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A sign involving pupillary dilatation preoperatively and postoperatively in fractures of the floor of the orbit is presented. Response to Pilocarpine 0.5% was immediate. This represents injury to the parasympathetic fibers in the nerve that travel to the inferior oblique muscle and interrupts the path of ciliary ganglion. This pupillary sign has been found… (More)
A patient with medial ectropion and lateral entropion of the same lower lid is presented, and the surgical management of this unusual condition utilizing a horizontal lid-shortening, orbicularis sling procedure, fixation of the posterior and anterior lamellae of the lid, and resection of the tarsal conjunctival layer is described. We believe that the key to… (More)