Pediatric Frontalis Suspension With Braided Polyester: A Comparison of Two Techniques.

Purpose: To demonstrate the benefits of using braided polyester in the management of severe or recurrent ptosis in children and young adults and to compare the efficacy of two surgical techniques.

Methods: Retrospective, non-randomized record review of 30 patients (43 eyelid procedures) affected by congenital or acquired severe ptosis who underwent frontalis suspension with braided polyester from 2008 to 2016. Two surgical techniques were compared: the base-down triangle and the Fox pentagon, both of which were performed using a closed technique.

Primary treatment of nasolacrimal duct obstruction with balloon catheter dilation in children younger than 4 years of age.

Purpose: To report the outcome of nasolacrimal duct balloon catheter dilation as the primary treatment of congenital nasolacrimal duct obstruction (NLDO) in children younger than 4 years of age.

Methods: One hundred two children (151 eyes) ages 12 to <48 months (mean, 23 months) at the time of surgery, who previously had not undergone a nasolacrimal surgical procedure and who presented with at least one of the following clinical signs of NLDO--epiphora, increased tear lake, and/or mucous discharge--were enrolled in a prospective, nonrandomized observational multicenter study (20 sites). All children received balloon catheter dilation of the nasolacrimal system of the affected eye(s).

Conjunctival deposits as an initial manifestation of sarcoidosis.

Purpose: To report conjunctival deposits as an initial manifestation of sarcoidosis.

Methods: Case reports.

Results: Two patients with bilateral bulbar conjunctival white deposits underwent conjunctival biopsy.

Office probing for congenital nasolacrimal duct obstruction: a study of parental satisfaction.

Purpose: To determine parental satisfaction with nasolacrimal probings performed in the office without sedation for congenital nasolacrimal duct obstruction.

Methods: We reviewed the charts of 81 consecutive children under 4 years of age who underwent nasolacrimal probings in our office. Sixty-seven caretakers of these children were contacted by telephone to determine parental satisfaction, probing effectiveness, procedural complications, and future recommendations.