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    Management of Severe Cicatricial Entropion With Labial Mucous Membrane Graft in Cicatricial Ocular Surface Disorders.
    J Craniofac Surg 2018 May 14. Epub 2018 May 14.
    Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego School of Medicine.
    The management of cicatricial entropion represents a therapeutic challenge especially when the underlying causes are progressive cicatricial diseases that affect the ocular surface. The authors aimed to report long-term efficacy of labial mucous membrane graft to manage severe cicatricial entropion of the upper eyelid. This study is a retrospective chart review of patients who underwent tarsotomy associated with labial mucous membrane graft to treat severe cicatricial entropion of the upper eyelid. Read More

    Deepening Fornix Technique Using Central Split-Medium Thickness Skin Graft to Treat Contracted Anophthalmic Sockets.
    J Craniofac Surg 2018 May 8. Epub 2018 May 8.
    King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
    Purpose: The aim of thhis study was to present the outcomes of postauricular split-medium thickness skin graft (SMTSG) to treat anophthalmic sockets with contracted fornices.

    Methods: This case series enrolled patients with grade 2 or 3 anophthalmic sockets between 2015 and 2016. Data were collected on patient demographics, objective and subjective parameters preoperatively and 180 days postoperatively. Read More

    Anterior tarsal flap rotation combined with anterior lamellar reposition in the repair of cicatricial upper eyelid entropion.
    Arq Bras Oftalmol 2018 Jan-Feb;81(1):47-52
    Department of Ophthalmology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
    Purpose: This study aimed to share the results of patients who underwent anterior tarsal flap rotation combined with anterior lamellar reposition because of cicatricial upper eyelid entropion, and to determine the effectiveness and reliability of this surgical technique.

    Methods: Fifteen eyes of 11 patients (2 right eyes; 5 left eyes; and 4 bilateral eyes) on whom we performed anterior tarsal flap rotation surgery combined with anterior lamellar reposition because of cicatricial entropion were included in this study. The medical records of the patients were analyzed retrospectively, and the causes of cicatricial entropion as well as the preoperative and postoperative ophthalmic examination findings were recorded. Read More

    Long-Term Outcomes of Acellular Dermal Allograft as a Tarsal Substitute in the Reconstruction of Extensive Eyelid Defects.
    J Craniofac Surg 2018 Mar 8. Epub 2018 Mar 8.
    Department of Ophthalmology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
    Purpose: To report the long-term outcomes of using acellular dermal allograft (ADA) as a tarsal substitute for reconstruction of large full-thickness eyelid defects where ipsilateral or contralateral eyelid donor tissue was either not available or tarsoconjunctival transfer was insufficient to cover the full extent of the defect.

    Methods: A retrospective review of a consecutive series of 10 patients between May 2003 and April 2012. Main outcome measures were anatomical and functional outcomes and complications. Read More

    The use of hyaluronic acid subdermal filler for entropion in canines and felines: 40 cases.
    Vet Ophthalmol 2018 Mar 9. Epub 2018 Mar 9.
    Eye Care for Animals, Salt Lake City, UT, USA.
    Purpose: To evaluate the use of hyaluronic acid (HA) subdermal filler in canines and felines for entropion.

    Methods: Complete ophthalmologic examination was performed by a board-certified veterinary ophthalmologist or ABVO-approved resident. Each case was characterized as primary, secondary, spastic or cicatricial entropion. Read More

    Blood Perfusion in a Full-Thickness Eyelid Flap, Investigated by Laser Doppler Velocimetry, Laser Speckle Contrast Imaging, and Thermography.
    Eplasty 2018 15;18:e9. Epub 2018 Feb 15.
    Lund University, Skane University Hospital, Department of Clinical Sciences Lund, Ophthalmology; Urology; and Cardiothoracic Surgery, Lund, Sweden.
    The eyelid is commonly dissected and divided in the process of, for example, blepharotomy, entropion repair, or when preparing a full-thickness eyelid flap to reconstruct a tumor defect. No study has yet been conducted to examine how perfusion in an eyelid is affected by dissection, using modern imaging techniques. The eyelid was divided with a 10-mm vertical incision, 5 mm from the medial canthus, and the incision was extended horizontally by 30 mm to provide a full-thickness eyelid. Read More

    Surgical correction of involutional lower lid entropion with lateral canthal eyelid block excision and imbrication of the capsulopalpebral ligament using non-buried non-resorbable imbricating sutures versus buried resorbable imbricating sutures.
    Orbit 2018 Mar 2:1-6. Epub 2018 Mar 2.
    a Department of Oculoplastic and Orbital Surgery , The Rotterdam Eye Hospital , Rotterdam , the Netherlands.
    Purpose: To compare the results of surgical correction of involutional lower eyelid entropion using either buried resorbable imbricating sutures or non-buried non-resorbable sutures that were removed after five to seven days.

    Methods: Retrospective analysis of a two-surgeon series. Analysis of the charts of patients surgically treated for involutional lower eyelid entropion between January 2011 and December 2014 with a minimum follow-up of 12 months. Read More

    Evaluation of transconjunctival thermal electrocautery for treatment of canine distichiasis: 88 eyelids (2013-2016).
    Vet Ophthalmol 2018 Mar 1. Epub 2018 Mar 1.
    BluePearl Veterinary Partners, Veterinary Specialty and Emergency Center, Levittown, PA, USA.
    Objective: To describe a successful, simple treatment for canine distichiasis.

    Animals Studied: Client-owned dogs presenting to Veterinary Specialty and Emergency Center, Levittown, Pennsylvania.

    Procedure: Retrospective analysis of medical records for canine patients that underwent transconjunctival thermal electrocautery treatment (TCEC) for distichiasis alone or with concurrent eyelid surgery between 2013 and 2016. Read More

    Long-Term Follow-Up of Lateral Canthal Resuspension.
    Asia Pac J Ophthalmol (Phila) 2018 Mar-Apr;7(2):90-94. Epub 2018 Feb 26.
    Jules Stein Eye Institute, Los Angeles, California.
    Purpose: To evaluate the long-term results of lateral canthal resuspension over time.

    Design: A cohort study of adults (n = 25, 45 eyelids) undergoing lateral canthal resuspension.

    Methods: Marginal reflex distance 2 (MRD2), inferior scleral show, lateral canthal height, lateral canthal angle, horizontal palpebral aperture, and lateral scleral triangle area were measured preoperatively and at postoperative week 1, month 3, and the final follow-up visit. Read More

    Superficial punctate keratopathy in a pediatric patient was related to adenoid hypertrophy and obstructive sleep apnea syndrome: a case report.
    BMC Ophthalmol 2018 Feb 23;18(1):55. Epub 2018 Feb 23.
    Department of Ophthalmology, the Second Affiliated Hospital, Fujian Medical University, Quanzhou, Fujian, 362000, China.
    Background: Known causes of superficial punctuate keratopathy (SPK) in children include entropion, viral infection, blepharokeratoconjunctivitis (BKC), and toxicity of eye drops. However, there are some SPK patients whose causes could not be identified well. Herein, we describe the history, diagnosis, treatment, and prognosis of a rare case. Read More

    Lateral tarsal strip versus Bick's procedure in correction of eyelid malposition.
    Eye (Lond) 2018 Feb 21. Epub 2018 Feb 21.
    Royal Eye Infirmary, Derriford Hospital, Plymouth, PL6 8DH, UK.
    Objectives: To compare the functional and anatomical outcomes of lateral tarsal strip (LTS) with Bick's procedure in treatment of eyelid malposition.

    Methods: A retrospective, consecutive case series of patients who underwent LTS and Bick's procedure for all types of involutional lower eyelid malposition, at two centers between January 2012 and 2015. Statistical analyses of differences between groups were performed using the Fisher's exact test to compare non-continuous variables and Mann-Whitney U test for continuous variables. Read More

    Reactivation of herpes simplex viral keratitis following the botulinum toxin injection.
    Indian J Ophthalmol 2018 02;66(2):306-308
    Jhaveri Microbiology Center, L V Prasad Eye Institute, Hyderabad, India.
    We describe a case of 55-year-old male farmer presented with recurrent corneal abrasions with a spastic entropion in the left eye. Superior cornea showed typical nummular opacities suggestive resolved herpetic eye diseases. On further enquiry, he had similar episodes in the past. Read More

    Upper eyelid levator-recession and anterior lamella repositioning through the grey-line: Avoiding a skin-crease incision.
    Indian J Ophthalmol 2018 02;66(2):273-277
    Department of Corneo-Plastics, Queen Victoria Hospital, East Grinstead, United Kingdom.
    Purpose: This study aims to report a case series of upper eyelid cicatricial margin entropion with retraction, corrected through a grey-line approach only. We remind readers of the grey-line approach to levator recession (LR) and lamellar repositioning surgery.

    Methods: A retrospective review of clinic notes and photographs of patients who underwent grey-line split (GLS), LR, release of orbital septum, recession of levator, advancement of posterior lamella and anterior lamellar repositioning without a skin crease incision, from December 2015 to December 2016. Read More

    [Tarsal Kink: Pathognomonic Presentation and Therapy of a Rare Congenital Upper Eyelid Malformation].
    Klin Monbl Augenheilkd 2018 Jan 26;235(1):34-38. Epub 2018 Jan 26.
    Augenheilkunde, AK Barmbek, Hamburg.
    Background: Presentation of a congenital abnormality that is rare, but follows a distinct course and can be diagnosed and cured promptly if the pathognomonic presentation is recognized. A congenital tarsal kink leads to a malposition of the upper eyelid margin that must not be missed, as it will lead to ulcerative keratitis if it is not treated.

    Case Presentation: An otherwise healthy newborn was presented after delivery with forceps with marked unilateral purulent secretion and blepharospasm. Read More

    Floppy Eyelid Syndrome: An Unfamiliar Entity for Plastic Surgeons.
    Ann Plast Surg 2018 Feb;80(2S Suppl 1):S40-S47
    Background: Floppy eyelid syndrome (FES) is typically characterized by chronic eye irritation and an increased laxity of the upper eyelid that can be easily everted by applying minimal upward traction. However, it is a clinical entity that is less known to most plastic surgeons. Blepharoptosis is one of the most common features, which links to FES, for which a thorough differential diagnosis has become important in directing proper medical treatment. Read More

    The Reliability of the Transconjunctival Approach for Orbital Exposure: Measurement of Positional Changes in the Lower Eyelid.
    Arch Craniofac Surg 2017 Dec 23;18(4):249-254. Epub 2017 Dec 23.
    Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
    Background: Lower eyelid incisions are widely used for the orbital approach in periorbital trauma and aesthetic surgery. In general, the subciliary approach is known to cause disposition of the lower eyelid by scarring the anterior lamella in some cases. On the other hand, many surgeons believe that a transconjunctival approach usually does not result in such complications and is a reliable method. Read More

    Microphthalmia, corneal dermoids, and congenital anomalies resembling Goldenhar syndrome in a cat.
    J Am Vet Med Assoc 2018 Feb;252(3):324-329
    CASE DESCRIPTION An 18-month-old spayed female domestic shorthair cat was evaluated because of conjunctivitis and skin-fold dermatitis secondary to bilateral microphthalmia, corneal dermoids, and ankyloblepharon. CLINICAL FINDINGS Physical examination revealed bilateral microphthalmia, bilaterally symmetrical corneal dermoids, ankyloblepharon, superior and inferior entropion, prognathism, and facial asymmetry with deviation of the nasal septum. Computed tomography revealed malformed, thickened bony orbits with mineralization of the orbital ligament bilaterally. Read More

    Association of Involutional Lower Eyelid Entropion with Reduced Upper Eyelid Position Relative to the Corneal Light Reflex: Quantification of Facial Asymmetry.
    Ophthalmic 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/m) 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 2018 Apr 20;37(2):105-109. 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 2018 Apr 17;37(2):121-124. 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 2018 Feb 30;37(1):53-58. 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.
    Ophthalmic Plast Reconstr Surg 2018 May/Jun;34(3):242-245
    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.
    Ophthalmic Plast Reconstr Surg 2018 May/Jun;34(3):231-236
    Department of Ophthalmology and Visual Sciences, Carver College of Medicine, University of Iowa Hospitals and Clinic, Iowa City, Iowa.
    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.
    Ophthalmic 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 2018 Mar 25;21(2):112-118. 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

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