摘要:

The natural history of an untreated coloboma with an orbital cleft in a 14-year-old girl is presented. The method of the surgical reconstruction of this defect is presented in detail: in a single operation the bony cleft was repaired and grafted, the globe was enucleated, and the lids and sockets were reconstituted.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

The repair of severe upper eyelid entropion with trichiasis was reported early in ophthalmological literature; a historical review of the main operative techniques is provided. The aim of treatment is to bring the eyelashes away from the lid margin. Recent procedures use an upward transposition of the anterior lamella, which is performed by a lid split technique. The free anterior tarsal surface must be covered by a free, autologous skin graft or mucous-membrane graft to stabilize the free lid margin and to prevent the tarsal plate from shrinking. A fibrin-sealing method is used for the fixation of the graft on the tarsus, thus making sutures unnecessary. The anterior tarsal surface is covered by the fibrin-glued transplant, which prevents the posterior lamella from shrinking and does not allow the lashes to descend to the lid margin again. The results of using this new method on seven patients are presented.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

In humans, a variety of immunodeficiency states have been recognized whereby infectious agents gain access to the body and produce disease. The orbit may become involved following injury or surgery, through spread of infection from surrounding structures, or by metastatic seeding from a distant source. Orbital infections associated with immunodeficiency represent a special problem in diagnosis and management for the ophthalmologist. Twenty-four patients with immunodeficiency-associated orbital infections who illustrate a wide range of factors associated with immunodeficiency, agents that produce infection, ophthalmic signs that result, and effects of antimicrobial therapy are presented.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Traumatic avulsion of the common canaliculus was repaired in one patient by using a segment of the angular vein as an autograft. The vein graft served as a functional anastomosis between the lacrimal sac and both upper and lower canaliculi. The technique is a viable alternative for functional repair of the acutely lacerated lacrimal drainage system in which canalicular tissue is missing.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Keratoacanthoma of the lower eyelid developed in two patients. In the first case, conventional excision biopsy necessitated a large eyelid reconstruction procedure. In the second case, 5-fluorouracil was injected into the base of the kera-toacanthoma. Both treatments resulted in complete resolution of the lesion with excellent cosmesis. Thus, intralesional 5-fluorouracil can be useful for keratoacanthomas of the eyelid in patients who are not good candidates for surgery.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

At 4 years of age, a young girl with Schwartz-Jampel syndrome developed blepharospasm with resultant blepharophimosis. Her eyelids and facial features had been normal until that time. While these rare ocular abnormalities may be present together in patients with this syndrome, the relationship between them has not been explained. We theorize that constant orbicularis squeezing in the pediatric age group retards full eyelid development and leads to acquired blepharophimosis.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

A 6½-year-old white male child had developed bilateral dacryocystitis 1 year earlier, approximately 6 months after resolution of the acute phase of Kawasaki's disease. The patient had had no previous history of dacryostenosis or epiphora. After he failed to respond to appropriate antibiotic therapy, probing was partially successful on the right side, but complete obstruction persisted on the left side. At age 7½ years, dacryocystorhinostomy was performed successfully on the left side. To our knowledge, dacryocystitis has not been reported previously following Kawasaki's disease. Other reported ocular complications of Kawasaki's disease, with the exception of a case of bilateral conjunctival scarring, have occurred in the acute phase of the disease.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Prominent fatty infiltration of Muller's muscle and the anterior levator muscle was noted at the time of surgery in nine of 115 patients undergoing external levator resection for ptosis. This distribution of adipose tissue was confirmed by light microscopy. Fatty infiltration appeared to be a degenerative change found in adults with congenital and acquired ptosis. Preoperatively these patients exhibited moderate to severe ptosis, fair to good levator function, and no elevation of the lid crease. The desired postoperative results were achieved with standard external levator resection and advancement techniques. The fatty appearance may lead to difficulty in identifying customary anatomical landmarks during surgery. With the exception of Homer's syndrome, abnormalities of Müller's muscle have not previously been described in association with ptosis, to these authors' knowledge.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Developmental abnormalities of the eyelids are reviewed, with special reference to abnormalities of the medial canthus. Included are Waardenburg's syndrome, the four types of epicanthus, hypertelorism, epiblepharon superioris and inferioris, and entropion. Various methods of repair are described, including Y-V and V-Y procedures, the double Z plasty, the W plasty, fascial slings, and skin grafts. Craniofacial deformities and trauma are not discussed.

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0740-9303    

出版商:OVID    

年代:1986

数据来源: OVID