THE instrument shown in Fig. 1 (a) and (b) is a spatula in two sizes, one smaller for children and the other larger for adults, curved to conform with the forward convexity of the tarsal plate in the upper eyelid; the upper edge of the spatula is rounded and curved to be accommodated in the superior fornix. That part of the spatula which projects below the upper lid margin, after its insertion ...

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...

BACKGROUND The techniques of lower blepharoplasty are evolving to reflect the concept that the lower eyelid contour does not stop at the inferior orbital rim, and that the lid-cheek junction must often be modified to restore the midface to a youthful configuration. Multiple procedures have been proposed to smooth the lid-cheek junction and tear trough. The author proposes a technique of carbon ...

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...

The aim of the present study was to determine whether the addition of dexamethasone (DEX) or epinephrine to lidocaine (LID) altered the characteristics of anesthesia and cardiorespiratory variables following caudal epidural application in cows. Twenty adult dairy cows were randomly assigned to receive one of the treatments of LID (0.2 mg/kg), DEX (8 mg), lidocaine-dexamethasone (LIDEX; 0.2 mg/k...

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...

PURPOSE To describe the use of a lid crease incision for upper eyelid margin rotation in cicatricial entropion combining internal traction on the anterior lamella, tarsotomy, and tarsal overlap without external sutures. METHODS Surgical description: The main steps of the procedure consisted of exposure of the entire tarsal plate up to the eyelashes followed by tarsotomy through the conjunctiv...