A5086421610- Ophthalmology and Eye Disorders
- Facial Rejuvenation and Surgery Techniques
- Ocular Surface and Contact Lens
- Cerebral Venous Sinus Thrombosis
- Glaucoma and retinal disorders
- Facial Trauma and Fracture Management
- Traumatic Ocular and Foreign Body Injuries
- Ocular Infections and Treatments
- Diversity and Career in Medicine
- Intimate Partner and Family Violence
- Sinusitis and nasal conditions
- Intraocular Surgery and Lenses
- Ocular Diseases and Behçet’s Syndrome
- Nasolacrimal Duct Obstruction Treatments
- Nonmelanoma Skin Cancer Studies
- Corneal Surgery and Treatments
- Body Image and Dysmorphia Studies
- Innovations in Medical Education
- Oral and Maxillofacial Pathology
- Digital Imaging in Medicine
- Head and Neck Surgical Oncology
- Empathy and Medical Education
- Sexual Assault and Victimization Studies
- Pituitary Gland Disorders and Treatments
- Ocular Disorders and Treatments
University of Iowa
2016-2025
American College of Surgeons
2017-2024
University of Iowa Hospitals and Clinics
2016-2023
Iowa City VA Health Care System
2016-2023
University of Miami
2010-2022
Creative Commons
2022
University Hospitals Bristol NHS Foundation Trust
2022
Bristol Eye Hospital
2022
University of Iowa Health Care
2021
Horizon Therapeutics (United Kingdom)
2021
Thyroid-associated ophthalmopathy, a condition commonly associated with Graves' disease, remains inadequately treated. Current medical therapies, which primarily consist of glucocorticoids, have limited efficacy and present safety concerns. Inhibition the insulin-like growth factor I receptor (IGF-IR) is new therapeutic strategy to attenuate underlying autoimmune pathogenesis ophthalmopathy.
A 35-year-old woman with thyroid eye disease (TED) was found to have autoimmune polyglandular syndrome type II (APS-II) 1 year after developing symptoms of this rare syndrome, during which she underwent 8 emergency department visits before receiving a targeted endocrinology workup. Thyroid is the second most common associated APS-II primary adrenal insufficiency. Identification critical as it can be life-threatening if left untreated. Additionally, hypothyroidism treated levothyroxine,...
To describe a surgical technique of en bloc resection lacrimal sac tumors by the shared expertise 2 specialists to achieve optimal tumor margin clearance and simultaneous reconstruction bony defect preserve ocular functions cosmesis.All patients who had malignant nasolacrimal drainage system using combined posttreatment protocol between 1997 2011 were studied in this retrospective, noncomparative, interventional case series. A medial maxillectomy orbitotomy for was followed with tailored...
To evaluate the need for standardized conjunctival map biopsies in periocular sebaceous carcinoma and to formulate recommendations regarding biopsy number, location, size, utility based on analysis of locations, results, outcomes.Retrospective consecutive series patients with treated at a tertiary care hospital from 1988 2013. Main outcome measures included pathology.A diffuse eyelid pattern was evident presentation 28/51 (54.9%) versus solitary nodule 23/51 (45.1%). Forty-five underwent...
Patients are the most common source of gender-based harassment resident physicians, yet residents receive little training on how to handle it. Few resources exist for wishing address patient-initiated verbal sexual themselves.
To report a case series of subjective and objective hearing function changes associated with teprotumumab treatment for thyroid eye disease.A 74-year-old female history Graves' disease was treated teprotumumab. She had bilateral tinnitus noticed improvement in her after the second infusion. Audiology testing obtained before, during, completion infusions showed symmetric rapidly progressive worsening patient's sensorineural loss. In contrast, 42-year-old male Grave's endorsed intermittent...
To evaluate the prevalence of intimate partner violence (IPV) in a large population female orbital floor fracture patients and provide recommendations on effectively identifying referring IPV survivors.Retrospective review facial examined at University Iowa Hospitals Clinics between January 1995 April 2013. International Classification Diseases, Ninth Revision, codes medical record were used to determine victimization clinical outcomes.A total 1,354 women 4,296 men sustained fractures. Of...
Purpose: To characterize the clinical presentation, management, and outcomes of patients with sweat gland carcinoma periocular region. review pathologic classification scheme, compare behavior between subtypes, discuss treatment recommendations for carcinomas. Methods: Retrospective study from 2 tertiary centers, which are part American Society Ophthalmic Plastic Reconstructive Surgery Oncology Database. Results: Twenty-two patients, whom 13 (59%) were female, included in study. The median...
To describe the role and efficacy of scleral contact lenses (SCLs) in treatment progressive keratopathy patients who have undergone periocular surgical procedures, to investigate financial impact these interventions, demonstrate oculoplastic surgery improving lens fit.A retrospective medical record review was performed identify both received SCLs were examined by oculoplastics service at University Iowa between January 1990 December 2015. Inclusion criteria also required a minimum 12 months...
To describe the change in upper eyelid position a self-reportedly normal population after administration of topical 0.5% apraclonidine each eye. One hundred subjects received 1-time Digital photographs were taken at baseline and then 30 45 minutes following instillation. Marginal reflex distance 1 was determined via image analysis acquired digital (image-derived measurements are given prefix "i" this study). The horizontal corneal diameter used as constant measurement scale photograph. mean...
Purpose: To determine the clinical course of patients with chorioretinal folds (CRF) in thyroid eye disease (TED).Methods: A multi-center retrospective case series TED who developed CRF.Results: Ten (17 eyes) CRF related to were identified. The mean age presentation was 59.3 ± 8.3 years old. majority male (70%), hyperthyroid hyperopic (53%), had a history radioactive iodine (60%), and currently on methimazole treatment (30%). Three (3 unilateral involvement bilateral TED. average activity...
To determine the applicability and clinical relevance of Hering's law for eyelids in cases congenital ptosis.A retrospective chart review digital photograph analysis patients who underwent unilateral ptosis repair at a tertiary, university-based, Oculoplastics clinic was conducted. Pre- postoperative eyelid height (marginal reflex distance), upper symmetry, brow position were determined using ImageJ software. Changes these values, relationship between change ipsi- contralateral heights...
This article compares the perception of health and beauty patients after exenteration reconstruction with free flap, eyelid-sparing, split-thickness skin graft, or a prosthesis. Cross-sectional evaluation was performed through survey sent to all students enrolled at University Iowa Carver College Medicine. The included inquiries about observer comfort, perceived patient health, difficulty social interactions, which appearance least bothersome. Responses were scored from 0 4 for each method...
<h3>Importance</h3> Intimate partner violence (IPV) is a substantial cause of morbidity and mortality in the US. Previous studies indicate gaps identifying referring female patients with IPV-associated orbital ocular injuries to ancillary services. <h3>Objective</h3> To determine number floor fractures, zygomaticomaxillary complex (ZMC) ruptured globes referred services adult following an educational screening intervention health care professionals. <h3>Design, Setting, Participants</h3>...