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The Orbital and Ophthalmic Plastic Surgery Theme Issue
Robert A. Goldberg, MD
Arch Facial Plast Surg. 2007;9(6):384.
The upcoming December Archives of Ophthalmology and the present issue of Archives of Facial Plastic Surgery are paired theme issues on orbit, eyelid, and lacrimal surgery. The 2 theme issues highlight the value of multidisciplinary collaboration. Fellowships in ophthalmic plastic surgery now routinely include periorbital and facial surgery, and facial plastic surgery fellowships incorporate oculoplastic procedures, so that the opportunities for interdisciplinary collaboration have never been more important and promising. In fact, it was not so long ago that the specialties were not separated at all. I trained too late to ever attend a national meeting of the Academy of Ophthalmology and Otolaryngology (the 2 academies separated in 1978), but I did attend the Pacific Coast Society of Otolaryngology and Ophthalmology, and I was impressed with how much I could learn by seeing clinical problems through the eyes of a different specialty. Great advancements (not to mention great collegial friendships) can be made when the ideas of our 2 proud specialties of ophthalmology and otolaryngology–head and neck surgery commingle in our thought processes, grooved (some would say "rutted") by the long steeping of our separate training, and allow us to arrive at fresh approaches to the clinical problems that overlap our specialties' boundaries.
The articles in the present theme issue highlight the important trend toward less invasive surgery. Likewise, in the December Archives of Ophthalmology, articles explore less invasive options for treatment. There was a time when radical orbital surgery and even exenteration were considered for recurrent or difficult lacrimal tumors. Currie and Rose1 present outstanding long-term data demonstrating successful local treatment of pleomorphic adenoma, even in recurrent tumors. Malhotra2 presents preliminary experience using injections of hyaluronic acid gel to treat enophthalmos; this concept will have enormous applicability to help patients avoid surgery if additional experience confirms the early reported success. Badilla et al3 present a technique to access the venous cavernous sinus through a small incision lateral orbital approach.
Other articles in the Archives of Ophthalmology highlight advances in blepharoptosis,4-5 imaging,6 Graves orbitopathy,7 orbital inflammation,8-9 lymphoma,10-11 anatomy,12 anophthalmic socket,13 orbital cerebrospinal fluid leaks,14 orbital fungal infections,15 and lacrimal outflow surgery.16
Multidisciplinary collaboration between specialties, in my experience, provides enormous opportunities to advance our knowledge individually and as a discipline. The excellent contributions to both Archives journals in these joint theme issues prove my point.
AUTHOR INFORMATION
Correspondence: Dr Goldberg, Jules Stein Eye Institute, UCLA School of Medicine, 100 Stein Plaza, Los Angeles, CA 90095 (goldberg{at}jsei.ucla.edu).
Financial Disclosure: None reported.
REFERENCES
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1. Currie ZI, Rose GE. The long-term risk of recurrence after intact excision of pleomorphic adenomas of the lacrimal gland. Arch Ophthalmol. 2007;125(12):1643-1646.
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2. Malhotra R. Deep orbital subcutaneous Restylane for orbital volume enhancement in sighted and anophthalmic orbits. Arch Ophthalmol. 2007;125(12):1623-1629.
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3. Badilla J, Haw C, Rootman J. Superior ophthalmic vein cannulation through a lateral orbitotomy for embolization of a cavernous dural fistula. Arch Ophthalmol. 2007;125(12):1700-1702.
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4. Zinkernagel MS, Ebneter A, Ammann-Rauch D. Effect of upper eyelid surgery on corneal topography. Arch Ophthalmol. 2007;125(12):1610-1612.
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5. Malik KJ, Lee MS, Park DJ, Harrison AR. Lash ptosis in congenital and acquired ptosis. Arch Ophthalmol. 2007;125(12):1613-1615.
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6. Kahana A, Lucarelli M, Grayev A, Van Buren J, Burkat C, Gentry L. Noninvasive dynamic magnetic resonance angiography with time-resolved imaging of contrast kinetics in the evaluation of orbital vascular lesions. Arch Ophthalmol. 2007;125(12):1635-1642.
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7. Tsai C-C, Kao S-C, Cheng C-Y; et al. Oxidative stress change by systemic corticosteroid treatment among patients having active graves ophthalmopathy. Arch Ophthalmol. 2007;125(12):1652-1656.
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8. Prabhakaran VC, Saeed P, Esmaeli B; et al. Orbital and adnexal sarcoidosis. Arch Ophthalmol. 2007;125(12):1657-1662.
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9. Leibovitch I, Prabhakaran VC, Davis G, Selva D. Intraorbital injection of triamcinolone acetonide in patients with idiopathic orbital inflammation. Arch Ophthalmol. 2007;125(12):1647-1651.
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10. Hatef E, Roberts D, Mc Laughlin P, Pro B, Esmaeli B. Prevalence and nature of systemic involvement and stage presentation in patients with ocular adnexal lymphoma. Arch Ophthalmol. 2007;125(12):1663-1667.
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11. Oh D-E, Kim Y-D. Lymphoproliferative diseases of the ocular adnexa in Korea. Arch Ophthalmol. 2007;125(12):1668-1673.
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12. Shigeta K-I, Takegoshi H, Kikuchi S. Sex and age differences in the bony lacrimal canal: an anatomic study. Arch Ophthalmol. 2007;125(12):1677-1681.
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13. Sagoo MS, Rose GE. Mechanisms and treatment of extruding intraconal implants: socket aging and tissue restitution (the "cactus syndrome"). Arch Ophthalmol. 2007;125(12):1616-1620.
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14. Badilla J, Dolman PJ. Cerebrospinal fluid leaks complicating orbital or oculoplastic surgery. Arch Ophthalmol. 2007;125(12):1631-1634.
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15. Kahana A, Lucarelli MJ. The use of radiopaque intraorbital catheter in the treatment of sino-orbito-cranial mucormycosis. Arch Ophthalmol. 2007;125(12):1714-1715.
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16. Herbert HM, Rose GE. Air reflux after external dacryocystorhinostomy. Arch Ophthalmol. 2007;125(12):1674-1676.
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RELATED ARTICLE
The Orbital and Ophthalmic Plastic Surgery Theme Issue
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Arch Ophthalmol. 2007;125(12):1708-1709.
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