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At least 667 records · Page 37Linked to original sources

Leaving the eyelid to its own devices.

As oculoplastic surgery is preferred for direct closure of lid defects, spontaneous wound healing after excision of lid tumors is not common. Thus, spontaneous reformation of lid defects as an alternative treatment to surgical procedures was investigated. In 12 patients with a clinical diagnosis of basal-cell carcinoma, lid tumors were removed surgically by full-thickness excision in 1 group (n = 6) or cutaneous excision only in the other group (n = 6). The mean follow-up period was 5 months in the first group and 9 months in the second group. Cosmetic and functional results were satisfactory in all patients. The scar tissue simulated the former tarsus. The wounds were completely covered by a normal-appearing epithelium. Spontaneous wound healing may lead to considerable stiffness of the lower lid and to an acceptable reformation of the lid margin. There was no elevation of the lid margin and, remarkably, no secondary surgery due to an entropion or an ectropion was necessary.

Adult↗

Epiblepharon in Labrador.

We describe the characteristic configuration of normal Inuit (Eskimo) eyelids. Exaggeration of some normal features of the lower lid can result in epiblepharon inferior. We have seen in Labrador seven patients with epiblepharon of a degree sufficient to require surgical intervention. All were Inuit or had distant Eskimo ancestry. We outline their clinical features and the technique of operation which has been evolved. The results were good. We stress the importance of making the distinction between entropion and epiblepharn because the operative treatments of the two conditions are different. The recommended surgical methods include, for some cases, excision of bulky orbicularis muscle as well as skin.

Adult↗

[Intascleral silicone prosthesis in the dog: a retrospective study of 22 cases].

Over a period of five years 28 dog eyes were treated by evisceration and implantation of an intrascleral silicone prosthesis. During an average follow-up period of 2.93 years the only complication noted was a mild entropion in one case. The majority of dog owners were satisfied with the cosmetic result. All of them would again opt for this procedure and prefer it to an enucleation. The postoperative management was well tolerated by both animals and owners. After careful preoperative work-up and ruling-out of intraocular neoplasms, evisceration/prosthesis is a simple and practical method to salvage buphthalmic eyes and globes with beginning phthisis bulbi. Intraocular tumors and septic endophthalmitis are the two principal contraindications. In addition, eyes with deep or even perforated corneal ulcers should not be fitted with an intrascleral prosthesis.

Animals↗

Ocular cicatricial pemphigoid: case report.

BACKGROUND: The main characteristic of ocular cicatricial pemphigoid is subepithelial conjunctival fibrosis, which, if progressive, can lead to conjunctival shrinkage and symblepharon formation. Other characteristics include entropion, trichiasis, dry eye, cornea ulceration, neovascularization, and keratinization. Ultimately, blindness may occur. Cicatricial pemphigoid may also affect the skin and mucous membranes, including the nose, oral cavity, pharynx, esophagus, anus, and vagina. Treatment involves systemic immunosuppressants and corticosteroids to suppress active inflammation. CASE REPORT: A 69-year-old man had symblephara, conjunctival shortening, and extraocular manifestations, and was diagnosed with ocular cicatricial pemphigoid on the basis of clinical appearance and immunofluorescent studies. Treatment included oral Dapsone, prednisone, and azathioprine to stabilize the condition. CONCLUSION: Close monitoring of ocular cicatricial pemphigoid is imperative for ocular manifestations and for extraocular complications occurring with this progressive autoimmune disease and its treatment.

Aged↗

Eyelid disorders: diagnosis and management.

Eyelid problems range from benign, self-resolving processes to malignant, possibly metastatic, tumors. Inflammation, infection, benign and malignant tumors, and structural problems such as ectropion, entropion and blepharoptosis may occur. Fortunately, most eyelid disorders are not vision-threatening or life-threatening; however, many cause irritative symptoms such as burning, foreign-body sensation or pain. Blepharitis, or eyelid inflammation, one of the most common problems, is characterized by erythematous eyelids with accumulation of debris along the eyelid margin. Malignant eyelid tumors may be associated with lash loss and erosion of normal eyelid structures. Recognition and diagnosis of these problems are crucial to their proper management. Warm compresses and antibiotics suffice for many conditions, while excision, cryotherapy or laser treatment are required for some.

Eyelid Diseases↗