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Watery Eyes
Published in Amy-lee Shirodkar, Gwyn Samuel Williams, Bushra Thajudeen, Practical Emergency Ophthalmology Handbook, 2019
Eyelid position: If there is an abnormality of eyelid position, then corrective treatment involves a combination of both medical and surgical treatments. For example, for a patient with a lower lid entropion this may involve epilation of offending eyelashes and taping the lower eyelid down whilst awaiting entropion repair surgery. It is always important to beware of corneal ulcers in these patients. Involve oculoplastics early
Mycotic Keratitis Caused by Dematiaceous Fungi
Published in Mahendra Rai, Marcelo Luís Occhiutto, Mycotic Keratitis, 2019
Javier Araiza, Andrés Tirado-Sánchez, Alexandro Bonifaz
The manifestations of MK are related to a severe and deep corneal ulcer that exhibits small satellite lesions and hypopyon. The ulcer generates nonspecific symptoms, with gradual onset and slower progression than bacterial keratitis (Riddell 2002). Additional ocular symptoms include pain, redness, dry eye, trichiasis, entropion, blepharitis, edema, conjunctivitis and defective vision (Badiee 2013). Slit-lamp for biomicroscopic evaluation is a useful tool for diagnosis and it allows to measure the diameter of the size of the inflammatory infiltrate, as well as the type, location, depth of the ocular inflammation and corneal ulceration (Badiee 2013).
Eye
Published in A. Sahib El-Radhi, Paediatric Symptom and Sign Sorter, 2019
Beware that entropion (inward-turning of the lid margin and lashes, trichiasis) often presents with irritability and can cause corneal damage. Urgent consultation with an ophthalmologist is required. Larsen syndrome (entropion, multiple joint dislocations, cleft palate and neurodisability) has to be excluded.
Lower eyelid entropion in thyroid eye disease
Published in Orbit, 2022
Varshitha Hemanth Vasanthapuram, Milind N. Naik
Each patient underwent a complete eye examination, followed by specific evaluation pertaining to TED. This included obtaining a clinical activity score11 that was performed by a single oculoplastic surgeon. The diagnosis of TED was based on the Bartley and Gorman criteria.12 With respect to entropion, we noted its extent (medial or entire eyelid), lash-corneal touch, corneal epitheliopathy explained by lash-corneal touch and any signs indicative of laxity. UBM of the lower eyelid was performed where possible after an informed consent was obtained using the Quantel Aviso with 50 MHz transducer with ClearScan cover as described earlier.13 The echogenicity, thickness and appearance of the eyelid structures were noted. Two patients (four eyes) underwent orbital decompression along with lower eyelid retractor release via inferior transconjunctival approach under general anesthesia.
Single Center Retrospective Study of Patients with Ocular Mucous Membrane Pemphigoid (MMP)
Published in Ocular Immunology and Inflammation, 2022
Mark Morel, Taryn DeGrazia, Laura Ward, Soroosh Behshad, Hee Joon Kim, Ron Feldman
Clinical characteristics at the final visit for each patient were similar to the initial presentation, with 82% of patients demonstrating fornix foreshortening (n = 69) and 80% of patients demonstrating symblepharon (n = 67). Other complications were keratopathy (n = 49), corneal neovascularization (n = 36), trichiasis (n = 33), corneal defects (n = 28), and entropion (n = 5) (Table 3). There was a large increase in the percentage of patients with fornix foreshortening between initial and final presentation (52% to 82%); however, the increase in symblepharon during the same time period was much lower (77% to 80%). The mean logMAR visual acuity of patients tracked over time using a 95% confidence interval, with visual acuity in relation to medication changes, showed stabilization of visual acuity around one year after the first visit, although not statistically significant (Figure 1).
Corneal Topographic Analysis in Patients with Involutional Lower Eyelid Entropion
Published in Seminars in Ophthalmology, 2021
Tatsuya Yunoki, Atsushi Hayashi, Shinya Abe, Mitsuya Otsuka
Involutional entropion is a disease that affects approx. 2% of the elderly,1–3 and mechanical contact by the eyelashes causes corneal scar formation, visual impairment, and other problems.4 The pathophysiology of involutional entropion has been described as a vertical relaxation of the lower eyelid retractors (LERs) and horizontal relaxation of the tarsal plate and canthus.5,6 Since examinations for the presence of vertical and/or horizontal relaxation are involved in the decision-making regarding indications for surgery and postoperative outcomes, it is very important to determine the values of the vertical and/or horizontal relaxation before surgery.7–10 In Japan, it was reported that posterior LER advancement is very effective for lower eyelid involutional entropion.11 In cases of combined horizontal relaxation, the best strategy that can further reduce the recurrence rate is considered the addition of a lateral tarsal strip (LTS) or lateral canthopexy to the use of posterior LER advancement.7–9