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 clinical features of Graves’ orbitopathy (GO) with eyelid retraction (Dalrymple’s sign), lid-lag (von Graefe’s sign), lagophthalmos, exophthalmos, motility disorders and dysthyroid optic neuropathy (DON) are all well known. The underlying disease is autoimmune thyroid disease and it is often associated with pretibial myxedema and acropachy. The combination of bilateral exophthalmos, lid ret...

PURPOSE To evaluate the efficacy of porous expanded polytetrafluoroethylene (e-PTFE, Goretex) containing large pores made with a 21-gauge needle as a graft for the correction of lower lid retraction. METHODS e-PTFE grafts were implanted between the tarsus and lower lid retractor via a transconjunctival approach with/without amniotic membrane transplantation, or via a transcutaneous approach. ...

The efficacy of scleral grafts for eyelid lengthening in patients with thyroid related upper and/or lower lid retraction was evaluated in 62 consecutive patients with Graves' ophthalmopathy who underwent lid surgery in the last 3.5 years. Seventy-eight upper and 30 lower lids were lengthened by scleral interposition. A good or acceptable result was achieved in 50% of all operated upper lids aft...

symptomatic retinal astrocytic hamartomaswouldhavebeentreatmentby laser, which has the undesirable adverse effect of thermal destruction of theneurosensoryretina.Delayoftreatment,however,couldhaveresultedin vitreous hemorrhage, a possible late complicationofgrowingretinalhamartomas. Our case demonstrates the successfuloutcomeofa symptomatic astrocytic hamartoma after 1 session of PDT that resul...

Examination.-The visual acuity was 6/9 in each eye. Refraction under atropine revealed slight hypermetropia. Both fundi were normal. The movements of the eyes were full and the eyes were orthophoric on cover test. The action of the left superior rectus was normal. The child was attempting to correct the lid deformity by elevating the eyebrow. There was no evidence of jawwinking (Marcus Gunn phe...

In their article " Anthropometry of the Eyelid and Palpebral Fissure in an Indian Population, " Dr. Patil et al establish normal periorbital anthropometric values for a population that has not been studied to a great degree in the oculoplastic surgery literature. Their study included 216 male and female patients, 16 to 60 years old. Digital image analysis was prospectively performed to measure ...