BACKGROUND The challenge with the surgical repair of upper eyelid retraction is to obtain a more predictable and satisfactory postoperative eyelid contour and height, and to minimise the need for further surgery. METHODS A retrospective analysis was performed on all patients treated surgically for eyelid retraction at Moorfields Eye Hospital over a 13 year period. RESULTS In this study good...

Aging of the lower eyelid involves a complex series of anatomic and physiologic changes that occur over time. Rejuvenation of the lower eyelid complex must systemically address the various contributions of soft tissue laxity, pseudoherniation of orbital fat, and loss of periorbital volume. This article outlines the evolution of our approach to lower eyelid blepharoplasty with a specific focus o...

PURPOSE To compare functional and surgical outcomes of a subperiosteal midface lift with and without the placement of a hard palate mucosal graft (HPMG) in patients with lower eyelid retraction. DESIGN Retrospective, comparative, interventional case series. PARTICIPANTS Thirty-four patients with lower eyelid retractions who underwent surgery at the Jules Stein Eye Institute in a 5-year peri...

We describe three patients with spinocerebellar ataxia (SCA) and marked eyelid retraction: A 33-year-old woman with ataxia, pyramidal signs and eyelid retraction; genetic test confirmed SCA1 (Figure A). A 41-year-old man with ataxia, ophthalmoplegia, neuropathy and eyelid retraction; genetic test confirmed SCA2 (Figure B). A 68-year-old man with ataxia, neuropathy, nystagmus and eyelid retracti...

In five cases, a simplified anterior tarsal resection corrected complicated upper eyelid blepharoptosis and contour abnormalities. One case of residual blepharoptosis after levator muscle resection was corrected by resecting an amount of tarsus equal to the desired amount of correction. Two cases of upper eyelid blepharoptosis resulting from overcorrected levator muscle recession were corrected...

Neuro-ophthalmological symptoms in vertigo and dizziness. The vestibular and visual systems are closely linked in the genesis of vertigo and dizziness. An examination of these two systems is helpful in the search for an aetiological diagnosis. In ENT, this double approach can also help to avoid certain ophthalmological pitfalls such as the mistaken idea that a squint cannot be of vestibular ori...

Differences in eyelid structure are well described in the literature with respect to the Asian eyelid, but discussion of differences in eyelid structure between the other races is scarce. Most of the literature focuses on distinctions between “double” and “single” eyelids. Other clinical and surgical considerations are the presence of epicanthi and palpebral fissure slant. By understanding raci...

PURPOSE Dacryocystorhinostomy via an eyelid incision has been described in Western literature. This study was undertaken to confirm that eyelid incision for dacryocystorhinostomy is suitable in Asians, because Asians have anatomic features that differ from those of Westerners. METHODS We performed dacryocystorhinostomy with an eyelid incision along skin wrinkles or relaxed skin tension lines ...

Iris recognition is one of the most robust human identification methods. In order to carry out accurate iris recognition, many factors of image quality should be born in mind. The eyelid occlusion is a quality factor that may significantly affect the accuracy. In this paper we introduce a new fuzzy multi-objective optimization approach based on the eyelid detection method. This method obtains t...

PURPOSE We investigated the incidence of prostaglandin-associated periorbitopathy (PAP) in subjects with glaucoma treated with latanoprost ophthalmic solution. SUBJECTS AND METHODS One eye and the forehead in 22 subjects were evaluated. All patients had used latanoprost for more than 1 year (range, 12 to 45 months; mean, 26.0 months) and were prostaglandin F2α analogue treatment-naïve. Digita...