Two patients with eyelid myoclonia with absences (EMA) are described. Videotape of the eyelid myoclonia in one patient is presented. An interesting feature in one patient was the induction of clinical seizures only with daylight, and in another the presence of rare, focal, epileptiform discharges during drowsiness. Valproic acid only partially controlled eyelid myoclonia in both cases. Lamotrig...

PURPOSE To report the clinical and histopathologic findings of a patient with sarcoidosis causing bilateral destruction of the lower eyelids. METHODS Case report. RESULTS Bilateral destructive lower eyelid lesions and cicatricial entropion developed in a 43-year-old man with systemic sarcoidosis. Histopathology was consistent with sarcoid granulomas. Disease progression was arrested with sy...

Eight cases of bilateral and 6 cases of unilateral congenital total eversion of the upper eyelids are reported here. It is suggested that an appreciable overlapping of the lower eyelid margin by the upper eyelid is a predisposing factor in the mechanism of eversion in this condition. Treatment by injection of hyaluronidase into the chemotic conjunctiva followed by placement of a lid suture to r...

INTRODUCTION Traditional upper blepharoplasty is a subtractive form of surgery that involves the excision of variable amounts of skin, muscle, and fat from the eyelid. The goal of surgery is to improve field of vision and/or appearance. While surgical debulking of the eyelid may improve appearance early on, the volume loss inherent to this process (especially fat excision) can contribute to a h...

• When examination of this area is complete, gently and slowly remove the index fi nger and allow the patient to close the eyes for a few seconds • Ask the patient to look down and to hold this gaze • With the tip of the thumb, gently and slowly touch the top eyelid midway between the eyelid margin and the eyebrow (Figure 3) – do not exert any pressure! • Ease the eyelid up, gently and slowly, ...

PURPOSE Severe or recurrent lower eyelid ectropion can be challenging to correct. Studies on the role of upper midface ptosis in lower eyelid malposition have been published. The authors describe their technique of supporting the lateral cheek by lifting and reestablishing support for the orbitomalar ligament through a 10-mm canthotomy incision as an adjunct to a lateral tarsal strip procedure....

Background: Mild eye signs, especially itchiness and grittiness of the eyelids and upper eyelid retraction (UER), are found in about 25% of patients with Hashimoto’s thyroiditis (HT) in whom antibodies against calsequestrin and flavoprotein (Fp) are often detected. The role of T lymphocyte reactivity against eye muscle antigens in patients with thyroiditis has not been investigated. Methods: We...

PURPOSE To quantify and compare the effects of instillation with 10% phenylephrine and digital lifting on the contralateral upper eyelid of patients with involutional bilateral blepharoptosis. METHODS The present prospective clinical study involved patients with involutional bilateral blepharoptosis who underwent two tests: 1) digital lifting of the more ptotic eyelid and observation of the e...

PURPOSE To describe the use of hyaluronic acid gel for upper eyelid filling, contouring, and rejuvenation. METHODS In this consecutive, retrospective, interventional case series, standard serial puncture injections with preperiosteal placement of filler were administered at the superior orbital rim. Outcome measures included classification of upper eyelid volume deficiency as I) medial A-shap...