scholarly journals Correction of Anophthalmic Enophthalmos with a Three-Staged Procedure: Two Case Reports

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Tomohiro Minagawa ◽  
Ryuta Shioya ◽  
Takeshi Yamao ◽  
Chigusa Sato ◽  
Taku Maeda
Keyword(s):  
Case Reports ◽  
Lower Eyelid ◽  
Surgical Correction ◽  
Cartilage Graft ◽  
Eyelid Retraction ◽  
Upper Eyelid ◽  
Sling Procedure ◽  
Upper Eyelid Ptosis ◽  
Prosthetic Eye

Surgical correction of an anophthalmic enophthalmos secondary to inappropriate repair of the eye socket involves several difficult aesthetic issues associated with long-term use of a poorly fitting prosthetic eye. In this paper, we present two cases of anophthalmic enophthalmos. During the treatment of the first patient, unsatisfactory cosmetic problems including lower eyelid retraction, hypoglobus, and severe upper eyelid ptosis were revealed. Accordingly, a three-staged procedure was performed on the second patient, including autologous augmentation of the eye socket, correction of lower eyelid retraction with a cartilage graft, and a frontalis sling procedure to correct upper eyelid ptosis.

scholarly journals Synchronous Surgical Treatment of Lower Eyelid Involutional Entropion and Ptosis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
D. Vasakos ◽  
E. Nakos ◽  
C. Sioulis
Keyword(s):  
Treatment Options ◽  
The Elderly ◽  
Lower Eyelid ◽  
Postoperative Recovery ◽  
Multiple Time ◽  
Upper Eyelid ◽  
Alternative Treatment Strategy ◽  
Involutional Entropion ◽  
Lateral Tarsal Strip ◽  
Upper Eyelid Ptosis

Background. Involutional entropion and upper eyelid ptosis are common eyelid diseases in the elderly population. They represent a frequent cause of discomfort and often result in significant visual and functional impairment. The surgical management of these disorders includes various treatment options and techniques and is usually carried out in multiple time sessions. Case Report. We report the case of a 72 year old female patient, suffering from right eye involutional lower eyelid entropion and ptosis, who was treated synchronously for both conditions, by applying the lateral tarsal strip procedure and the levator resection technique. Conclusion. The synchronous treatment of involutional entropion and ptosis is an alternative treatment strategy, which could potentially improve surgical outcome, while reducing postoperative recovery time and treatment costs.

An algorithm for Botulinum toxin A injection for upper eyelid retraction associated with thyroid eye disease: long-term results

Orbit ◽  
2020 ◽  
pp. 1-8 ◽  
Author(s):  
Gamze Ozturk Karabulut ◽  
Korhan Fazil ◽  
Basak Saracoglu Yilmaz ◽  
Can Ozturker ◽  
Zehra Karaağaç Günaydın ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Thyroid Eye Disease ◽  
Long Term Results ◽  
Eye Disease ◽  
Eyelid Retraction ◽  
Toxin A ◽  
Upper Eyelid ◽  
Upper Eyelid Retraction

An algorithm for Botulinum toxin A injection for upper eyelid retraction associated with thyroid eye disease: Long-term results

Orbit ◽  
2021 ◽  
pp. 1-1
Author(s):  
Gamze Ozturk Karabulut ◽  
Korhan Fazil ◽  
Basak Saracoglu Yilmaz ◽  
Can Ozturker ◽  
Zehra Karaağaç Günaydın ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Thyroid Eye Disease ◽  
Long Term Results ◽  
Eye Disease ◽  
Eyelid Retraction ◽  
Toxin A ◽  
Upper Eyelid ◽  
Upper Eyelid Retraction

Changes in eyelid position after glaucoma filtering surgery

2021 ◽  
pp. 112067212110637
Author(s):  
Teresa Salvá-Palomeque ◽  
Pablo Muñoz-Ramón ◽  
Gema Rebolleda ◽  
Victor Aguado-Casanova ◽  
Cristina Ye-Zhu ◽  
...  
Keyword(s):  
Case Reports ◽  
Glaucoma Surgery ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Palpebral Fissure ◽  
Eyelid Retraction ◽  
Upper Eyelid ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Significant Difference

Background While ptosis is a well-known consequence of glaucoma surgery, some isolated case reports point to the possibility of upper eyelid retraction occurring after glaucoma surgery. This study aims to analyze the occurrence of ptosis and eyelid retraction after glaucoma surgery and to evaluate factors contributing to these palpebral fissure changes. Methods Cross-sectional study including 100 eyes of 100 patients that had undergone unilateral glaucoma surgery. Upper eyelid height in the operated eye was measured by digital photography and compared with the fellow, non-operated eye. The main outcome was to determine if ptosis or retraction occurred in the operated eye in comparison with the fellow eye. The secondary outcome was to determine if any variable was associated with ptosis or retraction. A clinically significant difference (either toward ptosis or retraction) was defined as a difference ≥1 mm between both eyes. Results Of 100 eyes included 81 (81%) showed no change in eyelid height (−0.133 mm ± 0.496), 11 (11%) showed ptosis (−1.348 mm ± 0.387) and 8 eyes (8%) showed retraction (1.705 ± 0.634). A statistically significant relation was found between ptosis and pseudoexfoliation glaucoma (p = 0.003). A trend toward lower postoperative IOP and higher conjunctival blebs was found in eyes with postoperative eyelid retraction. Conclusions Eyelid retraction was present in 8% of patients and ptosis in 11%. Patients with eyelid retraction showed around a 3 mmHg lower postoperative IOP than eyes without retraction. The presence of pseudoexfoliation may be a risk factor for this complication. A prospective study with a large number of patients would be required to confirm these results.

scholarly journals Stades method for surgical correction of upper eyelid trichiasis-entropion: results and follow-up in 21 cases

2000 ◽  
Vol 30 (4) ◽  
pp. 651-654
Author(s):  
José Luiz Laus ◽  
Felipe António Mendes Vicenti ◽  
Aline Adriana Bolzan ◽  
Paula Diniz Galera ◽  
Rodrigo Cezar Sanches
Keyword(s):  
Retrospective Study ◽  
Lower Eyelid ◽  
Normal Function ◽  
Surgical Correction ◽  
Upper Eyelid ◽  
Facial Mask ◽  
Maximum Period ◽  
Ocular Signs

Trichiasis is a condition in which lhe cuia and facial hairs grow toward lhe córnea or the conjunctiva. The hairs arising from normal sites are pointed aí an abnormal direction. This condition may be caused by prominent nasal folds, entropion, blepharospasm, slipped facial mask and dermoids. The upper eyelid trichiasis-entropion with lower eyelid entropionectropion frequentiy occurs in oíder English Cocker Spaniels. The ocular signs often are epiphora, blepharospasm, conjunctivitis, keratitis and comeal ulceratíon. Treatment depenas on the severity ofthe condition and must eliminate the ocular contact by misdirected cuia that irritate the eyeball. This report presents a retrospective study of21 patients with bilateral diffüse trichiasis (15 English Cocker Spaniels; 2 Basset hounds; l Bloodhound; l Fila Brasileiro and 2 mongrel dogs). The procedure described by Stades was employed m ali cases. Postoperatively, topical chioramphenicol oiníment (qid) was appiied in the conjunctival soe and on the open woundfor 2 weeks. Sutures were removed 10 days after surgery. Correction ofpositioning ofthe upper eyelid was successfúl and its apposition to córnea was normal. In most of the cases the reepithelialiwtion was complete one month after surgery. No signs ofrecurrence werefound and there appeared to be no loss of normal fünction of the eyelid in the 21 dogs available for follow-up examination in a maximum period of 36 months.

Treatment of Proptosis with Fat Removal Orbital Decompression in Graves’ Ophthalmopathy

1998 ◽  
Vol 8 (4) ◽  
pp. 246-252 ◽  
Author(s):  
J.P. Adenis ◽  
P.Y. Robert ◽  
J.G.H. Lasudry ◽  
Z. Dalloul
Keyword(s):  
Side Effects ◽  
Lower Eyelid ◽  
Ocular Motility ◽  
Orbital Decompression ◽  
Cartilage Graft ◽  
Retrospective Evaluation ◽  
Auricular Cartilage ◽  
Upper Eyelid ◽  
Fat Removal ◽  
Levator Aponeurosis

Purpose Retrospective evaluation of 41 proptosis reduction procedures using fat removal orbital decompression (FROD) according to a modified Olivari's technique. Methods Trans-septal excision of extraconal and intraconal fat was done under the microscope through the upper and lower eyelid blepharoplasty approach. Proptosis was measured with a Hertel exophthalmometer. Results Mean excision of 7.31 + 1.9 ml (range 3.25 - 12 ml) of orbital fat reduced proptosis on average by 4.7 + 2.4 mm (range 1–11 mm). Side effects were few, limited only to ocular motility disturbances. There was no significant effect on visual fileds. A postoperative drop in IOP was noted in patients with preoperative IOP above 21 mmHg. Efficient palpebral lengthening can be achieved with combined section of the levator aponeurosis horns in the upper eyelid, and/or auricular cartilage graft in the lower eyelid. Conclusions FROD reduces proptosis in Grave's ophthalmopathy.

Eyelid Surgery in Gravesʼ Orbitopathy

2021 ◽  
Vol 238 (01) ◽  
pp. 33-40
Author(s):  
Christoph Hintschich
Keyword(s):  
Standard Procedure ◽  
Lower Eyelid ◽  
Volume Effect ◽  
Eyelid Retraction ◽  
Fat Tissue ◽  
Fat Pad ◽  
Upper Eyelid ◽  
Eyelid Surgery ◽  
Primary Procedure ◽  
Skin Excision

AbstractPatients with Gravesʼ orbitopathy often develop eyelid changes. These may be the result of a volume effect or a malposition. Both dermatochalasis with fat tissue increase and eyelid retraction may lead to functional or aesthetic impairment. The present article reviews indications, timing and principles for corrective eyelid surgery. If at all possible, surgical eyelid correction in Gravesʼ orbitopathy should be performed once the disease became inactive and stabile. Surgical details of eyelid lengthening procedures for upper and lower eyelid retraction are presented. Meanwhile anterior blepharotomy became the primary procedure for upper eyelid lengthening. However, there is no such standard procedure for lower eyelid lengthening, although it is recommended to use a spacer. For blepharoplasty it is mandatory to distinguish between orbital fat prolapse and subbrow fat pad. A prolapse of the lacrimal gland should not be missed and generally, skin excision performed sparingly.

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