This beautifully illustrated atlas of systemic diseases by the well-known British ophthalmologist, Jack Kanski, is a very complete guide to most of the systemic diseases that include eye findings with the exception of some rare pediatric conditions/syndromes that may not be of interest to general physicians. The book is divided into three parts: Differential Diagnosis of Eye Signs; Differential...

Marc W. Halterman, MD, PhD G. Edward Vates, MD, PhD Garrett Riggs, MD, PhD Idiopathic aqueductal stenosis (AS) may account for up to 59% of cases presenting with triventricular noncommunicating hydrocephalus.1 The clinical presentations associated with triventricular hydrocephalus differ depending on age at onset and the acuity of obstruction. Acute syndromes include Parinaud’s syndrome (vertic...

A 13-year-old boy presented with emesis, blurred vision, headache, and vertigo. He showed signs of a dorsal midbrain (Parinaud) syndrome (supranuclear upgaze palsy, convergence retraction nystagmus, Collier sign [lid retraction], pupillary light-near-dissociation)1 and eccentric displacement of the pupils (corectopia; figure 1 and figure e-1 on the Neurology Web site at www.neurology.org). Fund...

INTRODUCTION: Lower eyelid retraction is a common but challenging complication following blepharoplasty. A wide array of techniques has been described to address this problem including the use of posterior lamellar spacer grafts. No consensus exists on the best available spacer graft material. We performed a systematical review of studies comparing efficacy and complication rates among various ...

PURPOSE To compare morphometric data of eyelid fissure using computerized image analysis before and after application of botulinum toxin type A in patients with eyelid retraction caused by dysthyroid orbitopathy in acute stage. METHODS This was a prospective study with 12 individuals that received transcutaneous 5 UI/0.1 ml injection of botulinum toxin in the upper eyelid. They were examined ...

Patients with Graves' orbitopathy have a higher probability of myasthenia gravis than does the normal population. Overlapping clinical features cause diagnostic confusion in such a situation. We herein report a patient with Graves' orbitopathy and myasthenia gravis (GO-MG) with normal left eyelid height, but in whom upper eyelid retraction was shown after edrophonium chloride administration. Up...

PURPOSE One of the most common problems of the surgical management of Graves upper eyelid retraction is the occurrence of eyelid contour abnormalities. In the present study, the postoperative contour of a large sample of eyelids of patients with Graves orbitopathy was measured. METHODS The postoperative upper eyelid contour of 62 eyes of 43 patients with Graves orbitopathy was subjectively cl...

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...

BACKGROUND Internal eyelid spacer graft is routinely placed during lower eyelid retraction surgery, which may be unnecessary. OBJECTIVES To evaluate the efficacy of lower eyelid retraction surgery without internal graft in select cases. METHODS Retrospective analysis of patients undergoing reconstructive lower eyelid retraction surgery without internal graft, by one surgeon from 2013 to 201...

I want to thank the editor for asking me to address the topic of the surgical management of postblepharoplasty lower eyelid retraction (PBLER). Thanks to the authors for sharing their work with Aesthetic Surgery Journal.1 Lower eyelid retraction following lower blepharoplasty has long been an important topic of interest to aesthetic surgeons, both in terms of its prevention and its treatment. G...