Articles: eyelids-surgery.
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Ophthal Plast Reconstr Surg · Jun 1994
Comparative StudyEfficacy of lateral canthotomy and cantholysis in orbital hemorrhage.
Emergent orbital decompression in tense orbital hemorrhage with compromised ophthalmic blood flow may be achieved with lateral canthotomy, defined as incision of the lateral canthal tendon, and cantholysis, defined as canthotomy combined with disinsertion of at least the inferior crus of the lateral canthal tendon. This study was performed to determine which procedure, canthotomy, canthal tendon disinsertion, or cantholysis, produced the largest reduction in intraocular pressure after simulated orbital hemorrhage in 10 closed ruminant orbits with retrobulbar injections of normal saline. Intraocular pressure (IOP) reductions were measured after canthotomy in five orbits, after lateral canthal tendon disinsertion in five orbits, and after completion of cantholysis in all 10 orbits. ⋯ Canthal tendon disinsertion (CTD) produced a mean IOP reduction of 19.2 mm Hg. Cantholysis produced a mean IOP reduction of 30.4 mm Hg, a significantly (p < 0.05) greater reduction in IOP than that produced by canthotomy or canthal tendon disinsertion alone. Cantholysis in acute orbital hemorrhage may produce significantly greater reduction in IOP, and thus in intraorbital pressure, and allow better perfusion of orbital tissues than either lateral canthotomy or CTD.
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Ophthal Plast Reconstr Surg · Jun 1994
Case ReportsCicatricial ectropion in ichthyosis: a novel approach to treatment.
Four kinds of ichthyosiform dermatoses have been described. Only lamellar ichthyosis or ichthyosis congenita is associated with the development of ectropion and subsequent eye symptoms. Conservative treatments have been tried but surgical correction of the ectropion was ultimately required for symptomatic relief. ⋯ A circumcision was performed and the foreskin divided into four separate full-thickness skin graft triangles to treat the four-lid ectropion. There was successful resolution of the eye symptoms and a watertight closure. To our knowledge, this is a unique case in which penile foreskin has been used to correct cicatricial ectropion.
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There are subtle anatomical differences between the oriental and occidental eyelids. Creation of upper eyelid crease, otherwise known as "Double Eyelid" has been the single most popular cosmetic surgical procedure among the affluent Asians to enhance the beauty of their eyelids. It is important for the surgeon to be familiar with the anatomical differences in order not to westernise their facial features but to blend his creation with the existing facial features. This is true of any surgical procedure in the lids, be it ptosis correction or blepharoplasty for excess skin and bags in the eyelids, in order to produce good cosmetic results.
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Functional and cosmetic ophthalmic complications of Graves' disease are exophthalmos, eyelid retraction and oculomotor disturbances. This paper describes and takes over the surgical procedures used when these complications are associated. In severe exophthalmos, we used an orbital decompression of the orbital floor sometimes combined with the medial wall by an anterior approach. ⋯ If an orbital decompression is indicated, it will be done first, followed by the strabismus surgery and at a later stage, the eyelid retraction. If only the eyelid retraction is treated, it will be done after the strabismus surgery. The chronology of the treatment depends on the modification we observed on the other components of the ophthalmopathy when one stage treatment is performed on one component: for example orbital decompression can modify the oculomotor disturbance and oculomotor surgery can modify eyelid retraction.
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Annals of plastic surgery · Jul 1983
Prevention of ectropion by horizontal shortening of the lower lid during blepharoplasty.
Vertical wedge excision of the lower lid is advocated in selected patients undergoing blepharoplasty to prevent postoperative ectropion. Candidates for "V" excision include patients with a predisposition for senile ectropion. Diagnosis and surgical technique are described.