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The Hughes procedure is an oculoplastic procedure which is performed to reconstruct a lower eyelid defect. It is usually performed as a 2-stage procedure. [1] [2] The most common use for the Hughes procedure is reconstruction after the removal of a lower eyelid skin cancer. [3] The result aims to recreate the normal appearance and function of ...
Eyelid surgery is the most common surgery performed on Graves ophthalmopathy patients. Lid-lengthening surgeries can be done on upper and lower eyelid to correct the patient's appearance and the ocular surface exposure symptoms. Marginal myotomy of levator palpebrae muscle can reduce the palpebral fissure height by 2–3 mm.
The name Pseudosuchia was originally given to a group of superficially crocodile-like prehistoric reptiles from the Triassic period, but fell out of use in the late 20th century, especially after the name Crurotarsi was established in 1990 to label the clade (evolutionary grouping) of archosaurs encompassing most reptiles previously identified as pseudosuchians.
Sequentially, lower eyelid blepharoplasty can successfully address the anatomic matters of excess eyelid skin, slackness of the eye-muscles and of the orbital septum (palpebral ligament), excess orbital fat, malposition of the lower eyelid, and prominence of the nasojugal groove, where the orbit (eye socket) meets the slope of the nose. [5]
In preparation for surgery, a patient may undergo a tarsorrhaphy, in which the eye is partially sewn shut temporarily to further protect the cornea as the patient waits for care. Multiple surgical treatments exist for lagopthalmos, but the most prevalent method includes weighing the upper eyelid down by surgically inserting a gold plate. [ 7 ]
Dermatochalasis is caused by a loss of elasticity in the connective tissue supporting the structure of the front portion of the eyelid. [3] Normally, in Caucasians, the orbicularis muscle and overlying skin form a crease near the tarsal border. [3] In dermatochalasis, the excess tissues hangs down, over the front edge of the eyelid.
Atopic dermatitis is associated with allergic disorders and affects the lower eyelid. Seborrhoeic dermatitis can be seen as the scaling of the eyebrows. Loss of eyebrows is commonly seen from both atopic and seborrhoeic dermatitis due to continuous scratching/touching. Psoriasis on the eyelids can result in madarosis.
It is also possible for a patient to develop ptosis as a result of an initial eyelid surgery operation. Both require eyelid revision surgeries. Since ptosis patients need correction of delicate anatomical tissues and structures, eyelid revision surgery on ptosis patients is considered one of the more difficult surgical procedures to perform. [2 ...