Levator Muscle Complex Exploration During Surgery for Simple Severe Congenital Ptosis.

Purpose: To describe the gross morphology of the levator palpebrae superioris (LPS) muscle complex in severe congenital ptosis with poor levator function (LF) and to evaluate the surgical outcomes when levator surgery was performed based on intraoperative factors.

Methods: This is a retrospective, interventional case series that includes children having simple severe congenital ptosis with LF ≤ 4 mm for whom levator muscle surgery was performed rather than preplanned frontalis suspension based on the intraoperative LPS muscle evaluation. The collected data included: demographics; ptosis measurements, including margin reflex distance 1 and LF; morphological appearance of LPS muscle and its aponeurosis (levator aponeurosis); surgical technique, and outcomes.

Levator surgery with and without tarsectomy for correction of fair-function congenital ptosis: A randomized controlled trial.

Purpose: The purpose is to compare the functional and cosmetic outcomes of levator resection with tarsoconjunctival mullerectomy (LR plus) versus modified LR (mLR) for correcting congenital ptosis with fair levator function (LF; 4-7 mm).

Methods: In this prospective, randomized, controlled, double-blinded trial, 34 children (aged 6-12 years old) with unilateral congenital ptosis and fair LF were randomized to LR plus ( = 16) or mLR group B ( = 18). Margin-reflex distance 1 (MRD1), LF, lagophthalmos, corneal staining (Miyata grading), eyelid crease, contour, and eyelash angle were assessed postoperatively at 1, 3, 6, and 12 months.

Refining transcutaneous lower blepharoplasty: Key steps for minimizing complications.

Purpose: Lower blepharoplasty carries the risk of significant, long-lasting complications if not performed correctly. The aim of this study is to explore the outcomes, patient satisfaction, and complications of transcutaneous lower blepharoplasty, with a particular focus on key aspects of the surgical technique that enhance favorable results and minimize adverse effects.

Methods: A retrospective chart review of a primary lower transcutaneous blepharoplasty series conducted over a 2-year period was performed.

Vertical globe position changes following levator resection surgery.

Purpose: To highlight possible vertical globe position changes following levator muscle resection surgery for simple congenital ptosis.

Methods: A retrospective chart review was conducted on patients who developed overcorrection with alleged hypoglobus following unilateral levator resection. Margin reflex distance 1 (MRD1) and vertical palpebral fissure (VPF) were measured, and vertical globe displacement was determined by comparing globe positions between both eyes, using the Image-J 1.

Orbital-centric invasive aspergillosis with infraorbital nerve enlargement in an immunocompetent patient: a case report.

Orbital aspergillosis is a rare but potentially life- and sight-threatening fungal infection that can affect both immunocompromised and healthy individuals. We present a case of orbital aspergillosis with infraorbital nerve enlargement in a healthy 30-year-old male who presented with progressive proptosis, diplopia, and vision decline. Nasal endoscopy was unremarkable.

Orbital textiloma: Two case reports and a literature review.

PurposeThis report presents two cases of orbital textiloma resulting from retained surgical gauze.Case descriptionBoth patients presented with postoperative orbital inflammation unresponsive to medical treatment: one eight weeks after excision of an orbital cavernous hemangioma, and the other six months following surgical repair of an orbital floor fracture. CT scans of the orbit revealed well-defined lesions with a heterogeneous center.

Long-term clinical outcomes of isolated orbital floor fracture reconstruction using nonresorbable implants.

Purpose: There are no universally established guidelines for material selection in orbital wall fracture reconstruction. With an increasing preference for permanent implants, this study aimed to compare the long-term clinical outcomes of three different non-resorbable materials in reconstructing isolated orbital floor fractures.

Design: A retrospective, interventional comparative study.

Atypical lacrimal sac mucoceles.

Purpose: To report the clinical features and operative findings of a series of patients with lacrimal sac mucoceles extending above the anatomic level of the medial canthal tendon (MCT).

Methods: A retrospective chart review of all patients presenting with lacrimal sac mucocele extending above the anatomic level of the MCT over a period of five years from 2019 and 2023. All patients underwent surgical management.

Clinical characteristics and surgical outcomes of transcutaneous versus transconjunctival excision of Wolfring gland ductal cysts.

Purpose: To analyze the clinicopathological characteristics and surgical outcomes of patients with Wolfring gland ductal cysts (WGDCs).

Methods: A retrospective, consecutive, interventional comparative case series was performed over a period of 7 years. Data on demographic and clinical characteristics, pathological findings and outcomes of surgically excised cysts were collected.

Perceptions of ophthalmologists on the impact of trachoma in Egypt: a mixed-methods, nationwide survey.

Purpose: Understanding the perception and practices of ophthalmologists for trachoma is important to develop interventions aimed at disease elimination in Egypt. The survey investigated: (1) the views and practice patterns of Egyptian ophthalmologists for trachoma and (2) the influence of geographic location, setting, and years of practice on ophthalmologists' perceptions.

Methods: A questionnaire sent to ophthalmologists currently working in Egypt collected information on: (1) demographics, (2) caseload and practice patterns for trachoma, (3) 13 Likert scale questions regarding the current state of trachoma, and (4) two open-ended written response questions.

Clinico-radiologic characteristics of lacrimal sac area swellings misdiagnosed as dacryocystocele or mucocele.

Purpose: Several non-lacrimal lesions can present with lacrimal sac area swelling mimicking a dacryocystocele or mucocele with a possibility of misdiagnosis. This study investigates the clinic-radiologic characteristics of the mimicking conditions compared to true lacrimal sac distension.

Design: Retrospective, comparative, interventional case series.

Comparison of three surgical techniques for internal angular dermoid cysts: a randomized controlled trial.

Purpose: To compare the outcomes of three techniques for removing internal angular dermoid cysts: lid crease, sub-brow, and direct mini-incision.

Methods: In this single-center trial, 47 children with internal angular dermoids were enrolled and randomly assigned to one of three surgical groups: group A, sub-brow, group B, lid crease, and group C, direct mini-incision. Outcome measures were operative time, postoperative scar quality using Stony Brook Scar Evaluation Scale (SBSES), scar visibility, and family satisfaction.

Recurrent upper eyelid trachomatous entropion repair: long-term efficacy of a five-step approach.

Purpose: To describe the lid characteristics of recurrent upper eyelid trachomatous entropion and to report the long-term outcomes of a five-step surgical approach based on the principles of upper eyelid crease lamellar splitting and retractor release with redirection.

Subjects And Methods: Retrospective case review of adult patients with recurrent upper eyelid trachomatous entropion who had undergone surgical correction using the five-step surgical technique between March 2014 and March 2018. Cases with primary entropion and/or <2 years of follow-up were excluded from this series.

Primary Dermis Fat Grafting for Socket Reconstruction: Retrospective Comparison of Electrocoagulation versus Scalpel Dissection for Epidermis Removal.

Purpose: To evaluate outcomes of the use of electrocoagulation for epidermis removal in dermis fat grafting (DFG) compared to the conventional scalpel dissection in patients who underwent primary anophthalmic socket reconstruction.

Design: Retrospective, observational, and comparative study.

Methods: A retrospective review was performed on patients who underwent primary DFG for socket reconstruction between 2017 and 2019 at tertiary teaching hospitals.

Single-triangle versus Fox pentagon frontalis suspension for unilateral severe congenital ptosis correction.

Purpose: To compare the functional and cosmetic outcomes of two different frontalis sling techniques for correction of severe unilateral congenital ptosis: single triangle and Fox pentagon techniques using expanded polytetrafluoroethylene (ePTFE) suture.

Methods: This randomized controlled trial included 60 eyes of 60 patients with severe unilateral simple congenital ptosis and poor levator function (≤4 mm). Participants were randomly assigned for either single triangle or Fox pentagon frontalis suspension using ePTFE suture.

Anterior Lamellar Recession versus Posterior Lamellar Tarsal Rotation for Lower Lid Trachomatous Trichiasis: A Randomized Controlled Trial.

Purpose: To compare the outcomes of anterior lamellar recession (ALR) versus posterior lamellar tarsal rotation (PLTR) procedure for the repair of lower eyelid trachomatous trichiasis (TT).

Design: Prospective randomized comparative trial.

Methods: Study Population and Interventions: Patients with lower eyelid TT were enrolled.