A new conjunctival retractor provides the desired exposure of the scleral bed during filtering surgery. It elevates the conjunctiva without causing crush injury and allows excellent exposure of the scleral bed with a smaller incision than is required when non-toothed forceps or Weck cell sponges are used. The surgeon or assistant holding the retractor can move it in various directions to provide a good view of any particular site for which exposure is needed.
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Clin Plast Surg
January 2025
Head Section of Aesthetic Surgery, Department of Plastic Surgery Cleveland Clinic, 9500 Euclid Avenue Desk A60, Cleveland, OH 44195, USA. Electronic address:
Lower eyelid function and appearance depend on the complex anatomic relationship between the soft tissue lamellae, supportive tarsoligamentous sling, and bone. Aging in the lower lid area may be caused by changes in the anterior lamella (skin and orbicularis oculi muscle), middle lamella (orbital septum and lower lid fat pads), posterior lamella (tarsus, lower eyelid retractors, and conjunctiva), tarsoligamentous sling (lateral retinaculum), or any combination of the previously described.
View Article and Find Full Text PDFRom J Ophthalmol
October 2024
Department of Oculoplasty and Ocular Oncology, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
A 64-year-old male was referred for complaints of blood in tears and bloody discharge of unknown cause in the left eye. The patient was a chronic bandage contact lens (BCL) user. He had no history of recent trauma.
View Article and Find Full Text PDFAm J Ophthalmol
January 2025
From the Stein Eye Institute and Department of Ophthalmology, University of California (W.-Y.L., J.L.D.), Los Angeles, California, USA; Department of Neurology, University of California (J.L.D.), Los Angeles, California, USA; Bioengineering Department, University of California (J.L.D.), Los Angeles, California, USA; Neuroscience Interdepartmental Program, University of California (J.L.D.), Los Angeles, California, USA. Electronic address:
Eur J Ophthalmol
September 2024
Corneoplastic unit, Queen Victoria Hospital NHS Trust, East Grinstead, Sussex, UK.
Purpose: To evaluate outcomes of fornix deepening with retractor recession and repositioning for conjunctivochalasis (CCh) on improvement of conjunctival folds and ocular surface symptoms, particularly epiphora.
Methods: Retrospective, single-centre, observational case series of patients with refractory CCh who underwent fornix deepening and retractor recession. CCh was graded using the Hoh classification (grades 0 to 3 depending on the number and height of folds).
Int Ophthalmol
July 2024
Dr. Ayşe Dolar Bilge Private Clinic, Caddebostan Mahallesi, Bagdat Caddesi, Simsek Sokak No 2/8 Kadikoy, Istanbul, Turkey.
Purpose: To assess the efficacy of lower eyelid retraction surgery utilizing autologous auricular scapha cartilage (located within the anterior surface groove between the helix and anti-helix) and to present the surgical outcomes in a patient cohort.
Methods: Medical records of 21 patients who underwent lower eyelid retraction surgery with scapha cartilage were retrospectively reviewed. Retractions, present for an extended duration (6 months to 20 years), exhibited 1 mm or more inferior scleral show, attributed to prior lower eyelid blepharoplasty, facial palsy, or as a normal anatomical variation.
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