PURPOSE: To assess the effectiveness and results of a simplified levator resection technique for ptosis repair. METHODS: The author simplified the levator resection technique for ptosis repair using a single 6-0 prolene radial suture to control the lid height and curvature. 68 ptosis patients who received the operation were retrospectively reviewed including surgical techniques and their results. RESULTS: 46 patients (mean age 7.8 years) had congenital ptosis, and 22 patients (mean age 64.3 years) had acquired ptosis. 11 eyes of congenital ptosis and 6 eyes of acquired ptosis showed unsatisfactory surgical results. Eyelid contour deformity was present in 2 eyes of patients with acquired ptosis. CONCLUSIONS: The single stitch levator resection is simple and effective surgical procedure for ptosis repair except severe congenital ptosis which need medial and lateral crus cutting.
Congenital Abnormalities ; Eyelids ; Humans ; Polypropylenes ; Retrospective Studies ; Sutures

Punctal stenosis may be caused by several etiologies and easily treated by punctoplasty with accompanying procedures. History taking, external and slit-Iamp examinations, and diagnostic tests and imaging techniques of lacrimal system identified lacrimal system abnormalities. Occasionally satisfactory result was not gained after punctoplasty, so author introduce the simple test to aid diagnosis of punctal stenosis and to predict surgical result of punctoplasty. If the fluorescein dye disappearance test documents a dilation, additional fluorescein dye disappearance test was performed to evaluate the efficacy of punctal dilation to relieve the epiphora. This procedure will be helpful in the case of subtle punctal stenosis and evaluation of surgical result.
Constriction, Pathologic* ; Diagnosis ; Diagnostic Tests, Routine ; Fluorescein ; Lacrimal Apparatus Diseases*

Congenital cardiovascular anomalies, such as dextrocardia, persistent left superior vena cava (SVC), and pulmonary artery (PA) sling, are rare disorders. These congenital anomalies can occur alone, or coincide with other congenital malformations. In the majority of cases, congenital anomalies are detected early in life by certain signs and symptoms. A 56-year-old man with no previous medical history was admitted due to recurrent wide QRS complex tachycardia with hemodynamic collapse. A chest radiograph showed dextrocardia. After synchronized cardioversion, an electrocardiogram revealed Wolff-Parkinson-White (WPW) syndrome. Persistent left SVC, PA sling, and right tracheal bronchus were also detected by a chest computed tomography (CT) scan. He was diagnosed with paroxysmal supraventricular tachycardia (PSVT) associated with WPW syndrome, and underwent radiofrequency ablation. We reported the first case of situs solitus dextrocardia coexisting with persistent left SVC, PA sling and right tracheal bronchus presented with WPW and PSVT in a middle-aged adult. In patients with a cardiovascular anomaly, clinicians should consider thorough evaluation of possibly combined cardiovascular and airway malformations and cardiac dysrhythmia.
Adult* ; Arrhythmias, Cardiac ; Bronchi ; Catheter Ablation ; Dextrocardia ; Electric Countershock ; Electrocardiography ; Hemodynamics ; Humans ; Middle Aged ; Pulmonary Artery ; Radiography, Thoracic ; Tachycardia ; Tachycardia, Supraventricular ; Thorax ; Vena Cava, Superior ; Wolff-Parkinson-White Syndrome*