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1341 results found

Ablepharon-macrostomia syndrome

The ablepharon-macrostomia syndrome is a very rare condition caused by a dominant mutation in the TWIST2 gene. Congenital defects include rudimentary eyelids, macrostomia, ambiguous genitalia and campodactyly. Neonates are at risk of severe corneal exposure without intervention. Previous reports have...

Prostaglandin-associated periorbitopathy

This is a masked study of 33 patients who had been taking a prostaglandin analogue in one eye only for at least a year, to look for signs of prostaglandin-associated periorbitopathy (PAP). The investigators devised a new grading system to...

A simple technique for managing eyelid retraction in a patient with an exposed Boston type 2 keratoprosthesis (Kpro)

The article describes a patient with mucous membrane pemphigoid and a Boston type 2 Kpro. In the early postoperative period (one week) inferior skin retraction was noted with exposure of the Kpro and carrier cornea. The exposure was managed by...

A new technique for correction of medial ectropion with a lax medial canthal tendon

This is a prospective study of a new technique for repair of medial ectropion associated with medial canthal tendon (MCT) laxity. The procedure was performed on 79 eyes and involved excision of an ellipse of tissue from below the punctum...

Transconjunctival eyelid weight insertion

This is a description of a new surgical technique to insert upper lid weights via a posterior, transconjunctival route. Following local anaesthetic, the upper lid was everted over a Desmarres retractor with a silk traction suture. A 5mm high central...

Ointment related granulomas post-blepharoplasty

This is a retrospective review of eight patients who developed granulomatous masses after lower lid blepharoplasty. All patients had sutureless bilateral trans-conjunctival surgery, and lubricating ointment was instilled into the inferior fornix postoperatively for two days. Painless lower lid masses...

Silicone rod for ptosis surgery

The authors report their results and complications associated with the use of silicone rod for frontalis suspension lid surgery. This was a retrospective study of 38 eyes (25 patients) with six months follow-up. The group included 19 males and six...

Orthoptist takes office as Master of The Worshipful Company of Spectacle Makers

In what she called “a giant leap for orthoptists”, Liz Shilling (known professionally as Liz Tomlin), was installed this week as Master of The Worshipful Company of Spectacle Makers, the first orthoptist ever to serve as Master in the Company’s almost 400 year-old history.

Factors affecting the success of canalicular repairs

This is a ten year retrospective review of 137 canalicular laceration repairs, looking for factors which affected the outcome. A successful outcome was defined as no epiphora at three months or more after removal of the stent. Overall the success...

Atopic keratoconjunctivitis (AKC) and ocular surface squamous neoplasia (OSSN)

The authors present two cases of invasive OSSN in patients with severe AKC. Case 1 was a 73-year-old male with severe AKC and atopic eczema who developed a suspicious papillary-like limbal lesion in the left eye. He had an excisional...

Frontalis muscle flap for congenital ptosis

This is a review of 43 patients (47 eyes) with severe congenital ptosis who underwent a suspension procedure using a frontalis flap technique. The average age of patients was 6 +/-2.5 years, and all had a severe ptosis with an...

Hering’s response in ptosis surgery

his is a prospective study of the Hering’s response in patients undergoing Muller’s muscle-conjunctival resection (MMCR) ptosis surgery, with a particular reference to the accuracy of preoperative phenylephrine testing. Patients with unilateral ptosis were assessed clinically preoperatively, in the immediate...