A 14-year-old African American male presented to the emergency department with worsening left eye redness, swelling, and vision loss over the preceding three days. History was notable for similar eye redness and swelling without vision loss four months earlier, which improved following a brief course of prednisone. He endorsed mild eye irritation and tearing with bright lights. There was no his...

A 56-year-old woman presented with intermittent vertical diplopia and exophthalmos of the left eye, which become apparent when she was bending over. Examination disclosed mild limitation of supraduction and lid lag of the left eye. Bending over induced profound exophthalmos of the left eye (video) and aggravated vertical diplopia. The exophthalmos was confirmed by an exophthalmometer, which sho...

Introduction Patients with mitochondrial myopathies, of which chronic progressive external ophthalmoplegia (CPEO) is the most common, can present with ptosis and proximal limb weakness.1 Ptosis associated with CPEO can provide challenging management problems. This form of ptosis may have poor levator function. Additional features must be considered in determining the surgical treatment. For exa...

April 2011, Vol. 101, No. 4 SAMJ The patient sustained an accidental injury that resulted in broken glass causing a penetrating eye injury in her left eye. A corneal laceration with iris prolapse was not identified at a secondary hospital. Eight weeks after the injury, she presented at Groote Schuur Hospital complaining of decreased vision and severe pain in both eyes. The diagnosis was sympath...

T here are at least three types of blinks, reflex, spontaneous, and voluntary, that can lower the lid as little as a few micrometers or completely close the eyes. Reflex blinks protect the eye, rapidly lowering the upper eyelid in response to an assortment of stimuli that could damage or signal damage to the eye. Because reflex blinks also occur in response to cornea1 drying, reflex blinks help...

OBJECTIVE The aim of this study was to assess the etiological characteristics and visual outcomes of ocular trauma with more attention to eyelid laceration. METHODS In a cross-sectional study, 98 cases of isolated traumatic eyelid laceration were consecutively studied and its epidemiology, etiology and association with visual outcome were evaluated. The findings of this study could be used to...

blepharitis is the most common ocular disease encountered by an ophthalmologist constituting 37% of all ophthalmology clinics out patient visits. blepharitis is categorized into anterior and posterior, each classified as infectious or noninfectious. anterior blepharitis is mainly infectious and caused by staphylococcus sp., propyonibacterium acne, corynebacterium sp., moraxella catarrhalis, her...

BACKGROUND One hundred consecutive secondary upper lid blepharoplasties were reviewed retrospectively to determine the lid characteristics of patients undergoing secondary blepharoplasty and the outcomes of all the procedures, which were performed using a tarsal fixation technique performed by one surgeon. METHODS The median age of the patients was 54 years, and 99 percent of the patients wer...