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    [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 Jun 8. Epub 2017 Jun 8.
    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 May 22. Epub 2017 May 22.
    *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 2016 Nov 15. Epub 2016 Nov 15.
    *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 2016 Nov 11. 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

    Involvement of inward upper eyelid push on the lower eyelid during eyelid closure in development of involutional lower eyelid entropion.
    Eur J Ophthalmol 2016 Nov 16;26(6):520-522. Epub 2016 Mar 16.
    Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Aichi - Japan.
    Purpose: To examine whether an inward upper eyelid push on the lower eyelid margin during eyelid closure is involved in involutional lower eyelid entropion.

    Methods: This prospective observational study included 34 sides from 27 patients with involutional lower eyelid entropion. The positional relationship between the upper and the affected lower eyelid margins during eyelid closure were examined before and after posterior layer advancement of the lower eyelid retractors. Read More

    The prevalence of glaucoma in patients undergoing surgery for eyelid entropion or ectropion.
    Clin Interv Aging 2016 12;11:1429-1432. Epub 2016 Oct 12.
    Division of Orbital and Ophthalmic Plastic Surgery, Department of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Purpose And Design: The aim of this study was to establish the prevalence of known glaucoma in patients undergoing ectropion or entropion surgical repair. In this study, retrospective review of case series was performed.

    Participants: All patients who underwent ectropion or entropion surgery in a tertiary medical center between 2007 and 2014 were included. Read More

    [Effects of epicanthoplasty on trichiasis of the lower eyelids with epicanthus].
    Zhonghua Yi Xue Za Zhi 2016 Sep;96(36):2906-2908
    Plastic and Cosmetic Center, Beijing Tongren Hospital Affiliated Capital Medical University, Beijing 100730, China.
    Objective: To investigate the effects of epicanthoplasty on the trichiasis caused by the entropion of lower eyelid with epicanthus. Methods: Epicanthoplasty was used to correct the trichiasis of lower eyelid with epicanthus from February 2010 to October 2015. Total of 72 patients were enrolled in this study, among whom 42 were male and 30 were female, and aged 8 to 58 years. Read More

    Maximal levator resection in unilateral congenital ptosis with poor levator function.
    Br J Ophthalmol 2017 Jun 6;101(6):740-746. Epub 2016 Sep 6.
    Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
    Background/aims: Surgical treatments for the correction of congenital ptosis with poor levator function, including frontalis suspension or maximal levator resection, remain controversial. We evaluated the postoperative surgical and cosmetic outcomes after maximal levator resection for unilateral congenital ptosis with poor levator function.

    Methods: A retrospective, interventional case series was performed. Read More

    Transconjunctival Approach for Zygomatic Fracture: A Single Surgeon's Experience of More Than 20 Years.
    Plast Reconstr Surg Glob Open 2016 Jun 21;4(6):e757. Epub 2016 Jun 21.
    Department of Plastic and Reconstructive Surgery, Saga University Hospital, Saga, Japan.
    Background: To let experts evaluate a single surgeon's experience with a combined transconjunctival and intraoral upper vestibular approach in the repair of zygomatic fractures encountered in 46 East Asian patients whom he treated over the past 20 years.

    Methods: Patients were identified from a database, and a retrospective case note review was conducted. A total of 67 conjunctival and secondary incisions were made on 46 patients for repair of zygomatic fractures. Read More

    Posterior layer advancement of lower eyelid retractors with transcanthal canthopexy for involutional lower eyelid entropion.
    Eye (Lond) 2016 Nov 15;30(11):1469-1474. Epub 2016 Jul 15.
    Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.
    PurposeThe purpose of this study was to examine the surgical outcome of posterior layer advancement of the lower eyelid retractors (LER) with transcanthal canthopexy for involutional lower eyelid entropion.Patients and methodsFifty-one eyelids of 41 patients with involutional entropion and vertical and horizontal laxities that underwent posterior layer advancement of the LER with transcanthal canthopexy were retrospectively reviewed. As a control, we also reviewed previously reported data from 47 entropic eyelids of 37 patients with vertical and horizontal laxities that were successfully corrected using LER advancement and a lateral tarsal strip procedure. Read More

    Modified Hughes procedure for reconstruction of large full-thickness lower eyelid defects following tumor resection.
    Eur J Med Res 2016 Jun 30;21(1):27. Epub 2016 Jun 30.
    Department of Ophthalmology, University of Cologne, Cologne, Germany.
    Background: Tarsoconjunctival flap advancement, or the Hughes procedure, is among the techniques of choice for reconstructing full-thickness lower eyelid defects so as to restore normal anatomy and function with the best possible cosmetic outcome. The purpose of this study is to report the outcome of a series of patients treated with a modified Hughes procedure following malignant tumor removal.

    Methods: This retrospective study included 45 consecutive cases of modified Hughes procedures performed between January 2013 and October 2015. Read More

    Correction of involutional entropion with retractor redirection.
    Orbit 2016 Aug 20;35(4):207-11. Epub 2016 Jun 20.
    a Department of Ophthalmology, Chang Gung Memorial Hospital , Chang Gung University, College of Medicine , Taoyuan , Taiwan.
    The study aims to report the surgical outcome of a retractor redirection procedure for involutional entropion repair for Asians. The study included all cases diagnosed with involutional entropion and significant ocular irritation who presented from 2008 to 2012. Sixty-seven eyelids in 54 patients were included in this study. Read More

    Surgical Outcomes of Deep Superior Sulcus Augmentation Using Acellular Human Dermal Matrix in Anophthalmic or Phthisis Socket.
    J Craniofac Surg 2016 Jul;27(5):1120-4
    *Department of Ophthalmology and Visual Science, Daejeon St. Mary's Hospital, Daejeon †College of Medicine, The Catholic University of Korea, Seoul ‡Department of Ophthalmology and Visual Science, Bucheon St. Mary's Hospital, Bucheon §Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, Seoul, Korea.
    Patients with anophthalmic or phthisis socket suffer from cosmetic problems. To resolve those problems, the authors present the surgical outcomes of deep superior sulcus (DSS) augmentation using acellular dermal matrix in patients with anophthalmic or phthisis socket. The authors retrospectively reviewed anophthalmic or phthisis patients who underwent surgery for DSS augmentation using acellular dermal matrix. Read More

    Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries.
    Craniomaxillofac Trauma Reconstr 2016 Jun 3;9(2):109-12. Epub 2015 Nov 3.
    Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
    The aim of this study is to analyze the development of lower eyelid malposition following reconstruction of orbital fractures, in relation to the incisions used for access. A total of 198 surgical orbital floor reconstructions were performed in 175 patients between 2001 and 2011. Preoperative and postoperative presence of lower eyelid malposition of patients was reported. Read More

    Lower Lid Malposition: Causes and Correction.
    Facial Plast Surg Clin North Am 2016 May;24(2):163-71
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head and Neck Surgery, Johns Hopkins University School of Medicine, 6420 Rockledge Drive, Suite 4920, Bethesda, MD 20817, USA. Electronic address:
    Lower lid malposition is a common yet demanding problem that both functional and cosmetic eyelid surgeons will face. It encompasses a spectrum of lower eyelid conditions ranging from lower lid retraction to frank ectropion and entropion. The causes of lower lid malposition are numerous, and the problem can be challenging to correct even for experienced surgeons. Read More

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