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    Association of Involutional Lower Eyelid Entropion with Reduced Upper Eyelid Position Relative to the Corneal Light Reflex: Quantification of Facial Asymmetry.
    Ophthal Plast Reconstr Surg 2018 Jan 16. Epub 2018 Jan 16.
    Division of Ophthalmology, Department of Surgery, NorthShore University HealthSystem, Evanston, Illinois.
    Purpose: To investigate the association between upper eyelid position relative to the corneal light reflex (MRD1) and to delineate an association between eyelid height and involutional lower eyelid entropion.

    Methods: Retrospective study of patients presenting for entropion repair to an academic ophthalmic plastic surgery service. A total of 111 patients were included in the study; 95 had unilateral involutional lower eyelid entropion, and 16 had bilateral lower eyelid entropion. Read More

    Epidemiology of ocular disorders presumed to be inherited in three small Italian dog breeds in Italy.
    Vet Ophthalmol 2017 Dec 28. Epub 2017 Dec 28.
    Department of Ophthalmology, Centro Veterinario Specialistico (CVS), Via Sandro Giovannini 51/53, 00137, Rome, Italy.
    Objective: To describe the prevalence and the types of eye disorders that are known or presumed to be inherited (KP-HED) in three small Italian dog breeds.

    Animals: Three small Italian dog breeds: Maltese, Bolognese, and Italian Greyhound.

    Procedures: All dogs of the breeds selected for this prospective observational study that underwent a complete ophthalmic examination between 1994 and 2015 were included. Read More

    Anterior lamellar recession for management of upper eyelid cicatricial entropion and associated eyelid abnormalities.
    Int J Ophthalmol 2017 18;10(12):1830-1834. Epub 2017 Dec 18.
    Faculty of Medicine, Fayoum University, Al Fayoum 63514, Egypt.
    Aim: To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion (UCE) correction using anterior lamellar recession (ALR) with addressing the associated conditions including dermatochalasis, brow ptosis, blepharoptosis, and lid retraction.

    Methods: Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed. Success was defined as the lack of any lash in contact with the globe, no need for a second procedure, and acceptable cosmesis at the final follow up. Read More

    Anesthetic Management in Mitochondrial Encephalomyopathy: A Case Report.
    Anesth Prog 2017 ;64(4):235-239
    Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, Yokohama, Japan.
    We report on a morbidly obese 16-year-old boy (weight, 116 kg; height, 176 cm; body mass index, 35.5 kg/m2) with mitochondrial encephalomyopathy and a history of cerebral infarction, epilepsy, and severe mental retardation. The patient was scheduled for elective surgery under general anesthesia for multiple dental caries and entropion of the left eye. Read More

    Retroseptal transconjunctival approach for fractures of the zygomaticomaxillary complex: a retrospective study.
    Br J Oral Maxillofac Surg 2018 Jan 29;56(1):29-33. Epub 2017 Nov 29.
    Dept of Preventive & Social Medicine, Armed Forces Medical College, Pune, India.
    We designed a retrospective study to evaluate the efficacy of retroseptal transconjunctival approaches in the management of fractures of the zygomaticomaxillary complex (ZMC). The patients were from a single institution, and had had three-point fixation of fractures of the ZMC between 2008 and 2016. A total of 77 patients (56 men and 21 women with a mean (range) age of 28 (18-54) years), were divided into two groups. Read More

    Entropion and ectropion repair: a snapshot of surgical practice in the United Kingdom.
    Orbit 2017 Oct 20:1-5. Epub 2017 Oct 20.
    a Department of Oculoplastic and Orbital Surgery, Bristol Eye Hospital , University Hospitals Bristol NHS Trust , Bristol , UK.
    We aim to provide a snapshot of the current surgical practice for correction of entropion and ectropion, the two most common oculoplastic procedures carried out in the UK, by surveying 135 consultant oculoplastic surgeons via the tool Survey Monkey. Forty-seven (35%) consultants responded. For entropion, 44% of surgeons opted for lateral tarsal strip (LTS) + everting sutures (ES). Read More

    Lower eyelid entropion repair with retractor mobilization and insertion onto the anterior surface of the tarsal plate.
    Orbit 2017 Oct 17:1-4. Epub 2017 Oct 17.
    a Department of Ophthalmology , Royal North Shore Hospital , Sydney , NSW , Australia.
    Purpose: To evaluate a modified surgical technique for the correction of lower eyelid involutional entropion in terms of recurrence rate and relief of symptoms.

    Method: A prospective series of 67 consecutive eyelids in 55 patients who underwent lower eyelid entropion repair using a modified surgical approach not previously published in the literature to the authors' knowledge. The surgical technique, via a skin crease incision, involves disinsertion of the lower eyelid retractors from the tarsus and conjunctiva and suturing the retractors onto the anterior surface of the tarsal plate. Read More

    The Whitehead operation procedure: Is it a useful technique?
    Turk J Surg 2017 1;33(3):190-194. Epub 2017 Sep 1.
    Department of General Surgery, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.
    Objective: Hemorrhoidal disease is a very common entity in the general population; however, the therapeutic approaches to hemorrhoids remain controversial. The choice of treatment method depends on the grade of the hemorrhoid as well as the experience of the surgeon. The Whitehead hemorrhoidectomy procedure is often applied for grade IV hemorrhoids. Read More

    The Versatility of Cheek Rotation Flaps.
    Arch Craniofac Surg 2016 Dec 23;17(4):190-197. Epub 2016 Dec 23.
    Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.
    Background: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. Read More

    "The influence of orbital vector on involutional entropion and ectropion".
    Orbit 2017 Aug 30:1-6. Epub 2017 Aug 30.
    a Eye Research Center, Farabi Eye Hospital , Tehran University of Medical Sciences , Tehran , Iran.
    Purpose: This study aimed to evaluate the effect of orbital vector and other biometric parameters (i.e. axial globe length, axial globe projection) on the development of involutional entropion or ectropion. Read More

    Lateral tarsoligamentous sling: A successful treatment for involutional entropion in Asians as a modified lateral tarsal strip.
    J Craniomaxillofac Surg 2017 Oct 29;45(10):1687-1691. Epub 2017 Jul 29.
    Department of Ophthalmology, HanGil Eye Hospital (Hospital Director: Joonhong Sohn) 35, Bupyeong-daero, Bupyeong-gu, Bupyeong-dong, Incheon, Republic of Korea; Department of Ophthalmology, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea. Electronic address:
    Objective: To compare the effectiveness of the Quickert suture (Q-suture) with that of the lateral tarsoligamentous sling in treating lower eyelid involutional entropion in Asians.

    Method: We reviewed the charts of all patients who underwent repair of an involutional lower eyelid entropion in Hangil Eye Hospital between September 2011 and March 2016. A single surgeon (S. Read More

    Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion.
    Orbit 2017 Dec 24;36(6):375-381. Epub 2017 Aug 24.
    a New England Eye Center, Tufts Medical Center , Boston , Massachusetts , USA.
    This article examines the effectiveness of skin-muscle flap excision in conjunction with a lateral tarsal strip for the treatment of involutional entropion. Ninety-six eyelids in 83 consecutive patients with involutional entropion were treated using a standardized surgical procedure. All patients underwent lower eyelid tightening with a lateral tarsal strip, dissection of a skin-muscle flap inferiorly through a subciliary incision and excision of redundant skin as well as orbicularis muscle. Read More

    Subciliary vs. transconjunctival approach for the management of orbital floor and periorbital fractures: A systematic review and meta-analysis.
    J Craniomaxillofac Surg 2017 Oct 19;45(10):1647-1654. Epub 2017 Jul 19.
    Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center, San Antonio, USA.
    Purpose: This study compared complications between subciliary and transconjunctival approaches to the infraorbital rim/orbital floor, using systematic review and meta-analysis.

    Materials And Methods: A systematic review with meta-analysis was conducted according to PRISMA guidelines. An electronic search in PubMed, Embase, and Cochrane Library was performed. Read More

    [Autologous tissue reconstruction of tarsal plate combined with temporal flap in repairing full-thickness lower eyelid defect].
    Zhong Nan Da Xue Xue Bao Yi Xue Ban 2017 Jun;42(6):662-666
    Department of Medical Cosmetology, First Affiliated Hospital, University of South China, Hengyang Hunan 421001, China.
    Objective: To evaluate the clinical effect of combination of autologous tissue reconstruction of tarsal plate with temporal flap on repair of full-thickness lower eyelid defect. 
 Methods: Eleven patients (11 eyes) underwent hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle to repair full-thickness defect of palpebra inferior. Of the 11 patients, 6 had more than 75% eyelid defect area, and 5 had more than 50% eyelid defect area. Read More

    Graft versus host disease: what should the oculoplastic surgeon know?
    Curr Opin Ophthalmol 2017 Sep;28(5):499-504
    University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
    Purpose Of Review: To provide a concise review of the oculoplastic manifestations of ocular graft versus host disease (GVHD), and to discuss their management.

    Recent Findings: Ocular GVHD occurs as a common immune-mediated complication of hematopoietic stem cell transplantation that presents as a Stevens-Johnson-like syndrome in the acute phase or a Sjögren-like syndrome in the chronic phase. Cicatricial conjunctivitis may be underreported in ocular GVHD. Read More

    Effect of topical rebamipide on goblet cells in the lid wiper of human conjunctiva.
    Exp Ther Med 2017 Jun 26;13(6):3516-3522. Epub 2017 Apr 26.
    Department of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan.
    It has been demonstrated that topical administration of rebamipide, which is an antiulcer agent, increases the mucin level of the tear film and ameliorates ocular surface conditions such as lid wiper epitheliopathy. The aim of the present study was to analyze the changes in goblet cell number, cell proliferation, and epidermal growth factor receptor (EGFR) induced by topical rebamipide addition to the lid wiper of humans. A total of 30 eyelid tissue samples were obtained during involutional entropion surgeries, fixed in paraformaldehyde, embedded in paraffin and divided into two groups: Rebamipide or non-rebamipide. Read More

    [Anterior lamellar resection with lid margin split of the upper eyelid in the treatment of trachomatous entropion].
    J Fr Ophtalmol 2017 Jun 31;40(6):453-459. Epub 2017 May 31.
    Service d'ophtalmologie adulte, hôpital 20-Août-1953, CHU Ibn Rochd, quartier des hôpitaux, Casablanca, Maroc.
    Introduction: The goal of this study is to assess functional and aesthetic results of anterior lamellar resection with lid margin splitting of the upper lid in the treatment of cicatricial trachomatous entropion.

    Patients And Methods: Descriptive cross-sectional study of a series of 26 consecutive patients treated between January 2014 and December 2015. All patients were operated for cicatricial trachomatous entropion in our tertiary center using the technique of the anterior lamellar resection with lid margin splitting of the upper eyelid. Read More

    Utility of PROSE Device in the Management of Complex Oculoplastic Pathology.
    Ophthal Plast Reconstr Surg 2017 May 24. Epub 2017 May 24.
    Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University, New York, New York, U.S.A.
    Purpose: To describe the use of Prosthetic Replacement of the Ocular Surface Ecosystem (PROSE) device in the management of complex oculoplastic pathology.

    Methods: The authors retrospectively reviewed the records of individuals over 18 years of age who were referred and successfully fit with the PROSE scleral device between January 1995 and June 2015.

    Results: Nine cases were identified that had complex oculoplastic disease and severe corneal surface disease. Read More

    Scleral Contact Lenses in an Academic Oculoplastics Clinic: Epidemiology and Emerging Considerations.
    Ophthal Plast Reconstr Surg 2017 May 22. Epub 2017 May 22.
    *Department of Ophthalmology and Visual Sciences, Carver College of Medicine, University of Iowa Hospitals and Clinic, Iowa City, Iowa, †Carver College of Medicine, University of Iowa, Iowa City, Iowa, ‡Department of Ophthalmology, Cincinnati Eye Institute, Cincinnati, Ohio, and §Department of Otolaryngology- Head and Neck Surgery, Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, U.S.A.
    Purpose: To describe the role and efficacy of scleral contact lenses (SCLs) in the treatment of progressive keratopathy in patients who have undergone periocular surgical procedures, to investigate the financial impact of these surgical interventions, and to demonstrate the role of oculoplastic surgery in improving scleral contact lens fit.

    Methods: A retrospective medical record review was performed to identify patients who both received SCLs and were examined by the oculoplastics service at the University of Iowa between January 1990 and December 2015. Inclusion criteria also required a minimum of 12 months of patient follow up after being fit with a SCL. Read More

    Diagnosis, Treatment, and Surgical Repair in a Case of Isolated Conjunctival Lichen Planus Causing Cicatricial Entropion.
    Ophthal Plast Reconstr Surg 2017 Nov/Dec;33(6):e162-e163
    *Division of Ophthalmology, Warren Alpert Medical School at Brown University, Providence, Rhode Island, and †Department of Ophthalmology, State University of New York Upstate Medical University, Syracuse, New York, U.S.A.
    A 50-year-old male presented with bilateral cicatricial entropion with subepithelial fibrosis and fornix foreshortening. Conjunctival biopsy showed lymphocytic infiltrate along the interface of the epithelium and lamina propria with linear, shaggy fibrinogen deposition along the epithelial basement membrane zone, supporting a diagnosis of lichen planus. The patient was treated with commercially available topical cyclosporine for 5 months after which bilateral lower eyelid splitting procedure with recession of the anterior lamella and complete excision of the lower eyelid lashes was performed. Read More

    [Role of Köllner-Hughes tarsoconjunctival flap in the reconstruction of large eyelid defects].
    J Fr Ophtalmol 2017 May 3;40(5):363-370. Epub 2017 May 3.
    Service d'ophtalmologie adulte, hôpital 20-Août-1953, CHU Ibn-Rochd, quartier des Hôpitaux, Casablanca, Maroc.
    Purpose: To evaluate the aesthetic and functional results of the Köllner-Hughes tarsoconjonctival flap technique for large defects of over three-quarter of the lower eyelid.

    Patients And Methods: A retrospective descriptive study of a series of 15 patients treated between January 2013 and December 2015. We included all patients who underwent reconstructive surgery for a tumor involving more than three-quarter of the lower eyelid and sparing the canthi. Read More

    Prof Lalit Prakash Agarwal (1922-2004)-The Planner of the First-Ever National Blindness Control Program of the World.
    Ophthalmol Eye Dis 2017 17;9:1179172117701742. Epub 2017 Apr 17.
    Department of Retina and Uvea, ICARE Eye Hospital & Postgraduate Institute, Noida, India.
    Prof Lalit Prakash Agarwal drafted the National Programme for Prevention of Visual Impairment and Control of Blindness (now called National Programme for Control of Blindness) in India in 1976, first of its kind in the world. With his vision well ahead of his time, he brought the concept of super-specialty in Indian ophthalmology. He founded Dr. Read More

    Modified brow suspension technique for the treatment of pseudoptosis due to redundant frontal skin in the dog: a retrospective study of 25 cases.
    Vet Ophthalmol 2017 Apr 25. Epub 2017 Apr 25.
    Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, Spain.
    Purpose: To describe the outcome of modified brow suspension technique for the treatment of upper eyelid pseudoptosis in canine patients with redundant frontal skin folds.

    Methods: Medical records from 1999 to 2015 were retrospectively reviewed. Only dogs that underwent modified brow suspension for treating bilateral pseudoptosis were included in the study. Read More

    Fungal Keratitis Secondary to Trametes betulina: A Case Report and Review of Literature.
    Mycopathologia 2017 Aug 21;182(7-8):755-759. Epub 2017 Mar 21.
    Jones Eye Institute, University of Arkansas for Medical Sciences (UAMS), 4301 W. Markham St., Little Rock, AR, 72207, USA.
    Purpose: We report the first case of human infection and keratitis secondary to Trametes betulina, a rare filamentous fungus.

    Methods: Clinical examination including external and slit-lamp examination and corneal scrapings with microbiologic evaluation were performed on a patient with chronic allergic conjunctivitis, entropion and a long-standing corneal ulcer resistant to treatment.

    Results: The culture from the corneal scraping revealed a basidiomycetous fungus which was submitted for identification. Read More

    Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study.
    Oral Maxillofac Surg 2017 Jun 18;21(2):187-192. Epub 2017 Mar 18.
    Ahrar Hospital, Zagazig, Egypt.
    Introduction: Although some studies addressed the differences between subciliary and transconjunctival approaches, no previous prospective comparative study on displaced zygomaticomaxillary complex (ZMC) fracture that repaired by three-point internal fixation using also upper gingivolabial incision and upper eye lid incision. So, the effect of these incisions on the comparison was not investigated.

    Purpose: The purpose of this study was to compare transconjunctival and subciliary approaches for open reduction and internal rigid fixation (OR/IF) of ZMC fractures. Read More

    Orbicularis oculi muscle tightening for involutional entropion.
    J Plast Reconstr Aesthet Surg 2017 Jul 17;70(7):946-951. Epub 2017 Feb 17.
    Department of Plastic and Reconstructive Surgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
    Aims: To describe a novel technique for involutional entropion (IE) correction and present a retrospective case study.

    Patients And Methods: The entropion eyelid was corrected by repairing the thin preseptal orbicularis oculi muscle (OOM) of the lower eyelid. Patients underwent correction with this method from 2005 to 2014 and were followed up for 2 years postoperatively. Read More

    Evaluation of moderate and severe blepharoptosis correction using the interdigitated part of the frontalis muscle and orbicularis oculi muscle suspension technique: A cohort study of 235 cases.
    J Plast Reconstr Aesthet Surg 2017 May 16;70(5):692-698. Epub 2016 Nov 16.
    Head & Neck Cosmetic Surgery Center of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Chinese Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing 100144, PR China. Electronic address:
    Background: Blepharoptosis is defined as an abnormally low-lying upper eyelid margin in the primary gaze, causing vertical narrowing of the palpebral fissure. It is difficult to achieve consistently satisfactory results in moderate or severe cases despite many surgical methods being available to correct them.

    Methods: Between January 2001 and December 2014, a retrospective cohort study was conducted using medical records and perioperative photographs of 235 patients. Read More

    Etiopathogenetic patterns of blepharoptosis in Western Nepal : an Overview.
    Nepal J Ophthalmol 2016 Jan;8(15):36-40
    Background: The clinical picture of blepharoptosis varies from a cosmetic problem to severe visual dysfunction depending on the pathogenesis and the degree of ptosis.

    Objective: To study the type, pattern and causes of ptosis in patients seeking oculopastic care in western Terai of Nepal Patients and methods: A retrospective descriptive hospital based was carried out over a period of 2 years in oculoplastic clinic in Lumbini Eye Institute, Bhairahawa. Demographic variables including the age of the patient, gender, laterality of the eye(s), visual acuity, presence of refractive error and or amblyopia, type of ptosis and previous ptosis surgery were recorded. Read More

    A Modified Bifurcated Periosteal Flap for Simultaneous Reconstruction of Upper and Lower Lateral Canthal Tendons.
    J Craniofac Surg 2017 Jun;28(4):1093-1095
    Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.
    A bifurcated periosteal flap is useful for simultaneous reconstruction of the upper and lower lateral canthal tendons. The original technique harvested the flap horizontally from the frontal process of the zygoma, which mostly resulted in an insufficient flap length because of the narrowness of the zygoma. Here, the authors report the use of a modified bifurcated periosteal flap, raised from the superolateral orbital rim. Read More

    Surgical treatment of a rare case of bilateral ptosis due to localized ocular amyloidosis.
    Saudi J Ophthalmol 2016 Jul-Sep;30(3):201-203. Epub 2016 Apr 21.
    Ophthalmology Unit, NESMOS Department St. Andrea Hospital, Faculty of Medicine and Psychology, University of Rome "Sapienza", Via di Grottarossa 1035, Rome 00189, Italy.
    We describe a rare case of a 31-year old woman with bilateral ptosis due to localized amyloidosis. She referred a nine-year history of ptosis and surgical treatment with frontalis suspension three years previously. Following complete ophthalmological examination and evaluation of the ptosis we carried out tarsal and fornix biopsy, which revealed accumulation of a weakly eosinophilic amyloid positive substance. Read More

    Long-term outcome of allogeneic cultivated limbal epithelial transplantation for symblepharon caused by severe ocular burns.
    BMC Ophthalmol 2017 Jan 31;17(1). Epub 2017 Jan 31.
    State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong Academy of Medical Sciences, 5 Yanerdao Road, 266071, Qingdao, China.
    Background: The therapeutic effects of allogeneic cultivated limbal epithelial transplantation (CLET) for symblephara at different degrees caused by ocular burns were evaluated in this study.

    Methods: A series of interventional cases were involved in this retrospective study. Eighty eyes (80 patients) with symblephara underwent CLET and the success rates of surgical treatment as well as corneal conditions and risk factors for recurrent symblepharon were analyzed. Read More

    Posterior Medial Canthal Thermoplasty.
    Ophthal Plast Reconstr Surg 2017 May/Jun;33(3):221-224
    Royal Eye Infirmary, Derriford Hospital, Plymouth, United Kingdom.
    Purpose: To describe a new, simple, quick, and minimally invasive surgical technique for managing medial canthal tendon laxity.

    Methods: The technique works by creating a directed posterior lamellar scar. Sutures are preplaced in firm medial canthal tissue, and a triangular diathermy burn is made between this fixation point and the medial tarsal plate (sparing the canaliculus). Read More

    Congenital entropion and hypotropia secondary to duplication of the inferior rectus muscle.
    J AAPOS 2017 Feb 9;21(1):85-87. Epub 2017 Jan 9.
    Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
    Congenital anomalies of the extraocular muscles apart from congenital fibrosis are relatively rare. Duplication of extraocular muscles is a particularly rare congenital anomaly that has been rarely reported in the literature. We present a case of unilateral congenital entropion and hypotropia resulting from duplication of the inferior rectus muscle. Read More

    Success rate of nurse-led everting sutures for involutional lower lid entropion.
    Eye (Lond) 2017 May 13;31(5):732-735. Epub 2017 Jan 13.
    Bristol Eye Hospital, Bristol, UK.
    PurposeTo evaluate safety and long-term recurrence rate of entropion in patients having everting sutures (ES) for involutional entropion by ophthalmic nurses in a real clinical setting.Patients and methodsRetrospective notes review of all patients who had an outpatient ES by our trained ophthalmic nurses over 2 year's time period. Outcome measures were complication and recurrence rates. Read More

    A New Technique for Total Reconstruction of the Lower Lid.
    Ann Plast Surg 2017 Feb;78(2):171-177
    From the *Division of Plastic Surgery, Bodrum Acibadem Hospital, Muğla; and †Division of Plastic Surgery, Mustafa Kemal University, Hatay, Turkey.
    Background: Although several methods have been described for total lower eyelid reconstruction, it remains as a major challenge in reconstructive surgery. Here, we present a new technique, the Mutaf unequal Z-plasty procedure for reconstruction of defects of the lower eyelid.

    Methods: In this technique, 2 skin flaps designed in an unequal Z-plasty manner are used to provide skin coverage. Read More

    Identifying Patient Perceived Barriers to Trichiasis Surgery in Kongwa District, Tanzania.
    PLoS Negl Trop Dis 2017 Jan 4;11(1):e0005211. Epub 2017 Jan 4.
    Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
    Background: Trachomatous trichiasis (TT), inturned eyelashes from repeated infection with Chlamydia trachomatis, is the leading infectious cause of blindness in the world. Though surgery will correct entropion caused by trachoma, uptake of TT surgery remains low. In this case-control study, we identify barriers that prevent TT patients from receiving sight-saving surgery. Read More

    Use of Botulinum Neurotoxin in Ophthalmology.
    Turk J Ophthalmol 2016 Dec 1;46(6):282-290. Epub 2016 Dec 1.
    İstanbul University Cerrahpaşa Faculty of Medicine, Department of Ophthalmology, İstanbul, Turkey.
    Botulinum neurotoxin (BoNT) is the first biological toxin used in the treatment of ophthalmic diseases and to decrease skin wrinkles as an aesthetic agent. When used appropriately, it weakens the force of muscular contraction and/or inhibits glandular secretion. The most common areas for botulinum toxin treatment are the upper face, including the glabella, forehead, brows, and lateral canthal lines, or crow's feet. Read More

    Factors Associated With Surgical Outcomes in Congenital Ptosis: A 10-Year Study of 319 Cases.
    Am J Ophthalmol 2017 Mar 28;175:173-182. Epub 2016 Dec 28.
    Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, and the College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:
    Purpose: To evaluate the 10-year results of surgery for congenital ptosis and identify factors associated with excellent outcomes and recurrence.

    Design: Retrospective, interventional case series.

    Methods: A retrospective analysis was conducted of 319 patients who underwent surgical correction at a tertiary medical center for congenital ptosis. Read More

    Lower Eyelid Complications in Facial Fracture Surgery.
    J Craniofac Surg 2017 Mar;28(2):391-393
    *Stockholms Craniofacial Center, Department of Reconstructive Plastic Surgery, Karolinska University Hospital †Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm ‡Department of Oral and Maxillofacial Surgery, Örebro University Hospital, Örebro, Sweden.
    Background: Facial fractures may lead to sequelae due to the trauma but also as a result of surgery. Complications to lower eyelid incisions include ectropion, scleral show, entropion, canthal malposition, and lid edema. The aim of this study was to compare the occurrence of such complications depending on whether a subciliary or transconjunctival incision was used for surgical access. Read More

    Analysis of Extended Transconjunctival Approach With Lateral Paracanthal Incision: A Study Among Classical Methods of Orbital Approach and New Method.
    J Craniofac Surg 2016 Nov;27(8):2050-2054
    Department of Plastic and Reconstructive Surgery, University of Ulsan College of Medicine, Seoul Asan Medical Center, Seoul, Korea.
    Although the subcilliary or conventional transconjunctival approach has been widely used, it often fails to get acceptable visual fields or scars. This study directly compared the extended transconjunctival approach accompanied by lateral paracanthal incision with other traditional approaches in terms of surgical fields, the outcomes and complications. This retrospective chart review included 113 patients (82 males and 31 females; mean age: 38. Read More

    DEBS - a unification theory for dry eye and blepharitis.
    Clin Ophthalmol 2016 9;10:2455-2467. Epub 2016 Dec 9.
    Department of Ophthalmology, Nassau University Medical Center, Hofstra University School of Medicine, East Meadow, NY, USA.
    For many years, blepharitis and dry eye disease have been thought to be two distinct diseases, and evaporative dry eye distinct from aqueous insufficiency. In this treatise, we propose a new way of looking at dry eye, both evaporative and insufficiency, as the natural sequelae of decades of chronic blepharitis. Dry eye is simply the late form and late manifestation of one disease, blepharitis. Read More

    Histopathological changes in involutional lower eyelid entropion: the tarsus is thickened!
    Can J Ophthalmol 2016 Dec 4;51(6):482-486. Epub 2016 Oct 4.
    University Eye Clinic, University Hospital "Sveti Duh" Zagreb, School of Medicine Osijek, University J.J. Strossmayer Osijek, Osijek, Croatia.
    Objective: Evaluation of histopathological changes in lower eyelid involutional entropion.

    Design: Case-control, comparative study at a single institution.

    Participants: A total of 20 consecutive patients with previously untreated involutional lower eyelid entropion and 20 matching patients with lateral lower eyelid basal cell carcinoma (BCC). Read More

    Periorbital Scar Correction.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):25-36
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Washington School of Medicine, Seattle, WA, USA; Division of Facial Plastic and Reconstructive Surgery, Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA, USA. Electronic address:
    Periorbital scarring with eyelid retraction can have serious visual effects and can lead to loss of vision or even loss of the eye. Understanding of eyelid anatomy and the delicate balance of its structural supports is critical for the identification of the eyelid disorder responsible for the cicatrix and helps to guide treatment. The 2-finger test and lateral distraction of the lid can also be of significant help in proper diagnosis of the underlying disorder. Read More

    Long-Term Results for Entropion Repair by Tarsal Margin Rotation With Posterior Lamella Superadvancement.
    Ophthal Plast Reconstr Surg 2017 Nov/Dec;33(6):434-439
    *Department of Ophthalmology, California Pacific Medical Center; and †Department of Ophthalmology, University of California San Francisco, San Francisco, California, U.S.A.
    Purpose: To report the long-term stability of tarsal margin rotation and posterior lamellar superadvancement (TMR PLS) for the repair of upper eyelid cicatricial entropion.

    Methods: A retrospective chart review was performed from January 2000 through December 2014 to identify all patients who had TMR PLS at the authors' institution. Charts were reviewed for demographic information, recurrence of entropion or trichiasis, and surgical complications. Read More

    Epidemiology of ocular disorders presumed to be inherited in three large Italian dog breeds in Italy.
    Vet Ophthalmol 2017 Sep 11;20(5):420-426. Epub 2016 Nov 11.
    Ophthalmology, Centro Veterinario Torinese, Lungo Dora Pietro Colletta 147, Torino, 10153, Italy.
    Objective: To describe the epidemiology and the types of eye disorders that are presumed to be inherited (PIED) in three large Italian dog breeds.

    Animals: Three large Italian dog breeds: Neapolitan Mastiff (FCI code: 197), Maremma Sheepdog (FCI code: 201), and Italian Corso dog (FCI code: 343).

    Procedures: All dogs that underwent a complete ophthalmic examination between 1992 and 2012 were included in this prospective observational study. Read More

    Modified lateral tarsal strip for involutional entropion and ectropion surgery.
    Graefes Arch Clin Exp Ophthalmol 2017 Mar 5;255(3):619-625. Epub 2016 Nov 5.
    Ophthalmology Service, Hospital Cruz Roja, Madrid, Spain.
    Purpose: Our purpose was to assess our outcomes in involutional lower eyelid ectropion and entropion surgery after horizontal eyelid tightening by a modified tarsal strip technique.

    Methods: A prospective study of 88 eyelids with ectropion and 96 with entropion was performed. Patients were randomly distributed into two groups: the control group included 90 eyelids (46 entropion and 44 ectropion) and the other group of 94 eyelids (50 entropion and 44 ectropion). Read More

    Marginal Entropion: A Frequently Overlooked Eyelid Malposition.
    Turk J Ophthalmol 2015 Oct 5;45(5):203-207. Epub 2015 Oct 5.
    Katip Çelebi University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey.
    Objectives: To evaluate the clinical findings and outcomes of surgical treatment in patients with marginal entropion.

    Materials And Methods: Patients with impairment of the natural square-shaped eyelid margin morphology, anterior migration of mucocutaneous junction and mild lid inversion toward the ocular surface were diagnosed as having marginal entropion. Patients with shortened fornices, cicatricial changes or subconjunctival fibrosis were excluded. Read More

    [Immunological evaluation during treatment of a case of borderline lepromatous leprosy].
    Rev Alerg Mex 2016 Oct-Dec;63(4):413-419
    Hospital San Angel Inn Chapultepec. Ciudad de México, México.
    Background: Leprosy is a chronic granulomatous infection that affects skin and peripheral nerves. Its prevalence has declined, but is still observed mainly in poor rural areas.

    Case Report: A male city dweller with photophobia and chronic dermatosis in the face: nodular and erythematous lesions, pustules, keratitis and entropion, partial eyebrows loss, and edema on eyelids, chin, and nose bridge. Read More

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