The efficacy of scleral grafts for eyelid lengthening in patients with thyroid related upper and/or lower lid retraction was evaluated in 62 consecutive patients with Graves' ophthalmopathy who underwent lid surgery in the last 3.5 years. Seventy-eight upper and 30 lower lids were lengthened by scleral interposition. A good or acceptable result was achieved in 50% of all operated upper lids aft...

In their article " Anthropometry of the Eyelid and Palpebral Fissure in an Indian Population, " Dr. Patil et al establish normal periorbital anthropometric values for a population that has not been studied to a great degree in the oculoplastic surgery literature. Their study included 216 male and female patients, 16 to 60 years old. Digital image analysis was prospectively performed to measure ...

A case of congenital isolated coloboma of both the upper lids from just lateral to the lacrimal punctum up to the medial half, with symblepharon in the region of lower eyelid, was studied in a 7-year-old female child. She did not have any other associated anomalies. The birth and family histories were normal. The puncta were normal in position and well apposed to the globe. The closure of the l...

BACKGROUND Defects caused by excision of benign lid margin tumors are conventionally repaired by reconstructive surgery. However, second intention healing is another option for managing wounds on the lid margin. OBJECTIVE To evaluate the effectiveness of second intention healing after a shave excision of benign tumors on the lid margin. METHODS Lid defects following a shave excision of the ...

This study provides a comprehensive description of upper eyelid movement in normal human subjects. Using the magnetic search coil technique to monitor lid position and modified skin electrodes to record orbicularis oculi electromyographic (EMG) activity, the authors found that the basic eyelid movements, blinks, and saccadic lid movements, can be uniquely and reliably characterized by their amp...

Techniques in oculofacial surgery continue to develop as our understanding of anatomy and pathophysiology continue to evolve. While the centerpiece of the quest to rejuvenate the upper eyelid and brow has for years been the upper blepharoplasty, several modifications to traditional techniques have been developed that allow for enhanced outcomes utilizing less invasive approaches. Techniques dis...

The paper is a prospective study of 23 lids of 20 patients with upper lid aponeurotic ptosis operated using microincision technique in period 2005-2008. There were 7 males and 13 females. Age of the patients was 28-83 years (y), average 61 +/- 17 y, for female 63 +/- 13.4 y and for male 61 +/- 19 y. Inclusion criteria were: aponeurotic upper lid ptosis more than 2 mm, no other lid abnormalities...

Rhythmic movements of the upper eyelids are infrequent manifestations of brain-stem disease. Gowers (1879) noted the close coordination between movements of the upper lids and eyeballs in vertical nystagmus. He attributed this coordinated movement to the natural synkinesis of the levator palpebrae superioris and superior rectus muscles; this clinical observation was later verified electrophysio...

Contact lens migration into the upper lid is a rare complication of wearing a hard contact lens. We present a case in which the only complaint was the cosmetically unacceptable appearance of a lump in the upper lid. The 76-month duration of the lesion is, we believe, the longest so far described. The histology and possible natural history of the cyst are also discussed.