PURPOSE To describe a new computerized method for the analysis of lid contour based on the measurement of multiple radial midpupil lid distances. DESIGN Evaluation of diagnostic technology. PARTICIPANTS AND CONTROLS Monocular palpebral fissure images of 35 patients with Graves' upper eyelid retraction and of 30 normal subjects. METHODS Custom software was used to measure the conventional ...

The bipalpebral flap (BPF) consists of two cutaneous flaps-a sliding flap from the lower lid and a rotating flap from the upper lid. These skin flaps are dissected from the orbicularis muscle with careful coagulation of all tiny bleeding vessels. Skin flaps were preferred to myocutaneous flaps because they allow a simpler surgical procedure. The principal advantage of this technique is that it ...

A 37-year-old female presented with severe apraxia of lid opening (ALO) affecting the right upper lid associated with Becker congenital myotonia (MC). The patient had a history of right upper lid ptosis for 25 years that was exacerbated over the previous month with severe incapacity to open her right eye. No other associated neurological or ophthalmic symptoms were observed. The patient was tre...

A 10-year-old male, Muslim child diagnosed with xeroderma pigmentosa with a right upper lid malignancy presented as a therapeutic challenge because of the non-availability of normal facial skin for grafting and lid reconstruction. The lid lesion had been present for the last one month. The disease had been present for past five years with polymorphous, erythematous lesions all over the body. On...

Upper eyelid retraction is a characteristic feature of thyroid eye disease, including Graves' orbitopathy. In this study, a new surgical technique for correction of lid retraction secondary to Graves' orbitopathy is described. Sixteen eyelids of patients older than 18 years old underwent surgical correction for moderate to severe lid retraction secondary to Graves' orbitopathy. In this procedur...

Aim: To compare the effect of single rhomboid and double rhomboid frontalis suspension using 2 mm silicon band on upper lid contour in ptosis surgery. Methods: This randomized control study was conducted at the Department of Ophthalmology, Nishtar Hospital, Multan from March 2011 to March 2014. A total of 40 patients with unilateral ptosis were included in the study. Patients were divided into ...

OBJECTIVES To evaluate the use of gold weights as upper lid implants in the management of lagophthalmos due to facial nerve affection in leprosy patients. DESIGN Gold implants of various weights were inserted in the upper eyelids of 12 patients with leprosy. Pre- and post-operative lid closures were recorded and patients were followed up for 1 year. RESULTS Despite early satisfactory result...