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https://www.readbyqxmd.com/read/27911433/-medical-terminology-blepharorhaphy
#1
E V Boiko, V F Chernysh
: Ophthalmic literature currently lacks definiteness in classifying surgeries aimed at eyelid closure. In Western countries the term tarsorrhaphy is most commonly used, while in Russia another term - blepharorhaphy - is widely accepted. The latter seems more appropriate as the sutures are passed through all palpebral layers, not just the cartilage. It has also been suggested that temporary blepharorhaphy, which implies that we use only sutures to bring the eyelids together, and therefore, the procedure cannot be permanent, should be called simple blepharorhaphy...
2016: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/27805041/intraepithelial-dendritic-cells-and-sensory-nerves-are-structurally-associated-and-functional-interdependent-in-the-cornea
#2
Nan Gao, Patrick Lee, Fu-Shin Yu
The corneal epithelium consists of stratified epithelial cells, sparsely interspersed with dendritic cells (DCs) and a dense layer of sensory axons. We sought to assess the structural and functional correlation of DCs and sensory nerves. Two morphologically different DCs, dendriform and round-shaped, were detected in the corneal epithelium. The dendriform DCs were located at the sub-basal space where the nerve plexus resides, with DC dendrites crossing several nerve endings. The round-shaped DCs were closely associated with nerve fiber branching points, penetrating the basement membrane and reaching into the stroma...
November 2, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27599593/tarsal-suture-tarsorrhaphy-quick-safe-and-effective-corneal-protection
#3
Vladimir Theodor Thaller, Kaveh Vahdani
We promote a simple, reversible temporary tarsorrhaphy technique and describe how to place a 4/0 polypropylene suture, on a round-body needle, into the upper and lower tarsal plate to create a strong suture tarsorrhaphy. This technique has been found to be extremely effective over 20 years' experience with minimal patient discomfort or complications. The eyelid margin anatomy is not disrupted and maintains its normal architecture and contour following release of the tarsorrhaphy. This temporary suture tarsorrhaphy technique is inexpensive, safe and easy to learn and above all comfortable for the patient...
September 6, 2016: Orbit
https://www.readbyqxmd.com/read/27590867/lower-eyelid-retraction-surgery-without-internal-spacer-graft
#4
Mehryar Ray Taban
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 2015. Surgical technique included transconjunctival lower eyelid retractor lysis, canthoplasty, and temporary tarsorrhaphy, with or without subperiosteal midface-sub oribularis oculi fat (SOOF) lifting and scar lysis...
September 2, 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27538795/long-term-visual-outcomes-and-complications-of-boston-keratoprosthesis-type-ii-implantation
#5
Ramon Lee, Ziad Khoueir, Edem Tsikata, James Chodosh, Claes H Dohlman, Teresa C Chen
PURPOSE: To report the long-term visual outcomes and complications after Boston keratoprosthesis type II implantation in the largest single-center case series with the longest average follow-up. DESIGN: Retrospective review of consecutive clinical case series. PARTICIPANTS: Between January 1992 and April 2015 at the Massachusetts Eye and Ear Infirmary, 48 eyes of 44 patients had keratoprosthesis type II implanted by 2 surgeons (C.H.D. and J...
August 15, 2016: Ophthalmology
https://www.readbyqxmd.com/read/27390027/measurement-of-change-in-lower-eyelid-position-in-patients-undergoing-transcutaneous-skin-muscle-flap-lower-eyelid-blepharoplasty
#6
Babar Sultan, Dane J Genther, Stephen W Perkins
Importance: Transcutaneous lower eyelid blepharoplasty is a commonly performed procedure with a postoperative risk of eyelid malposition. Objective: To quantify the change in lower eyelid position after transcutaneous lower eyelid blepharoplasty. Design, Setting, and Participants: This retrospective medical record review describes patients who underwent transcutaneous blepharoplasty at a private facial plastic surgery practice. Patients with less than 3 months of follow-up, a history of periocular trauma, and concurrent midface lift were excluded...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27077753/scleral-cross-linking-using-riboflavin-and-ultraviolet-a-radiation-for-prevention-of-axial-myopia-in-a-rabbit-model
#7
Assaf Dotan, Israel Kremer, Orly Gal-Or, Tami Livnat, Arie Zigler, Dan Bourla, Dov Weinberger
Myopic individuals, especially those with severe myopia, are at higher-than-normal risk of cataract, glaucoma, retinal detachment and chorioretinal abnormalities. In addition, pathological myopia is a common irreversible cause of visual impairment and blindness. Our study demonstrates the effect of scleral crosslinking using riboflavin and ultraviolet-A radiation on the development of axial myopia in a rabbit model. The axial length of the eyeball was measured by A-scan ultrasound in New Zealand white rabbits aged 13 days (male and female)...
2016: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/26905297/the-classic-tarsorrhaphy-of-anton-elschnig-100-years-later
#8
LETTER
Michel J Belliveau, James H Oestreicher
No abstract text is available yet for this article.
2016: Orbit
https://www.readbyqxmd.com/read/26664247/subperiosteal-hematoma-from-peribulbar-block-during-cataract-surgery-leading-to-optic-nerve-compression-in-a-patient-with-parahemophilia
#9
Sudarshan Khokhar, Bhagabat Nayak, Bharat Patil, Milind Devidas Changole, Gautam Sinha, Reetika Sharma, Lipika Nayak
A 17-year-old male presented with gradual painless diminution of vision since childhood. Slit lamp examination revealed both eyes having congenital cataract. Right eye lens aspiration was performed but was uneventful, and he prepared for left eye surgery after 7 days. Immediately after giving a peribulbar block, a complete akinesia, tight eyelids, and stony hard eyeball was noted. An abaxial proptosis of 7 mm was noted. Lateral canthotomy and inferior cantholysis were done and proptosis reduced to 5 mm. Bleeding time-clotting time was normal...
2015: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/26611698/management-of-the-eye-in-facial-paralysis
#10
REVIEW
John J Chi
The preoperative assessment of the eye in facial paralysis is a critical component of surgical management. The degree of facial nerve paralysis, lacrimal secretion, corneal sensation, and lower eyelid position must be assessed accurately. Upper eyelid loading procedures are standard management of lagophthalmos. Lower eyelid tightening repositions the lower eyelid and helps maintain the aqueous tear film. Eyelid reanimation allows an aesthetic symmetry with blinking and restores protective functions vital to ocular preservation...
February 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/26435586/performing-a-tarsorrhaphy
#11
Saul Rajak, Juliette Rajak, Dinesh Selva
No abstract text is available yet for this article.
2015: Community Eye Health
https://www.readbyqxmd.com/read/26375332/limbal-transplantation-at-a-tertiary-hospital-in-brazil-a-retrospective-study
#12
Pedro Bertino Moreira, Renata Soares Magalhães, Nicolas Cesario Pereira, Lauro Augusto de Oliveira, Luciene Barbosa de Sousa
PURPOSE: Epidemiological analysis of limbal transplantation surgeries performed in the Ophthalmologic Hospital of Sorocaba. METHODS: Retrospective medical records review of 30 patients who underwent limbal stem cell transplants between January 2003 and March 2008. Cases involving conjunctival limbal autograft were classified as group I, and those involving conjunctival limbal allograft as group II. RESULTS: Two patients were excluded due to incomplete data during postoperative follow-up...
July 2015: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/26186481/rotational-flap-repair-of-full-thickness-eyelid-defects-without-a-posterior-lamellar-graft-or-flap
#13
Stephen A McNutt, Adam C Weber, Bryan R Costin, Milap P Mehta, Craig D Lewis, Julian D Perry
BACKGROUND: To determine the safety and effectiveness of full thickness eyelid reconstructions using a semicircular rotational flap without reconstructing the posterior lamella. METHODS: The charts of all patients undergoing semicircular flap closure of full thickness eyelid defects by one surgeon (JDP) at the Cole Eye Institute between March 2000 and October 2012 were reviewed. Charts were reviewed for patient demographic information, as well as for the size of the defect, the type of flap used, length of follow-up and complications...
2015: Orbit
https://www.readbyqxmd.com/read/26164312/ophthalmic-procedures-for-treatment-of-advanced-ocular-surface-diseases
#14
REVIEW
Andrew H Bartlett, Jimmy D Bartlett
Dry eye disease and other ocular surface diseases are complex multifactorial disorders often characterized by ocular surface inflammatory changes, instability of the tear film, and functional vision impairment. Recent research has led to new concepts regarding diagnosis and management, and therapeutic interventions now include ocular lubricants, secretagogues, topical and systemic anti-inflammatory and immunosuppressive agents, tear preservation, and, for advanced cases, a variety of surgical approaches. This review considers contemporary procedures for treatment of advanced ocular surface diseases, including thermal and electrocautery of the lacrimal puncta, lid surgeries such as tarsorrhaphy, and multiple procedures to protect the exposed or compromised ocular surface...
September 2015: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/26096693/retrospective-evaluation-of-corneal-reconstruction-using-acell-vet-%C3%A2-alone-in-dogs-and-cats-82-cases
#15
Derek W Y Chow, Hans D Westermeyer
OBJECTIVES: To retrospectively evaluate the complications, graft clarity, and outcomes associated with the use of commercially available porcine urinary bladder submucosa (ACell Vet(™) ) alone for corneal reconstruction in dogs and cats. PROCEDURES: Dogs or cats receiving an ACell Vet(™) graft for corneal reconstruction due to severe ulcerative keratitis or after a keratectomy to remove a corneal sequestrum were included. All received a single layer of ACell Vet(™) , bandage contact lens, and temporary tarsorrhaphy...
September 2016: Veterinary Ophthalmology
https://www.readbyqxmd.com/read/26086924/long-term-outcome-of-combined-lateral-tarsal-strip-with-temporal-permanent-tarsorrhaphy-for-correction-of-paralytic-ectropion-caused-by-facial-nerve-palsy
#16
Kye Yoon Kwon, Sun Young Jang, Jin Sook Yoon
Paralytic ectropion caused by facial nerve palsy often requires surgical intervention for cornea protection. In this study, the authors intended to investigate the long-term surgical outcome of their surgical technique of correcting paralytic ectropion, which is a combined lateral tarsal strip and minimal temporal permanent tarsorrhaphy. The authors performed a retrospective chart review of patients who underwent paralytic ectropion repair by combined lateral tarsal strip with minimal temporal permanent tarsorrhaphy (5  mm) from January 2010 to December 2012...
July 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26045460/enucleation-for-treating-rodent-ocular-disease
#17
Laura A Wilding, Mayu Uchihashi, Ingrid L Bergin, Megan H Nowland
Our standard of care for rodent corneal lesions previously included treatment of the primary lesion, application of topical NSAIDs, and systemic NSAIDs in severe cases. When intensive medical management was unsuccessful, animals were euthanized, leading to premature loss of valuable genetically modified animals and those on long-term studies. We investigated enucleation surgery as a treatment for 15 cases of rodent corneal disease that did not respond to medical management. Enucleation was performed under isoflurane anesthesia and involved removal of the globe, extensive hemostasis, and packing the orbital space with absorbable gelatin sponge...
May 2015: Journal of the American Association for Laboratory Animal Science: JAALAS
https://www.readbyqxmd.com/read/25958900/management-of-the-eye-in-facial-paralysis
#18
Mahsa Sohrab, Usiwoma Abugo, Michael Grant, Shannath Merbs
Facial nerve palsy, whether the cause is idiopathic, or following such insults as surgery, trauma, or malignancy, places the health of the ocular surface at risk. Reduced or absent orbicularis oculi function results in lagophthalmos and exposure of the cornea, which is exacerbated by eyelid malposition. Management of the exposure keratopathy is paramount to prevent corneal breakdown, scarring, and permanent vision loss. Significant exposure keratopathy can be complicated by loss of corneal sensation, leading to a neurotrophic corneal ulcer...
April 2015: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/25932266/sympathetic-ophthalmia-caused-by-a-severe-ocular-chemical-burn-a-case-report-and-literature-review
#19
Jie Shen, Wei Fang, Xiao-Hong Jin, Yu-Feng Yao, Yu-Min Li
We herein presented a case of sympathetic ophthalmia induced by chemical burns. A 39-year-old male was referred to our retinal clinic complaining of sharply decreased vision in his right eye, with photophobia and headache. He had suffered severe chemical burns five months ago, and his left eye underwent amniotic membrane transplantation combined with tarsorrhaphy for persistent corneal ulceration. A comprehensive examination was performed. After excluding other infectious ocular diseases and systemic inflammatory disease, Vogt-Koyanagi-Harada was considered...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/25929600/ventral-transpalpebral-anterior-orbitotomy-surgical-description-and-report-of-3-cases
#20
Jessica E McDonald, Amy M Knollinger, Darryl D Dees
PURPOSE: To describe a surgical approach to allow access to the ventral anterior canine orbit and report outcomes of three cases. SURGICAL TECHNIQUE: After induction of general anesthesia and aseptic preparation of the surgical site, a 2.5- to 3-cm curvilinear skin incision was created through the inferior eyelid at the level of the ventral orbital rim. A combination of sharp and blunt dissection facilitated entrance into the ventral anterior orbital space for the removal of diseased tissues or allows for drainage of purulent debris...
January 2016: Veterinary Ophthalmology
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