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Management of the eye in facial paralysis
Ocular prevention is the first and foremost priority in the management of the patient with facial paralysis. John J Chi presents a review on the management of the upper and lower eyelid in cases of the paralysed face. In the...
Sleep side preference affecting lid laxity in normal subjects
This is an interesting, masked, prospective study examining the hypothesis that increased upper eyelid laxity in normal patients may be related to the side on which they usually sleep. Two hundred and sixty-two normal subjects, over 55 years old, had...
Non-surgical periocular aesthetics
The periocular region is the focal point of facial communication. Millimetre increments of change required to achieve bilateral symmetry and harmony can be difficult to achieve by surgical means only. Non-surgical aesthetic modifications offer a number of advantages in selected...
Fixed or variable Muller’s muscle resection
This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...
Orbital filler for enophthalmos in Parry-Romberg syndrome
This is a retrospective review of three patients with enophthalmos in sighted eyes secondary to Parry-Romberg syndrome. The patients were all female, aged between 24 and 54. All three patients had 4mm of relative enophthalmos prior to treatment. They each...
Ablepharon-macrostomia syndrome
The ablepharon-macrostomia syndrome is a very rare condition caused by a dominant mutation in the TWIST2 gene. Congenital defects include rudimentary eyelids, macrostomia, ambiguous genitalia and campodactyly. Neonates are at risk of severe corneal exposure without intervention. Previous reports have...
Reconstruction with scapular tip
Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and result in significant morbidity. Rehabilitation is fraught with difficulties, and a number of options are available, including an obturator or surgical reconstruction with a free...
