LOCALIZED CONJUNCTIVAL AL-AMYLOID DEPOSITS SECONDARY TO A RETINAL DETACHMENT SURGERY RADIAL EXPLANT.

Purpose: To describe a hitherto unreported late ocular surface complication of retinal detachment surgery around a radial segment explant.

Methods: A single case report of a 72-year-old white man, with a previous history of right scleral buckling surgery for retinal detachment surgery 25 years ago, presented with right-sided ptosis of 6 months duration.

Results: Ocular surface examination showed a prominent right supero-nasal quadrant radial segment explant, around which there was bulky pink conjunctival mass, extending from the supero-medial fornix down to the medial canthal area and inferior medial fornix with similar changes seen on the upper medial tarsal conjunctiva.

An unusual case of recurrent subconjunctival haemorrhage causing yellow-brown discolouration due to haemosiderin deposition.

The authors describe an unusual case of striking unilateral yellow-brown discolouration of the conjunctiva in a 33-year-old man. A biopsy from an elevated conjunctival area showed a brown pigmentation to be haemosiderin and haemogranulomatous inflammation most probably due to recurrent subconjunctival haemorrhage.

Five-year cycle of basal cell carcinoma management re-audit.

Aim: To complete a 5-year audit cycle for all malignant lid tumours treated by one consultant (Stafanous) and re-audit the first work done in 2000 and 2001/2002. The main aim was to find out the recurrence rate and presence of new lesions in 5-years' follow-up and determine whether it is safe to discharge patients after histological clearance and satisfactory reconstruction outcome rather than 5 years' follow-up.

Method: Retrospective audit from January 2000 to December 2006.

An unusual case of complete ptosis and failure of elevation due to severe facial trauma.

The authors describe the case of 49-year-old female teacher who had sustained severe facial lacerations following a minor fall on the kerb. The severe shearing force by which the flap was ripped off the forehead caused complete ptosis and complete failure of elevation of the left eye, which was presumed to be due to mechanical damage to the superior rectus and levator complex. The management by a multidisciplinary approach and clinical course of the patient are described with documentary photographs.

The switch flap in eyelid reconstruction.

Purpose: Full-thickness eyelid defects are conventionally reconstructed by either a Hughes flap or a Cutler-Beard bridge flap. The switch flap is an alternative method and is not very widely practiced. The author has used this method for repair of large full-thickness eyelid defects and describes her experience with the use of this technique.