Rhabdomyosarcoma, which is usually an aggressive malignancy, should be considered in the differential diagnosis of a rapidly growing orbital mass. Aggressive treatment, including surgery, chemotherapy, and radiation therapy, can increase local remission rates and improve the prognosis.

Purpose: To compare the eyelid blink characteristics of patients with ptosis assessed using a cellphone camera before and after levator resection.Methods: In this prospective study, pictures and videos of eyelid blinking were obtained from 40 eyes (20 patients with ptosis) at a margin reflex distance 1 (MRD1) of 3.0 mm or less before and 1 month after levator resection. MRD1, palpebral fissure height (PFH), levator function, inter-blink interval, and blink duration, rate, and velocity were measured. The patients were also divided into those aged < 70 or ≥ 70.Results: MRD1, PFH, and blink velocity increased, and blink duration decreased, after levator resection. In the ptosis group aged less than 70 years, the levator function and blink velocity increased preoperatively, while MRD1, PFH, levator function, and blink velocity increased postoperatively. The blink velocity showed a positive correlation with MRD1 and PFH.Conclusions: Although no significant changes were observed in levator function postoperatively, the blink velocity increased significantly. Blink velocity may be useful for the evaluation of ptosis and as an indirect measure of levator function.

TIG welding enables to produce high quality weldment. However it has some problems such as shallow penetration and large distortion due to low penetration aspect ratio after welding. In order to overcome those problems, there are many ongoing studies on A-TIG welding, which use active flux. In this study, the effect of arc length and shield gas on penetration aspect ratio with melt-run welding on STS 304 6t, on which active flux was spreaded, was investigated. Arc length was changed from 1mm to 3mm, and aspect ratio became higher as arc length was decreased in this range. 100% Ar gas, Ar-H2 mixed gas, Ar-He mixed gas, and 100% He gas were used as shield gas in this study. When Ar-H 2 mixed gas, Ar-He mixed gas, and 100% He gas were applied, penetration and melting efficiency were both increased as compared with 100% Ar gas. Aspect ratio was the highest with Ar-2.5% H2 mixed gas.

Rationale: One-and-a-half syndrome (OAAH) is characterized as the combination of ipsilateral horizontal gaze palsy and internuclear ophthalmoplegia. OAAH syndrome accompanied with 7th and 8th cranial nerve palsy is called 16-and-a-half syndrome. We aimed to report the case of 16-and-a-half syndrome with metastatic pons tumor. Patient concerns: A 57-year-old male diagnosed with nonsmall-cell lung cancer (NSCLC) with brain metastasis occurring 15 months ago was referred to our clinic with the chief complaint of horizontal diplopia and right gaze palsy. Diagnosis: According to the patient symptom, ocular examination, and radiographic findings, he was diagnosed as 16-and-a-half syndrome which was caused by brain tumor metastasis from NSCLC. Interventions: We referred him to hemato-oncology department and he was treated with radiation and supportive therapy. Outcomes: Unfortunately, the patient passed away 1 month later without improvement of ophthalmoplegia. Lessons: The clinical findings of our case indicate 16-and-a-half syndrome caused by brain tumor metastasis from NSCLC, which to our knowledge has not been previously reported. The case highlights a rare cause of OAAH spectrum disease and the importance of a systemic work-up including associated neurologic symptoms and brain imaging in patients with horizontal gaze palsy.

A 57-year-old woman presented with protrusion of the OS 2 months in duration and decreased vision 1 month in duration. The patient was diagnosed with uterine leiomyosarcoma approximately 3 years before presentation. Lung and liver metastases were diagnosed by biopsy 1 year prior to this visit. CT revealed a solid mass with central necrosis in the left lateral orbit that resulted in orbital shifting, bony destruction, and intracranial extension. The diagnosis was left orbital metastatic leiomyosarcoma, and the patient died 2 months after receiving the diagnosis.