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The surgical management of 95 cases of involutional entropion were reviewed to form this retrospective study. The 66 cases treated with the Wies procedure alone had a recurrence rate of 11%. The 29 cases treated with a combined procedure consisting of a Wies procedure with a lateral canthal horizontal shortening had no recurrences. All patients had a(More)
The effectiveness of Botulinum toxin (Oculinum) therapy in 76 patients with the diagnosis of essential blepharospasm was analyzed. Botulinum offers relief to almost all patients suffering from essential blepharospasm, however, this relief is usually temporary. The response time for repeated treatments tended to be longer than the first treatment. Patients(More)
Enophthalmos and ptosis of the globe is usually a consequence of orbital trauma resulting in a blowout fracture of the orbital floor. Surgical exploration reveals a loss of inferior support due to a disruption of the bony orbital floor. We document five patients with a syndrome of spontaneous enophthalmos and ptosis of the globe unassociated with orbital(More)
Since blepharoplasty can mean almost any surgery involving the eyelids, it is necessary that during the evaluation of the patient, his expectations be realistically correlated with the limitations and probable outcome of the operation. Specific examination points include scars, pigmentation, wrinkles, and symmetry of the brows and lids. Tone of the lower(More)
Initial treatment of congenital nasolacrimal duct obstructions, by a variety of methods, is highly successful. However, a small percentage of obstructions either are not cleared or recur. Silicone intubation has been reported highly successful in treatment of these obstructions. This paper describes our experience with infracturing the inferior turbinate(More)
A 3-month-old female infant with Turner's syndrome was noted to have progressive swelling of the left upper lid at the age of 1 month. A computed tomogram demonstrated a well-circumscribed, low-density, homogeneous orbital mass. Initially, the main clinical differential diagnosis included dermoid cyst, hemangioma, and encephalocele. Medial orbitotomy(More)