Brian Leatherbarrow

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ObjectiveDespite advances in ocular and orbital imaging, instrumentation, materials, and surgical procedures, the management of open globe injuries continues to pose difficult management dilemmas. In this retrospective study, we identify clinical characteristics and outcome of a series of open globe injuries presenting to a major UK centre.MethodOperating(More)
IMPORTANCE The literature on Merkel cell carcinoma (MCC) of the eyelid remains scarce, and there has yet to be a study using the most up-to-date TNM staging system for this rare but aggressive tumor. OBJECTIVE To analyze the TNM stage, management, and outcomes of patients with MCC of the eyelid. DESIGN, SETTING, AND PARTICIPANTS Retrospective case(More)
AIMS To assess the long term efficacy of everting sutures in the correction of lower lid involutional entropion and to quantify the effect upon lower lid retractor function. METHODS A prospective single armed clinical trial of 62 eyelids in 57 patients undergoing everting suture correction of involutional entropion. Patients were assessed preoperatively(More)
BACKGROUND/AIMS Orbital exenteration is a psychologically and anatomically disfiguring procedure reserved for the treatment of potentially life threatening malignancies or relentlessly progressive conditions unresponsive to other treatments. In this study the authors aimed to review their experience with exenteration, including indications, outcomes, and(More)
Ocular examination revealed vision of 2/60 right eye and 6/36 left eye. There was right proptosis (22 mm right and 15 mm left). The intraocular pressures were normal, there was a right afferent pupillary defect, nuclear scler­ osis and funduscopy revealed a pale right optic disc. There were no other retinal changes. Thyroid function tests and serum calcium(More)
Purpose To report 2 cases of severe necrotising orbital cellulitis which illustrate the need for aggressive surgical management to prevent blindness.Methods The case records of 2 patients with necrotising orbital cellulitis were reviewed.Results Both patients had orbital cellulitis associated with sinusitis. Each case was characterised by the rapid(More)
PurposeTo describe the clinical, immunohistochemical and prognostic features, as well as outcomes of a large series of patients with orbital and periorbital diffuse large B-cell lymphoma (DLBCL).DesignThis study is a multicentre, retrospective non-comparative consecutive case series.MethodsThe setting for this study was institutional. A total of 37(More)
AIMS/PURPOSE Spheno-orbital meningiomas account for 9% of all adult intracranial meningiomas. Complete resection is extremely difficult with this condition. We report on our experience in the surgical management of spheno-orbital meningiomas. METHODS A retrospective review was performed of all patients with spheno-orbital meningiomas who underwent joint(More)
PURPOSE OF REVIEW Orbital lymphangiomas present a difficult management problem for the ophthalmologist. This review offers a strategy for managing the condition. RECENT FINDINGS There have been recent publications discussing the use of intralesional fibrin glue to aid dissection and intralesional sclerosant to shrink the lesion. We discuss the evidence(More)
PURPOSE To describe the use and outcomes of a versatile surgical technique in the reconstruction of deep soft tissue and bony defects of the medial canthus. METHODS A retrospective review of consecutive cases requiring reconstruction of medial canthal defects involving loss of periosteum or bone by a median forehead pericranial flap and full-thickness(More)