Facial dystonias and rosacea: is there an association?

Purpose: Benign essential blepharospasm (BEB) and hemifacial spasm (HFS) belong to a spectrum of focal movement disorders that cause involuntary, spasmodic contractions of the eyelid and facial muscles. In our clinical experience, we have observed an increased prevalence of rosacea in patients who present with BEB and HFS. We investigate our clinical findings with a review of disease pathophysiology and treatment.

Medial ectropion repair of lower eyelids with a cicatricial component.

A new technique for the management of medial ectropion with a mild to moderate cicatricial component is presented that avoids the necessity for skin grafting. A subciliary incision is made inferior to the punctum and extending laterally, followed by preseptal dissection to the orbital rim. A base-up triangle of the posterior lamella is then excised lateral to the punctum.

Pseudoxanthoma Elasticum: A Novel Mutation in the ABCC6 Gene That Affects Eye Manifestations of the Disease.

Purpose: To determine whether a correlation between ABCC6 mutations and ocular phenotypic expressions exists.

Methods: In this study, 28 relatives of a consultand with known pseudoxanthoma elasticum were recruited for evaluation of the ocular manifestations of the disease, including peau d'orange appearance, angioid streaks, choroidal neovascular membranes, peripapillary atrophy, and retinal drusen. Comprehensive eye examinations were documented for all patients, who were then evaluated for the presence of known mutations in the aforementioned ABCC6 gene.

Multiple retinal emboli following a new carotid stenting procedure.

This report discusses the observation of multiple retinal emboli following placement of a new carotid stenting device. Especially dense plaques in the carotid artery can shatter into dust-like particles that may be fine enough to penetrate the filter of the new device, thus posing the danger of retinal perfusion.

Recurrent facial palsy occurring with metastatic thymic carcinoid and nonarteritic ischemic optic neuropathy.

A 74-year-old man was diagnosed with thymic carcinoid metastatic to the mediastinum. Two years later, he developed left and then right facial palsy. Four additional episodes of facial palsy developed within 2 years, followed by an occurrence of nonarteritic ischemic optic neuropathy.

Refractive changes produced by capsule contraction after piggyback acrylic intraocular lens implantation.

I describe a case of anterior capsule contraction after implantation of piggyback acrylic intraocular lenses (IOLs). Treatment by neodymium:YAG capsulotomy resulted in anterior chamber deepening despite a myopic shift. With acrylic IOLs, refractive changes may be due to optical deformation rather than axial shifts.