James Kapustiak

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We randomly selected 26 patients with essential blepharospasm to receive either botulinum toxin or saline injection in their lower eyelids to evaluate the necessity of lower eyelid injection to relieve blepharospasm. As diplopia may occur from botulinum toxin injections for blepharospasm, most commonly from injection of the lower eyelid, and surgical relief(More)
A 33-year-old man presented with an ulcerated nodule on his left eyelid and eyebrow that was unresponsive to broad-spectrum antibiotics. Incisional biopsies were performed, and cultures were positive for Coccidioides immitis. An extensive work-up revealed no systemic involve ment of disseminated coccidioidomycosis. The patient was treated with oral(More)
A 14-year-old black girl had painless, progressive proptosis and upward displacement of the left eye for approximately six months. Computed tomography showed a massive tumour involving the maxillary sinus with extension into the sphenoid sinus, ethmoid sinus, and orbit. The mass was excised surgically and proved histopathologically to be a juvenile(More)
Two hundred thirty-six patient visits to a major university's ophthalmology clinic were studied to determine patient waiting time. The waiting time was studied as a function of attending physician and appointment time. Patient arrival behavior was also documented. Recommendations regarding strategies to reduce waiting times were developed based on the data.(More)
An otherwise healthy 33-year-old man developed slowly progressive unilateral proptosis. Computed tomography demonstrated a large orbital mass extending posteriorly through the superior orbital fissure. The encapsulated tumor, including the portion within the superior orbital fissure, was completely removed by a lateral orbitotomy. Histopathologic(More)
A 15-year-old boy presented with left-sided ptosis, upper eyelid swelling, proptosis, conjunctivitis, and a central corneal epithelial defect with thinning. MRI demonstrated an enhancing orbital mass associated with the lacrimal gland. Biopsy findings were consistent with orbital inflammatory syndrome. Topical cyclosporine and 1% methylprednisolone(More)
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