1.Early ocular manifestations of Korean hemorrhagic fever.
Korean Journal of Ophthalmology 1988;2(1):39-43
Korean hemorrhagic fever is an acute febrile illness which causes hemorrhagic nerrosis of multiple internal organs. Some orular symptoms are described by physicians without ophthalmic examination. The authors evaluated early ocular manifestations in 21 patients (42 eyes) with Korean hemorrhagic fever, who were admitted from Oct. to Nov. in 1984. The results are summarized as follows: 1. In eleven patients (22 eyes, 52.4%), visual disturbances caused by transitory myopia were observed. 2. During the period of transitory myopic change, the intraocular pressure in the group of refrartive change was significantly raised compared to that in the group of non-refrartive change. 3. In the group of refractive change, increasing intraocular pressure and a shallowing of the anterior chamber were observed accompanied by transitory myopic change. 4. During the earIy phase of the illness, lid edema, chemosis, conjunctival injection, subconjunctival hemorrhage, and macular edema were observed.
Eye Diseases/etiology
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Eyelid Diseases/etiology
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Hemorrhagic Fever with Renal Syndrome/*complications
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Humans
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*Intraocular Pressure
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Myopia/*etiology
2.A conjunctival pulling-back technique for treatment of serious symblepharon.
Fa-ming HUANG ; Bing-song DONG ; Jun-feng ZHAO ; Zhang-chao HU
Chinese Journal of Plastic Surgery 2003;19(2):118-119
OBJECTIVETo evaluate a new technique for treatment of the symblepharon caused by physical and chemical burn.
METHODSThirty-eight patients with 40 eyes were undergoing the treatment. It was carried out to reconstruct the conjunctival fornix by pulling the remained conjunctive backward from the corneal limbus in serious stages.
RESULTSThirty-eight patients (40 eyes) were treated with this technique, with the successful results of 13 patients (13 eyes) in 2 times, 19 patients (21 eyes) in 3 and 6 patients (6 eyes) in 1. Only one case was failure.
CONCLUSIONThe above mentioned technique could be a safe and effective way for treatment of symblepharen.
Amnion ; Conjunctival Diseases ; etiology ; therapy ; Eye Burns ; complications ; Eyelid Diseases ; etiology ; therapy ; Humans ; Reconstructive Surgical Procedures ; Tissue Adhesions ; etiology ; therapy
3.Two surgical methods to modify upper eyelid retraction with thyroid associated-ophthalmopathy.
Chinese Journal of Plastic Surgery 2006;22(5):358-361
OBJECTIVETo evaluate the treatment effect of the two surgical methods for upper eyelid retraction with thyroid associated-ophthalmopathy.
METHODSTwenty-two patients (32 eyes) with inactive thyroid associated-ophthalmopathy were divided into 2 groups (11 for each group) randomly. 11 patients (18 eyes) in the group A were treated by central tenotomy of levator aponeurosis. Another 11 patients (14 eyes) in the group B were treated by lengthening of Mullers' muscle combined with levator muscle. The treatment effect was investigated in 6-month follow-up study.
RESULTSAll of the patients were improved with the two surgical methods, which there was very significant difference before and after the treatments (P < 0.01), but not between the two surgical methods (P > 0.05) by statistical analysis. There was recurrent retracting in 4 patients (6 eyes) of group A and in 1 patient (1 eye) of group B, which there was significant difference between the two groups (P < 0.05) by Chi-square test. None of the patients was overcorrected.
CONCLUSIONSThe two methods are both effective and safe in correcting upper eyelid retraction. The rate of recurrent retracting is lower in lengthening of Mullers' muscle combined with levator muscle than that in central tenotomy of levator aponeurosis.
Blepharoplasty ; methods ; Eyelid Diseases ; etiology ; surgery ; Female ; Graves Ophthalmopathy ; surgery ; Humans ; Male ; Oculomotor Muscles ; surgery
4.Orbital Sarcoidosis Presenting as Diffuse Swelling of the Lower Eyelid.
Korean Journal of Ophthalmology 2013;27(1):52-54
The author reports a case of orbital Sarcoidosis in a 70-year-old female that initially presented as diffuse swelling of the lower eyelid. The patient complained of painless swelling of the left lower lid without palpable mass, and a computerized tomography (CT) scan of the orbit was unremarkable. A serum angiotensin converting enzyme level was elevated, and hilar lymphadenopathy was noted on the chest CT. The patient underwent surgical debulking for histologic confirmation, which led to a final diagnosis of sarcoidosis involving the orbital fat. Unexplained chronic eyelid swelling without a mass should be considered a possible ophthalmic manifestation of orbital sarcoidosis.
Aged
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Biopsy
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Diagnosis, Differential
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Edema/diagnosis/*etiology
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Eyelid Diseases/diagnosis/*etiology
;
Eyelids/*pathology
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Female
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Humans
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Orbital Diseases/*complications/diagnosis
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Sarcoidosis/*complications/diagnosis
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Tomography, X-Ray Computed
5.Correction of Superior Sulcus Deformity and Enophthalmos with Porous High-density Polyethylene Sheet in Anophthalmic Patients.
Byeung Hun CHOI ; Sang Hyeok LEE ; Wha Sun CHUNG
Korean Journal of Ophthalmology 2005;19(3):168-173
PURPOSE: Superior sulcus deformity is the main cosmetic problem in anophthalmic patients. Many methods of correcting enophthalmos have been reported, especially in patients with orbital wall fracture. The purpose of this study is to review the long term results of effectiveness in superior sulcus deformity correction by subperiosteal Medpor (R) sheet implantation in anophthalmic patients. METHODS: Subperiosteal Medpor (R) sheets were used in 11 eyes of 11 anophthalmic patients. To estimate the effectiveness, photographs were taken and exophthalmometric value with their own prosthesis using Hertel exophthalmometer was measured in all patients before and after surgery. RESULTS: The overall cosmetic results in superior sulcus deformity were 'excellent' in 3 (27.3%), 'good' in 6 (54.5%), 'fair' in 2 (18.2%). The overall results in enophthalmos were 'excellent' in 3 (27.2%), 'markedly improved' in 4 (36.4%), 'slightly improved' in 4 (36.4%). Most patients had a marked increase in orbital volume, except two patients. They received irradiation treatment in early childhood so showed unsatisfactory results in both superior sulcus deformity and enophthalmos. CONCLUSIONS: Subperiosteal Medpor (R) sheet implantation is considered to be a reliable and safe procedure without serious complication and with an excellent cosmetic results.
*Surgical Mesh
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Surgery, Plastic
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Retrospective Studies
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*Polyethylene
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Middle Aged
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Male
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Humans
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Female
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Eyelid Diseases/*etiology/*surgery
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Enophthalmos/*etiology/*surgery
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Child
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Anophthalmos/*complications
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Adult
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Adolescent
6.Correction of Lower Lid Retraction Combined with Entropion using an Ear Cartilage Graft in the Anophthalmic Socket.
Jun Woong MOON ; Ho Kyung CHOUNG ; Sang In KHWARG
Korean Journal of Ophthalmology 2005;19(3):161-167
PURPOSE: To investigate the surgical results of an ear cartilage graft and supplemental procedures for correcting lower lid retraction combined with entropion in anophthalmic patients. METHODS: We reviewed retrospectively the medical records of 7 anophthalmic patients with lower lid retraction and entropion, who received a posterior lamellar ear cartilage graft and one or both of lateral tarsal strip or eyelash-everting procedure between March 1998 and March 2003. Preoperative and postoperative lid and socket statuses were also investigated. RESULTS: Ear cartilage grafts were performed in all 7 patients, lateral tarsal strips in 6, and eyelash-everting procedures in 5. Postoperative follow-up durations ranged from 4 to 28 months (average 12.6 months). Retractions were corrected during follow-up in all patients. There were no cases of entropion immediately after surgery. However, the eyelashes of the lower lid returned to an upright position in 4 patients, but not so severe as to touch the ocular prosthesis, and thus did not require surgical correction during follow up. CONCLUSIONS: Lower lid retraction combined with entropion in anophthalmic patients can be corrected effectively using an ear cartilage graft with selective, supplemental procedures.
Retrospective Studies
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Male
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Humans
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Female
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Eyelid Diseases/*etiology/*surgery
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Entropion/*etiology/*surgery
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Ear Cartilages/*transplantation
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Child, Preschool
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Child
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Anophthalmos/*complications
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Adult
7.Diagnosis and management of lipogranuloma of the eyelids from nasal endoscopic surgery.
Yunkai GUO ; Anquan PENG ; Dan XIE ; Youzhong LI ; Jihao REN ; Manyi XIAO ; Songqing FAN ; Xinming YANG ; Weijing WU ; Dinghua XIE
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2007;21(8):340-343
OBJECTIVE:
To enhance the safety of nasal endoscopic surgery and decrease its complications of eyes.
METHOD:
Three patients of chronic rhinosinusitis and nasal polyposis with lipogranulomas of the eyelids after nasal endoscopic surgery and nasal packing of petrolatum gauze were reported and analyzed, and their treatment results were presented during the last 2 years.
RESULT:
The medial orbital wall injury occurred in all three patients during endoscopic sinus surgery. The patients developed an ipsilateral periocular swelling, eyelid hematoma and palpebral conjunctival edema during 2 to 3 hours after surgery. Nasal packs petrolatum gauze were removed 10-24 hours after surgery. The patients were discharged from hospital when periorbital swelling and eyelid ecchymoma disappeared, and nasal cavity obstruction was improved 6 to 8 days after surgery. The swelling and nodular mass of ipsilateral eyelids (one in left upper eyelid and two in right lower eyelid) were found 12-15 days after surgery, and their eye movement and eyesight were normal. Antibiotic and corticosteroid were administered for 3 4 weeks with only improvement in eyelid swelling. These masses of eyelids were completely excised through palpebral margin 1-6 months after surgery. The histopathological examination of the surgical specimens showed lipogranuloma. No recurrence and symptom of the eyes had been observed during 4-18 months follow up.
CONCLUSION
The lipogranuloma of the eyelid is a rare and late complication after nasal endoscopic surgery and nasal packing with vaspetrolatum gauze. The medial orbital wall injury and bleeding during surgery, and vaseline of nasal packing permeated into the eyelid are the direct causes of this complication. The application of petrolatum gauze should be avoided when the medial orbital wall trauma is identified. The complete excision of granulomas is a best effective therapy.
Adult
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Endoscopy
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adverse effects
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Eyelid Diseases
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diagnosis
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etiology
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therapy
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Female
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Granuloma
;
diagnosis
;
etiology
;
therapy
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Humans
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Male
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Middle Aged
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Postoperative Complications
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diagnosis
;
therapy
8.Correction of lower eyelid retraction following lower eyelid blepharoplasty.
Xin XING ; Tianxiang OUYANG ; Jianxing SONG
Chinese Journal of Plastic Surgery 2002;18(6):327-329
OBJECTIVETo investigate the ideal methods for correction of lower eyelid retraction following lower eyelid blepharoplasty.
METHODSTranscanthal canthopexy was used in 5 patients (8 eyes) with mild lower eyelid retraction. Transcanthal canthopexy combined with Hamra's lower blepharoplasty was used in 15 patients (27 eyes) with severe lower lid retraction.
RESULTS14 patients (25 eyes) were followed up for 6-12 months. Of them, 13 patients achieved satisfactory results; one patient had undercorrection of retraction.
CONCLUSIONTranscanthal canthopexy is a simple and effective method for correction of mild lower eyelid retraction following lower eyelid blepharoplasty. Transcanthal canthopexy combining Hamra's lower blepharoplasty may be an ideal choice for correction of severe lower eyelid retraction.
Adult ; Blepharoplasty ; adverse effects ; Eyelid Diseases ; etiology ; surgery ; Eyelids ; surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Surgery, Plastic ; methods ; Treatment Outcome
9.Eyelid swelling and lucency in the skull radiograph.
Annals of the Academy of Medicine, Singapore 2009;38(10):928-928
Child
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Edema
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diagnostic imaging
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etiology
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Emphysema
;
diagnostic imaging
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etiology
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Ethmoid Bone
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diagnostic imaging
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injuries
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Eyelid Diseases
;
diagnostic imaging
;
etiology
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Humans
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Male
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Orbit
;
diagnostic imaging
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Orbital Diseases
;
diagnosis
;
diagnostic imaging
;
pathology
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Radiography
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Skull
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diagnostic imaging
;
pathology
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Skull Fractures
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complications
;
diagnostic imaging
10.A Case of Scar Sarcoidosis of The Eyelid.
Korean Journal of Ophthalmology 2006;20(4):238-240
PURPOSE: We report the case of a patient with scar sarcoidosis that developed along a previous eyelid scar. There was no evidence of ocular or systemic sarcoidosis. METHODS: A 29-year-old man presented with a mass on his right eyelid that had been present for two month. On ocular examination an erythematous, firm, and non-tender mass was diffusely palpable along the upper and lower eyelid scar. We performed an incisional biopsy of the lower lid mass. RESULTS: Histopathologic examination of the mass revealed numerous, noncaseating granulomas with multi-nucleated giant cells. The giant cells contained asteroid bodies and calcium oxalate crystals characteristic of sarcoidosis, although the patient had no other evidence of systemic sarcoidosis. The mass in the upper lid disappeared after intralesional triamcinolone injections. CONCLUSIONS: This case represents a rare occurrence of sarcoidosis that arose in an old eyelid scar. Scar sarcoidosis should be considered in the differential diagnosis of an unusual mass in a scar.
Triamcinolone/administration & dosage
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Sarcoidosis/drug therapy/etiology/*pathology
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Male
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Injections, Intralesional
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Humans
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Glucocorticoids/administration & dosage
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Follow-Up Studies
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Eyelids/injuries
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Eyelid Diseases/drug therapy/etiology/*pathology
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Eye Injuries/complications
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Diagnosis, Differential
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Cicatrix/complications/*pathology
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Biopsy
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Adult