PURPOSE To study the effect of autogenous fascia lata sling (AFLS) versus Gore-Tex suspension (GTS) regarding the functional and aesthetic outcomes in patients with bilateral congenital ptosis. PATIENTS AND METHODS A prospective comparative randomized single-center study enrolled 110 patients with bilateral congenital ptosis. One group (n=55) underwent AFLS and the second group (n=55) underwe...

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...

PARADOXICAL lid retraction of the ptotic lid on occlusion of the sound eye and several other synkinetic oculopalpebral phenomena are described in the literature in relation to ophthalmoplegia, congenital as well as acquired (Lewallen, 1958; Walsh, 1957). Fuchs's phenomenon of lid retraction on lateral movement, the pseudo-Graefe phenomenon with depression and lid retraction on elevation, are al...

PURPOSE To examine the conjugacy of lid saccades in normal subjects. METHODS Saccades of both upper eyelids were recorded simultaneously by means of small, lightweight, magnetic search coils, fixed on each lid. Subjects then made vertical eye saccades between fixed targets. The associated eye saccades were recorded simultaneously by means of magnetic search coils. The authors further examined...

We report the case of an 11-year-old girl with sickle cell disease who presented to the emergency room after being hit by a mud pie in the left frontal region. Examination evidenced left eye proptosis, eyelid swelling, reduced visual acuity and afferent pupillary defect, without any inflammatory signs such as fever, hyperemia or tenderness. Computed tomography of the orbits showed a large super...

Case Age at Cause of No. Onset Sex Ophthalmoplegia Manifestation (yrs) 1 47 F S u b a r a c h no i d !Fuchs's phenomenon of lid retraction on adduction haemorrhage Pseudo-Graefe phenomenon of lid retraction on looking down 2 i F Typhoid Paradoxical retraction on occlusion of sound eye 3 5 M Head injury Lid retraction on attempted adduction Pseudo-Graefe phenomenon of lid retraction on looking d...

INTRODUCTION Asymmetrical eyelid skin crease may be mistaken for ptosis due to apparent narrowing of the palpebral fissure in the eye without the skin crease. This study describes a series of patients who were mistakenly referred for ptosis operation as a result of absent skin crease. METHODS Retrospective case review. RESULTS A total of 8 patients (5 males and 3 females) were referred by t...