Jennifer T. Scruggs

Publications (2)1.05 Total impact

• Article: Image-guided endoscopic orbital decompression for Graves' orbitopathy.

  Marika R Dubin, Abtin Tabaee, Jennifer T Scruggs, Michael Kazim, Lanny Garth Close
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  ABSTRACT: We studied the efficacy and safety of image-guided balanced orbital decompression for Graves' orbitopathy. The data of 24 patients (45 orbits) were reviewed for demographics, ophthalmologic outcomes, and complications in regard to image-guided (18 orbits) versus non-image-guided surgery (27 orbits). Overall, all patients had a reduction in proptosis (mean reduction, 6.2 mm in proptosis) as measured by Hertel exophthalmometry. There was improvement in the visual acuity of all 12 orbits with preoperative acuity of 20/40 or worse and either complete resolution (38%) or improvement (62%) in the 16 orbits with optic neuropathy. These measures reached statistical significance. Despite subjective improvement in surgeon confidence, the use of image guidance did not result in a statistically significant difference in postoperative ophthalmologic outcomes. Medical and sinonasal complications were experienced by 11.1% and 18.5% of patients who underwent image-guided and non-image-guided orbital decompression, respectively. Image guidance may be a useful adjunct to balanced orbital decompression for Graves' orbitopathy, but it was not associated with a statistically significant improvement in outcomes in this study.
  The Annals of otology, rhinology, and laryngology 04/2008; 117(3):177-85. · 1.05 Impact Factor
• Article: A 68 Year-Old Woman with New Onset Vertical Diplopia and Pain

  Jennifer T. Scruggs, Michael Kazim, MD, Jeffrey G. Odel, New York, NY
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  ABSTRACT: Tilted double vision with a mild headache A 68 year-old Filipino woman s/p thyroidectomy 20 years ago complained of “tilted” double vision with a mild headache beginning 2 weeks prior to presentation. Examination revealed a right hypertropia (4PD) which increased in left gaze (6PD) and right head tilt (7PD); the deviation was unchanged in right gaze (4PD) and decreased in left head tilt (1PD). She had right excyclotorsion of 6. MRI of the brain and orbits revealed an approximately 5mm mass located superiorly in the right orbital apex. Pathology from the initial biopsy showed focal intravascular endothelial proliferation in fibrous tissue consistent with intravascular papillary endothelial hyperplasia (IPEH), or Masson’s lesion. no
  32nd Annual North American Neuro-Ophthalmology Society Meeting, 2006 Frank B. Walsh Session.