substance are presented in a series of 11 patients of acquired, severely contracted, anophthalmic sockets. Only the fornix fixation sutures and the central tarsorrhaphy were employed for the proper placement of graft without the use of retention devices. Artificial eyes were successfully fitted and retained subsequently after 6 weeks of grafting.

Adolescent

Orbital wooden foreign bodies--a case report.

A case of multiple wooden foreign bodies is presented. Any case presenting with a history of injury and a discharging sinus with osteomyelitis warrants a thorough exploration of the orbit. Anterior orbitotomy was performed and 4 pieces of arhar sticks were taken out. The guidelines for the management of the wooden foreign bodies are highlighted.

Child