Search Our Scientific Publications & Authors

Ophthalmic Plast Reconstr Surg 2022 May 13. Epub 2022 May 13.

Oculofacial Plastic Surgery, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, U.S.A.

Purpose: To determine the safety and effectiveness of a biplanar-pivoted V-Y flap design in reconstructing medial canthal defects of all sizes.

Methods: Retrospective review of patients who underwent repair of medial canthal region defects with the biplanar-pivoted V-Y flap from January 2016 to May 2021. Variables collected included age, gender, surgical indication, defect sizes and location, flap(s) and/or graft(s) used, and follow-up time. Read More

Cureus 2022 Mar 24;14(3):e23462. Epub 2022 Mar 24.

Surgery, University of Mississippi Medical Center, Jackson, USA.

Secondary ectropion is a relatively common anatomo-functional abnormality of the lower eyelids. They can be seen in numerous clinical settings and generate disabling symptoms and even severe complications such as corneal ulceration, globe perforation, and blindness. Based on their etiology, cases of secondary ectropion are grouped into involutional, paralytic, cicatricial, and mechanical. Read More

J Fr Ophtalmol 2022 May 13;45(5):e221-e223. Epub 2022 Apr 13.

Hospital Universitario y Politécnico La Fe, Avenida Fernando Abril Martorell 106, Valencia, Spain.

Front Genet 2022 28;13:847321. Epub 2022 Mar 28.

Department of Dermatology and Venereology, The First Affiliated Hospital, Anhui Medical University, Hefei, China.

The Chanarin-Dorfman syndrome (CDS) is a rare, autosomal recessively inherited genetic disease, whch is associated with a decrease in the lipolysis activity in multiple tissue cells. The clinical phenotype involves multiple organs and systems, including liver, eyes, ears, skeletal muscle and central nervous system. Mutations in ABHD5/CGI58 gene have been confirmed to be associated with CDS. Read More

Can J Ophthalmol 2022 Apr 5. Epub 2022 Apr 5.

Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. Electronic address:

Objective: Involutional entropion of the lower eyelid is commonly encountered in the elderly population. An ideal surgical method is supposed to address the underlying horizontal and vertical lower lid laxity simultaneously. This study aims to assess the effectiveness of bidirectional tightening of the anterior lamella to correct involutional lower lid entropion. Read More

J Oncol Pharm Pract 2022 Apr 4:10781552221078790. Epub 2022 Apr 4.

Oncology Department, 16440Manacor Hospital, Manacor, Illes Balears, Spain.

Introduction: Conjunctivitis is an inflammation of the conjunctiva, a thin translucent mucous membrane, characterized by a dilatation of the conjunctival vessels. Causes leading to conjunctivitis are diverse, being drug related one of them.

Case Report: We report a case of an 80-year-old man with a diagnosis of relapsed stage IV colon cancer who developed a severe conjunctivitis, scar ectropion with lack of tissue and eversion of the subconjunctival conjunctiva after being treated with capecitabine. Read More

Case Rep Ophthalmol Med 2022 25;2022:3032246. Epub 2022 Mar 25.

Pathology, Govind Ballabh Pant Hospital, New Delhi, India.

A middle-aged lady presented with a firm, nontender mass on the left upper lid and area behind the left ear following lid reconstruction with postauricular graft for cicatricial ectropion 11 months prior. She had a similar mass on the right shin. She was diagnosed as a case of multiple keloids. Read More

Am J Ophthalmol 2022 Mar 28. Epub 2022 Mar 28.

Division of Ophthalmology, Ann & Robert H. Lurie Children's Hospital of Chicago; Department of Ophthalmology, Northwestern University Feinberg School of Medicine. Electronic address:

Purpose: Determine visual outcomes and effectiveness of glaucoma surgeries in congenital ectropion uvea.

Design: Retrospective interventional case series METHODS: : Surgeries and exam findings were collected on 11 eyes of 8 patients with congenital ectropion uvea at 2 academic sites from 2001-2021. Visual outcomes, surgical success (IOP 5-20 mmHg, no additional IOP-lowering surgery, no visually devastating complications), and survival rates of glaucoma surgeries were assessed. Read More

Dermatol Surg 2022 May 24;48(5):545-550. Epub 2022 Mar 24.

Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada.

Background: The eye is susceptible to damage during dermatologic laser treatments.

Objective: Discuss the anatomy of the eye related to these procedures, the principles of laser-eye interactions, and ocular injuries reported with dermatologic laser treatments.

Methods: PubMed and Embase searches were conducted to identify cases of eye injuries associated with dermatologic laser treatments. Read More

Ophthalmic Plast Reconstr Surg 2022 Mar 23. Epub 2022 Mar 23.

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL.

Purpose: The lateral tarsal strip (LTS) procedure is commonly used to correct eyelid malposition. When performing LTS, some surgeons elect to remove conjunctiva from the tarsal strip, while others do not. It has been hypothesized that without conjunctival stripping, the buried conjunctival tissue can cause complications such as inclusion cysts and granulomas. Read More

Photodiagnosis Photodyn Ther 2022 Mar 11;38:102807. Epub 2022 Mar 11.

Department of Gynecology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Linping Campus, Hangzhou 311100, China.

Background: The treatment options for low-grade squamous intraepithelial neoplasia (LSIL) of the cervix with high-risk HPV infection have not been standardized. Studies show that photodynamic therapy (PDT) mediated by 5-aminolevulinic acid (ALA-PDT) might be effective. In this retrospective study, the clinical efficacy and safety of ALA-PDT in the treatment of LSIL were evaluated. Read More

Arch Craniofac Surg 2022 Feb 20;23(1):39-42. Epub 2022 Feb 20.

Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School, Jeonju, Korea.

The reconstruction of total lower eyelid defects is challenging to plastic surgeons due to the complicated anatomical structure of the eyelid. In addition, in the setting of cancer excision, the resection is deep, which requires some volume augmentation. However, in some cases, free tissue transfer is not applicable. Read More

Ophthalmology 2022 Feb 26. Epub 2022 Feb 26.

Department of Ophthalmology, University of Washington, Seattle, Washington. Electronic address:

Purpose: To report a series of patients who developed punctal stenosis secondary to the use of topical netarsudil 0.02% for treatment of glaucoma.

Design: Case series. Read More

Ann Plast Surg 2022 03;88(1s Suppl 1):S62-S67

From the Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital.

Background: The most challenging complication associated with lower blepharoplasty is ectropion, and the traditional lateral canthopexy or canthoplasty procedure may carry the risk of eyelid malposition or subsequent chemosis. We propose lateral tarsoplasty with a detailed description of the techniques to treat and even prevent ectropion by not involving the medial or lateral canthal ligament so as to avoid complications.

Materials And Methods: Lower eyelid laxity was analyzed with the snap-back test and distraction test before surgery. Read More

Ann Med Surg (Lond) 2022 Feb 25;74:103279. Epub 2022 Jan 25.

Introduction: and importance: Congenital upper eyelid eversion (CUEE) is a rare congenital condition characterized by everted upper eyelids with prominent chemosis. The authors present the first case of concurrent upper eyelids eversion, umbilical hernia, and clubfeet.

Case Presentation: A four-hour-old newborn male presented with bilateral red upper eyelids swelling. Read More

Turk J Ophthalmol 2022 02;52(1):72-74

Haydarpaşa Numune Training and Research Hospital, Sadık Eratik Eye Clinic, İstanbul, Turkey

There is no consensus on the choice of systemic and ophthalmic treatment for patients who develop ocular toxicity with erlotinib in the few cases reported previously. Various ocular complications related to erlotinib have been reported, with one of the most serious being corneal perforation. Our patient was at risk of potential corneal perforation because of severe cicatricial ectropion and diffuse punctate corneal epitheliopathy. Read More

Ther Adv Ophthalmol 2021 Jan-Dec;13:25158414211059247. Epub 2021 Dec 5.

Ophthalmic Unit, San Bassiano Hospital, Bassano Del Grappa, Italy.

Floppy eyelid syndrome (FES) is a frequent eyelid disorder characterized by eyelid laxity that determines a spontaneous eyelid eversion during sleep associated with chronic papillary conjunctivitis and systemic diseases. FES is an under-diagnosed syndrome for the inaccuracy of definition and the lack of diagnostic criteria. Eyelid laxity can result from a number of involutional, local, and systemic diseases. Read More

Am J Ophthalmol Case Rep 2022 Mar 2;25:101345. Epub 2022 Feb 2.

Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Purpose: To present a case of progressive ectropion uveae and secondary angle-closure glaucoma in association with type 1 neurofibromatosis (NF-1).

Observation: An 11-year-old-Hispanic-male with a known history of NF-1 who was followed for the ocular manifestations of NF-1 developed an irregular pupil and ectropion uveae in the right eye at the age of 3 years that gradually increased in severity. The area of ectropion uveae increased in size and extended superiorly with concurrent superior synechial angle closure and intraocular pressure (IOP) elevation. Read More

Ann Plast Surg 2022 03;88(3):271-276

From the Department of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, Zurich.

Background: Eyelid scarring after severe burn injury of the face is a significant complication endangering vision in addition to the burn scar sequelae. Scar contraction leads to asymmetry and malposition of the eyelid axis, resulting in corneal exposure, eyelid retraction, and incomplete eyelid closure. In consequence, dryness and irritation of the cornea can lead to keratitis, corneal opacity, and vision impairment. Read More

Adv Biomed Res 2021 25;10:50. Epub 2021 Dec 25.

Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Usher syndrome is a heterogeneous genetic disease that is the most common cause of hereditary blindness-deafness. This syndrome is the most prevalent syndrome associated with retinitis pigmentosa. A 25-year-old man referred to us with hearing loss and vision diminution since childhood which has gradually worsened. Read More

Plast Surg (Oakv) 2022 Feb 16;30(1):68-75. Epub 2020 Jul 16.

Department of Plastic and Aesthetic Surgery, the First Hospital of Shanxi Medical University, Taiyuan City, Shanxi Province, China.

Background: Various methods of landmark reconstruction have been discussed in medical literature, but few describe defects involving the rim of the landmark. For landmark malposition, such as eyelid ectropion, borders are abnormally elongated by scar contracture. The reconstruction should thus restore both the cutaneous defect and the anatomical structure. Read More

Medicine (Baltimore) 2022 Jan;101(4):e28698

Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.

Abstract: The conventional procedure of anterior orbital exenteration is unfavorable for eye socket reconstruction, whereas a modified procedure enables socket reconstruction and prosthesis fitting. Our study aims to compare the cosmetic outcomes between these 2 surgical techniques.We retrospectively recruited patients treated with modified or conventional exenteration during January 2015 to May 2021 in our hospital. Read More

Am J Ophthalmol 2022 Jan 24;239:54-65. Epub 2022 Jan 24.

From the Advanced Eye Center and Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Purpose: To report underlying genetic variants of recently described distinct phenotype of newborn glaucoma: neonatal-onset congenital ectropion uveae (NO-CEU).

Design: Prospective cohort study.

Methods: Setting: tertiary care teaching institute. Read More

Clin Case Rep 2022 Jan 18;10(1):e05295. Epub 2022 Jan 18.

Department of Ophthalmology Mazandaran University of Medical Sciences Sari Iran.

We present a rare congenital condition in a Persian newborn characterized by the unilateral everted upper eyelid. This report aimed to create awareness among neonatologists and ophthalmologists who are first-time viewers of this condition and lead them to choose the appropriate management. Read More

Ann Burns Fire Disasters 2021 Dec;34(4):312-318

Department of Plastic Surgery and Burn Treatment, Percy Military Hospital, Clamart, France.

During second- and third-degree eyelid sulfuric acid burns, many surgeons prefer to wait until primary wound separation occurs before grafting. However, this approach may miss the chance to recover the eyelids and can cause ectropion, resulting in delayed eyeball healing with exposure keratitis. We propose that early eyelid release and grafting makes a significant difference in long-term outcomes and improves eyeball healing. Read More

Eur J Ophthalmol 2022 May 7;32(3):1824-1827. Epub 2022 Jan 7.

Ophthalmology Resident, Department of Ophthalmology, Faculty of Medicine, 28021Universidad Nacional de Colombia.

Objective: to present a surgical technique for treating patients with recurrent ectropion and severe lower eyelid laxity.

Methods: Lateral tarsal strip and canthal fixation by osteotomy was performed in 6 patients with recurrent ectropion and 1 patient with extreme lower eyelid laxity secondary to an anophthalmic socket. Preoperative and postoperative photographs were evaluated in order to assess the outcomes of the procedure. Read More

Zhonghua Yan Ke Za Zhi 2022 Jan;58(1):35-40

The Eye Hospital, School of Ophthalmology and Optometry, Glaucoma Research Institute, Wenzhou Medical University, National Clinical Research Center for Ocular Diseases, Wenzhou 325027, China Deng Yuxuan is now working at the Department of Ophthalmology, Qingdao Municipal Hospital, Qingdao 266011, China.

To investigate the clinical features in patients with iridocorneal endothelial (ICE) syndrome. A retrospective case series study. Data of clinical manifestations of patients with ICE syndrome including clinical subtypes, presenting visual acuity, clinical features and secondary glaucoma were collected from January 2014 to May 2020 in the Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University. Read More

Arch Craniofac Surg 2021 Dec 20;22(6):310-318. Epub 2021 Dec 20.

Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

Background: Transcutaneous lower eyelid approaches are associated with a risk of postoperative scarring depending on the distance between the incision line and the lower eyelid margin. The lower eyelid crease of Caucasians corresponds to a ridge-shaped fold in young Asians. However, this relationship has not been sufficiently evaluated in the latter. Read More