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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449979PMC
http://dx.doi.org/10.11604/pamj.2015.20.55.6044DOI Listing

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Corneal injuries, which make up 3% of emergency room visits, can vary from small scratches to exposure or trauma-related damage that might be fatal to vision. Mechanical trauma, diseases of the eyelids, neurotrophic abnormalities, and chemical burns are common causes. A thorough examination is necessary for an accurate diagnosis and treatment plan.

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Article Synopsis
  • - The study investigates the prenatal and postnatal features, along with genetic traits, of Lymphedema-Distichiasis syndrome (LDS) in two Chinese families with FOXC2 gene mutations.
  • - Genetic analysis revealed pathogenic variants in the FOXC2 gene for both families, with literature review yielding a total of 117 identified LDS patients, including prenatal signs in 13 cases and postnatal manifestations in 110.
  • - Key prenatal symptoms of LDS include increased nuchal translucency and fetal edema, while postnatal symptoms commonly feature distichiasis and lymphedema, with only a few cases exhibiting signs before and after birth.
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Article Synopsis
  • Congenital distichiasis, characterized by an abnormal growth of eyelashes, can be treated through various methods including ablative procedures and surgical excision, with a new technique utilizing meibography to locate eyelash roots.
  • In a study involving six patients, infrared meibography was used to guide electroepilation, allowing for more precise targeting of distichiatic eyelashes.
  • Results showed a 75% anatomical success rate and an 87.5% functional success rate, suggesting that meibography is a valuable tool for improving treatment outcomes in congenital distichiasis.
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Article Synopsis
  • - Lymphedema distichiasis syndrome is a rare but common form of primary lymphedema, characterized by the presence of abnormal eyelashes (distichiasis) that can emerge during childhood or puberty, causing discomfort for affected individuals.
  • - Clinicians should consider this syndrome during physical examinations, as its signs can lead to a specific diagnosis through genetic testing of the FOXC2 gene in the patient's serum.
  • - Early diagnosis and treatment can significantly improve the quality of life for patients by addressing both the ophthalmologic issues and other systemic symptoms associated with the syndrome.
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[Palpebral marginoplasty in the management of distichiasis: About 104 eyes].

J Fr Ophtalmol

January 2023

Faculté de médecine et de pharmacie, université Hassan II de Casablanca, Casablanca, Maroc; Service d'ophtalmologie adultes, hôpital 20 août 1953, CHU Ibn Rochd, 41, rue Belaabak B.P 2698, Casablanca 20120, Maroc.

Article Synopsis
  • - Distichiasis is a rare eyelid condition where an extra row of eyelashes grows from the inner eyelid layer, which can lead to corneal complications. It may be congenital or more commonly acquired due to chronic inflammation.
  • - A study examined 104 eyes (90 patients) who underwent surgery for this condition using a technique called marginoplasty with labial mucosal autograft between 2000 and 2021; most patients were around 65 years old.
  • - The surgery was highly effective, with a success rate of 82.7% and more than 95% of cases showing reduced symptoms after an average follow-up of over 24 months; additional treatment options improved outcomes further, achieving a final success
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