normal. (iv) Bulbar conjunctiva was quite normal. V the upper fornix a whitish swelling of the size of three-quarter of an inch by half an inch was Been, this swelling became much more marked on everting e upper lid when it was seen extending on the uine spect of the upper lid to about one-quarter of an in? Jove the lid margin and above the limbus. This veiling was cystic in feeling. (vi) Rest ...

PURPOSE To report the results of a modified frontalis sling procedure using Mersilene mesh for correction of upper lid ptosis associated with poor levator muscle function. METHODS This interventional case series included 10 patients (15 eyelids) with congenital ptosis and poor levator function. All subjects underwent the upper lid sling procedure with modifications. Main outcomes were lid cre...

Fractional continuous wave CO2 laser resurfacing is used to improve photodamage, wrinkles, and acne scarring by surface ablation and by using heat to activate natural collagen production and dermal remodeling. In this study, the author examined the efficacy and safety of nonincisional continuous wave fractional CO2 laser blepharoplasty in the upper lid. Standard lid measurements including margi...

Purpose: A chief morbidity of Graves’ eye disease (GED) is upper lid retraction that results in exposure keratopathy and cosmetic deformity. This study was conducted to assess the efficacy of graded anterior blepharotomy to treat upper lid retraction. Methods: Fifty eyelids of 32 patients with GED-associated upper lid retraction causing symptomatic ocular exposure were treated with graded, tran...

We present a case in which trauma from a broken glass resulted in complete amputation of the upper lid and severe lacerations to the lower lid but with an intact and functioning globe. The avulsed upper lid was repaired as a composite autograft. The possible management of such an unusual case is discussed.

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...

Primary lid tuberculosis after lid surgery is a very rare condition and is likely caused by the introduction of bacilli through epithelial injury. Secondary infection, due to direct hematogenous spread or contiguous spread from adjacent structures are more common presentations of lid tuberculosis. The authors experienced a case of primary lid tuberculosis occurring in a 19 year old female after...

To cite: Hassan AS, Oliphant H, Baddeley P. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201867 DESCRIPTION A 60-year-old man presented with a 2-year history of gradually worsening ptosis affecting his left upper lid. Nine years ago he had undergone excision of a left acoustic neuroma; this resulted in a left-sided facial palsy, which was partially treated ...