[Correction of lower eyelid retraction with a porous polyethylene (Medpor) lower eyelid spacer--Medpor spacer in lower eyelid retraction].

Abstract:

BACKGROUND:The correction of lower eyelid retraction remains a challenge with established techniques having disadvantages. A recently described alternative is implantation of an ultrathin high density porous polyethylene lower eyelid spacer (Medpor LES). We report our experience on implanting this Medpor LES, especially in patients with lower eyelid retraction due to Graves' orbitopathy. PATIENTS AND METHODS:All patients receiving a Medpor LES between March 2003 and November 2004 in the Rotterdam Eye Hospital were included. Indications and preceding procedures as well as the degree of proptosis were noted. Preoperative and postoperative lower eyelid retraction were compared by measuring scleral show inferior to the limbus (LSS). Postoperative complications, recurrent retraction and secondary surgical procedures were recorded. RESULTS:Out of 12 patients (16 eyelids) in whom a Medpor LES was inserted 8 patients suffered from Graves' orbitopathy. Mean follow-up was 7.5 months (range 4 - 11 months). Final cosmetic outcome was good in 8/16 eyelids and improved in 7/16 eyelids. Lower eyelid retraction (LSS) was reduced significantly (1.34 mm +/- 0.214 (mean +/- std. error of mean), p = 0.004). Complications included eyelid contour deformity (4/16 eyelids), remaining irritation of the eye (1/16) and problems in down gaze (4/16) as well as recurrent lower eyelid retraction (2/16) requiring further surgery in 3 of 11 patients. CONCLUSIONS:In selected patients, insertion of a Medpor lower eyelid spacer may be a good alternative to correct lower eyelid retraction.

journal_name

Klin Monbl Augenheilkd

authors

de Jong-Hesse Y,Paridaens DA

doi

10.1055/s-2006-926508

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

577-82

issue

7

eissn

0023-2165

issn

1439-3999

journal_volume

223

pub_type

临床试验,杂志文章
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  • [Autosome dominant vitreoretinal dystrophy with skeletal dysplasia in one generation].

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    doi:

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  • [The Mannheim lens: a provisional cataract lens for one-eyed aphakic patients (author's transl)].

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    authors: Werner W,Martus H,Liesenhoff H

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  • [Can fixation disparity be detected reliably by measurement and correctional techniques according H.J. Haase (MKH)?].

    abstract:BACKGROUND:The theory of the "Measuring and Correction Methods of H.-J. Haase" (MCH) states that a small misalignment of one eye, called fixation disparity, indicates a difficulty in overcoming a "vergence position of rest" that is different from ortho position. This difficulty, so the theory, can cause asthenopic comp...

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    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2000-10587

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  • [The tearing eye in newborn infants and young children: good results with short-term conservative therapy].

    abstract::In this article the authors communicate the results of a short-term conservative treatment for lacrimation in infants with presumed dacryostenosis. The results so far are encouraging and in most cases enable probing of the lacrimal duct to be dispensed with. If the patient fails to respond to the treatment the delay t...

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    doi:10.1055/s-2008-1050523

    authors: Bianchetti M,Blumer B

    更新日期:1987-11-01 00:00:00

  • [Independence of retinopathy and optic atrophy in the DIDMOAD syndrome].

    abstract::A brother and a sister with DIDMOAD syndrome (diabetes insipidus, diabetes mellitus, optic atrophy, deafness, etc.) are described. The 15-year-old girl was suffering from severe optic atrophy, severe sensorineural hearing loss but only slight diabetic retinopathy. The 16-year-old boy presented with symptoms which were...

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    doi:10.1055/s-2008-1054578

    authors: Hennekes R,Koletzko S,Hockauf H

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  • [Personal computer used in visual function screening].

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    authors: Menozzi M

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  • [46-year follow up of malignant transformation of choroid nevus with vascularized surface drusen].

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    authors: Daicker B

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    abstract:BACKGROUND:Most reports on transscleral suture fixation of posterior chamber lenses (PCL) do not mention the principal difficulty that the surgeon has no valid information which structures were perforated by the needle and where he happened to fix the PCL loops. To know this exactly is a "conditio sine qua non". Withou...

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    abstract::The present report describes clinical findings in 13 patients with Sturge-Weber syndrome, 11 of whom had glaucoma (22-52 mm Hg). The episcleral venous pressure (EVP) was high in all glaucomatous eyes (14-23 mm Hg). Tonography showed a marked decrease in outflow facility. The observations suggest that glaucoma in Sturg...

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  • [Histology and therapy of diabetic traction detachment].

    abstract::Diabetic tractional detachment of the retina is caused by shrinking processes of the vitreous, which at most detaches only partially, and by shrinking of epiretinal proliferations. The shrinking of the vitreous results in tractional forces working centripetally and toward the base of the vitreous. The shrinking of the...

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  • [The metabolic regulation of the retinal blood flow and the role of prostaglandins (author's transl)].

    abstract::The microioptophoretic injection of PGE1 close to the retinal arterioles procedures a segmental vasodilatation of 40%. The inhibition of prostaglandin synthesis with indomethacin or aspirin blocks the vasodilatatory effect of hypercapnia and, to a lesser extent, of hypoxia. These results suggest that prostaglandins pl...

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  • [Julius Hirschberg (1843-1925), ophthalmologist and medical historian (author's transl)].

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    pub_type: 传,历史文章,杂志文章

    doi:

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  • [Endophthalmitis after intra-oral block of the infraorbital nerve].

    abstract:BACKGROUND:Most penetrating needle puncture injuries occur in retro- or peribulbar anesthesia. Hereby only a small percentage of patients develop endophthalmitis. Ocular penetration after enoral infraorbital nerve block has not yet been reported in literature. HISTORY AND FINDINGS:In June 1995 a 74-year-old man presen...

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  • [Perimetry in Neuro-ophthalmological Function Diagnostics: Indication - Methods - Topodiagnostic Aspects].

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    更新日期:1990-08-01 00:00:00

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    doi:

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    更新日期:1976-03-01 00:00:00

  • [Management of periorbital and orbital infections].

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    更新日期:2004-11-01 00:00:00

  • [Basics for the Preparation of an Ophthalmological Expert Assessment].

    abstract::The position of the ophthalmologist as an unbiased and impartial expert in the field of tension between the client and the patient is a responsible task that should not be underestimated. Since the ophthalmological expert assessment often has far-reaching legal and financial consequences, it is very important that it ...

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