Combined flap repair of moderate lower eyelid defects.

Purpose: To report a series of moderate-sized lower eyelid defects repaired by combined flap repair in 6 patients. The combined flap marries a horizontal rotational and a temporal Z-plasty flap for repair of moderate-sized lower eyelid defects.

Methods: Six case summaries are reported along with flap configuration and surgical technique.

Surgical method and results of levator aponeurosis transposition for Graves' eyelid retraction.

Predictability of final eyelid height and contour following surgical correction of eyelid retraction remains problematic. We describe our surgical method and results with the distal levator aponeurosis transposition procedure for eyelid retraction. The procedure consists of disinserting the distal levator aponeurosis from the tarsal plate and excising Muller's muscle.

Reproducibility of retardation measurements with the nerve fiber analyzer II.

Purpose: To evaluate the reproducibility of a scanning laser polarimeter, the Nerve Fiber Analyzer II (NFA II, Laser Diagnostic Technologies, San Diego, CA, U.S.A.

Effect of cataract and pupil size on image quality with confocal scanning laser ophthalmoscopy.

Objective: To determine the effect of pupil size and cataract on the reproducibility and image quality obtained with confocal scanning laser ophthalmoscopy.

Methods: Three image series were obtained with a confocal scanning laser ophthalmoscope (Heidelberg Retina Tomograph, Heidelberg, Germany) before and after pupillary dilation in each of 39 subjects (8 normal subjects, 5 glaucoma suspects, and 26 patients with glaucoma). The cataract density was measured with both a lens opacity meter and the Lens Opacities Classification System III system.

Change in optic disk topography after trabeculectomy.

Purpose: To investigate the relationship between optic disk topography and intraocular pressure before and after trabeculectomy with confocal scanning laser ophthalmoscopy.

Methods: The eyes of 49 consecutive patients undergoing trabeculectomy at a university-based glaucoma practice underwent preoperative and postoperative imaging using a confocal scanning laser ophthalmoscope (Heidelberg Retina Tomograph). Three images of one eye of each patient were obtained with a 15-degree field of view.