In no other area of facial aesthetic surgery is such a fragile balance struck between form and function as that in eyelid modification. Owing to the delicate nature of eyelid structural composition and the vital role the eyelids serve in protecting the visual system, iatrogenic alterations in eyelid anatomy must be made with care, precision, and thoughtful consideration of existing soft tissue ...

PURPOSE to evaluate the position of the upper eyelid margin and eye surface status in cicatricial trachoma without trichiasis (TS). METHODS Slit-lamp biomicroscopy was employed to evaluate the location of the upper lid mucocutaneous transition of 156 eyes of 78 patients with trichiasis and of 130 eyes of 65 control subjects. For each eye the position of the upper lid mucocutaneous junction wa...

F acial nerve palsy causes lagophtalmia of the upper lid (Fig. 1). In addition to being an esthetic deformity, it may lead to recurrent keratitis, keukoma, conjunctivitis, and even blindness. In facial palsy, overaction of the levator palpebrae muscle is present. Closure of the eye and downward movement of the lid can be achieved by adding weight to the upper lid. This article describes a techn...

Background : Pilomatrixoma , also known as Malherbes’s calcifying epithelioma, known to occur in children, is not common especially in middle aged and those below 10 years of age . Pilomatrixoma presents as a firm skin nodule on eye lid or eye brow, so should be considered in the differential diagnosis of such lesions involving eyelids. Case : A 45-year-old male presented with a swelling in the...

Purpose. To analyze the clinical findings associated with involutional entropion and ectropion and compare them to each other and to age-matched controls. Methods. Prospective, age-matched cohort study involving 30 lids with involutional entropion, 30 lids with involutional ectropion, and 52 age-matched control lids. Results. The statistically significant differences associated with both the en...

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. ...

BACKGROUND Pilomatrixoma , also known as Malherbes's calcifying epithelioma, known to occur in children, is not common especially in middle aged and those below 10 years of age . Pilomatrixoma presents as a firm skin nodule on eye lid or eye brow, so should be considered in the differential diagnosis of such lesions involving eyelids. CASE A 45-year-old male presented with a swelling in the l...

INTRODUCTION We have reported that a developed lower-positioned transverse ligament between the superior-medial orbital rim and the lateral orbital rim on the lateral horn in the lower orbital fat space antagonizes eyelid opening and folding in certain Japanese to produce narrow eye, no visible superior palpebral crease, and full eyelid. In this study, we confirmed relationship between developm...