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PURPOSE To determine subjective and objective outcomes after two types of endoscopic endonasal dacryocystorhinostomy (DCR) and to evaluate the use of the functional endoscopic dye test (FEDT). DESIGN Prospective, nonrandomized trial. PARTICIPANTS Sixty-nine consecutive adult patients with primary acquired nasolacrimal duct obstruction. METHODS(More)
AIM To evaluate current clinical practice in the UK in the management of the anophthalmic socket; choice of enucleation, evisceration, type of orbital implant, wrap, motility pegging and complications. METHODS All consultant ophthalmologists in the UK were surveyed by postal questionnaire. Questions included their practice subspecialty and number of(More)
AIM To assess the results of primary aponeurotic ptosis surgery among UK ophthalmic oculoplastic surgeons, from both the surgeon's and patient's perspective; also to inform and encourage good clinical practice by generating outcomes for individual surgeons, units and for benchmarking purposes. METHODS A prospective, web-based, non-comparative,(More)
BACKGROUND/AIMS Lower eyelid retraction in thyroid eye disease contributes to ocular discomfort and an unsightly appearance, especially if asymmetrical. The use of donor scleral grafts is effective in lengthening the lower eyelids but carries a risk of virus transmission. Other techniques, including those which do not use grafts, need to be compared with(More)
OBJECTIVE The aim of this study was to develop an effective and minimally invasive operation to correct lower eyelid entropion that would address both the horizontal and vertical laxity. DESIGN A prospective, noncomparative, interventional case series. PARTICIPANTS Thirty-five consecutive patients with involutional entropion, aged 62 to 92 years (mean,(More)
OBJECTIVE To describe a simple grading system for medial canthal tendon (MCT) laxity and measure its reproducibility. STUDY DESIGN Observational case series and interobserver variability study. PARTICIPANTS Fifty subjects (100 lower eyelids) without eyelid disease. The age range was 19 to 98 years. METHODS Subjects without eyelid pathology or previous(More)
Anterior segment circulation was assessed in 35 adults one day after squint surgery by clinical observation and low-dose fluorescein iris angiography. Seventeen patients had primary vertical rectus muscle surgery and all showed angiographic evidence of ischaemia. No ischaemia was found in the 15 patients who had secondary vertical rectus muscle surgery, or(More)
PURPOSE To describe a technique of endoscopic harvesting of autogenous fascia lata. METHODS A retrospective, noncomparative clinical study to evaluate the technique of videoendoscope assistance in harvesting autogenous fascia lata was conducted during a 1-year period in 2002. A small incision approximately 2 cm long is made over the lateral aspect of the(More)
PURPOSE To quantify the variation in the blood supply of the retrolaminar optic nerve in humans. The retrolaminar anterior optic nerve is supplied by an elliptical arterial "circle" of Haller and Zinn formed by anastomoses around the optic nerve between medial and lateral paraoptic short posterior ciliary arteries (PO-SPCAs). The frequency with which(More)