Sixty eyes undergoing Q-switched neodymium-YAG laser posterior capsulotomy were randomly assigned to pretreatment with either 0.5% timolol maleate or placebo. Half of the in each group underwent capsulotomies performed six 2-mJ bursts energy, and remaining three 4-mJ energy. There was no significant difference pressure responses between treated 2 4 mJ. The mean rise intraocular significantly less timolol-pretreated one hour after capsulotomy. After four hours, groups not significant....

In Brief Purpose: To review injection techniques and patient satisfaction with of Restylane in various facial areas by American Society Ophthalmic Plastic Reconstructive Surgery members. Methods: Data from 286 patients treated nine practices were abstracted to a spreadsheet for analysis. Results: Nine performed injections 8.8 months on average (range, 2 28 months). Average practice volume per was 1.2 ml 0.7 2.1 ml). injected the nasolabial melolabial folds, 9 lips, 6 glabella. Only other...

In Brief Purpose: To report a novel surgical technique for lower eyelid involutional ectropion repair using lateral tarsal strip and internal retractor reattachment procedure involving full-thickness sutures. Methods: A retrospective review was performed of patients who underwent via with sutures by 1 surgeon. Patients having concomitant or previous procedures were excluded. Collected data included patient demographics, outcomes, length follow up. Results: Forty-one eyelids 31 repair. There...

Dermis-fat grafts have been widely used in the reconstruction of anophthalmic socket, both primarily after enucleation and secondarily extrusion or migration an existing implant. The dermis-fat graft is effective means replacing orbital volume affording motility ocular prosthesis with low morbidity a satisfactory cosmetic result. We present modification to technique. Our creates domed shape anterior surface that simulates curvature eye. dome-shaped deeper fornices than standard flat-surfaced...

Failed dacryocystorhinostomy caused by the presence of residual lacrimal sac has been termed "lacrimal sump syndrome." Epiphora occurs when tears collect in this pouch and drainage is delayed. Irrigation into nose may seem normal. This condition can be easily diagnosed with nasal endoscopy a characteristic radiologic appearance. Six patients failed syndrome were successfully treated an endoscopic contact Nd:YAG laser technique. Endoscopic using effective method for treating who have...

In Brief Purpose: To study the safety and efficacy of Müller muscle-conjunctiva resection (MMCR) for blepharoptosis in patients with functional glaucoma-filtering blebs. Methods: Retrospective chart review who underwent MMCR presence a functioning filtering bleb. Patients offered all responded satisfactorily to preoperative topical phenylephrine hydrochloride testing. Using similar technique, was performed by 6 surgeons at different centers. Two had simultaneous upper blepharoplasty....

Displacement or extrusion of the standard glass Jones tube causes conjunctivodacryocystorhinostomy to fail in many cases. Patients who have had trauma, a tumor excised, received radiation therapy medial canthal area are particularly susceptible this complication. Gladstone and Putterman developed modified that has second flange 3 6 mm from top flange. The anchors reduces its mobility. Eleven patients could not retain were fitted with tube. Seven these able wear originally placed comfortably....

* BACKGROUND AND OBJECTIVE: To describe early clinical results with the porous polyethylene smooth surface tunnel (SST) enucleation implant. PATIENTS METHODS: Uncontrolled, prospective interventional case series of patients undergoing placement SST This implant consists a sphere anterior containing pre-drilled tunnels to facilitate direct suturing rectus muscles without use an wrap. Postoperatively, socket healing was assessed, and prosthesis motility were evaluated by surgeon using ordinal...

It has been suggested that Müller muscle conjunctival re-section might not be a good procedure for the treatment of blepharoptosis in patients with less than optimal levator function. This case series includes four eyelids (three patients) had fair preoperative function (4 to 8 mm) and response phenylephrine. The mean was 6.25 mm amount resection 10.25 mm. marginal reflex distance −0.50 postoperative 3.38 may effective treating satisfactory [Ophthalmic Surg Lasers Imaging 2009;40:597–599.]

A 50-year-old woman presented with a mass lesion of the inferolateral palpebral conjunctiva similar in appearance to chalazion, but unusual enough presentation that excisional biopsy was initially performed. Histopathologic analysis revealed dermal fibrohistiocytic neoplasm consistent cellular neurothekeoma. Neurothekeoma is benign tumor; variant rare and unclear histogenesis. Completely internal eyelid location particularly rare, other identifiable case reports neurothekeoma palpebrae...

To report 18 cases of unusually large, early conjunctival breakdown occurring with the use bovine pericardium wrapping material for orbital implants.Retrospective case series. The clinical course and histopathologic features in patients who had undergone implantation pericardium-wrapped hydroxyapatite or porous polyethylene are reviewed.Eighteen presented large (average 13.44 mm) defects over implants. average time from enucleation to exposure was approximately 4 months. Implants be removed...

Plastic and Reconstructive Surgery: October 2010 - Volume 126 Issue p 31-32 doi: 10.1097/01.prs.0000388751.23878.c8

Adenoid cystic carcinoma (ACC) is a rare neoplasm of secretory epithelium that most commonly occurs in the fifth and sixth decades life. It characterized by high recurrence rates poor response to chemotherapy. In orbit, ACC usually presents as lacrimal gland mass. We describe case 70-year-old woman who presented with pain during mastication bilateral facial numbness cranial nerve V2 distribution. She was found have adenoid involving orbits bilaterally without involvement clear primary tumor....

<h3>To the Editor.</h3> —Permanent eyeliner is applied with a single or triple tattoo needle that implants pigment in dermis of lids along lash border.¹Recommended techniques for removal permanent include surgical excision, bleaching by applying alcohol needle,²applying lighter over existing eyeliner, and scraping off chalazion curette. We herein present our technique elective excision eyeliner. <h3>Report Case.</h3> —A 40-year-old woman was unhappy appearance her lower...