[Evaluation of maximum levator resection in management of severe Blepharoptosis]

Objective: To study the efficacy of maximal levator resection in patients with severe ptosis with poor levator function [LF]

Patients and methods: 31 patients with severe ptosis underwent maximal levator resection.Palpebral fissure height and LF were assessed preoperatively and postoperatively. Results: All patients showed an excellent reduction in ptosis with a single intervention resulting in a clear visual axis. Palpebral fissure height improved from means [SD] 2.98 preoperatively to 7.70 postoperatively [P value <0.001], No patients underwent additional surgery because of cosmetic issues. All patients showed a marked, consistent, and lasting improvement in LF, going from mean [SD] 2.60 preoperatively to 7.82 postoperatively [P value < 0.001]

Conclusions: Maximal levator resection is an effective surgical technique in management of patients with severe ptosis with good cosmetic appearance in terms of ptosis reduction in the majority of cases and with a significant increase of the levator palpebrae superioris function

Vitrectomy with or without radial optic neurotomy in management of central retinal vein occlusion [CRVO]

This study was curried out on 24 eyes [24 patients] having CRVO of recent onset. Patients were subjected to complete history taking as well as complete opthalmologifcal examination including best corrected visual acuity, anterior segment examination, intraocular pressure measurements and fundus biochmicroscopy. Fluorescein angiography and OCT SCAN were performed. They were divided into 2 groups, the first included 12 patients and underwent radial neuroomy, the second included 12 patients and underwent vitrectomy alone. The patients were examined postoperatively after one week, one month, 3 months and 6 months. In group I. The visual acuity improved in 7 eyes [58.3%], was stable in 3 eyes [25%] and worsened in 2 eyes [16.7%]. In vitrectomy group, the visual acuity improved in 5 eyes [41.7%], was stable in 4 eyes [33.3%] and worsened in 3 eyes [25%]. No correlation was found between the change in visual acuity and the age of the patient or the duration of CRVO. Macular and retinal hemorrhage completely disappeared in all eyes. Macular edema improved in 22 eyes of 24 patients, 11 patients in each group and worsened in 2 eyes [one in each group]. No post operative nonvascular complications were detected in any patient of 2 groups, none of the studied eyes showed persistence of the same degree of leakage present preoperatively, no intraoperative complications were encountered except for minimal bleeding in 3 eyes in group I and postoperative cataract occurred in 3 eyes, one in group 1 and 2 in group II

modification of the lamellar split technique for management of cicatricial entropion

The aim of this study was to evaluate the result of the modified technique in relation to the lamellar split with evertical reposition of anterior lamella technique. The new superficial tarsotomy technique with everting sutures was used in 21 lids, while the original technique was used in 31 lids with cicatricial entropion. A complete success was obtained in the 21 lids treated with the modified technique, while the original technique gave 80.64% as a complete success and 16.13% as a qualified success [an overall success of 96.8%]. Postoperative complications occurred in 19.1% of cases treated with the modified technique, while they occurred in 54.84% treated with the original technique

Evalution of the role of amniotic membrane transplantation in management of cicatricial entropion

This prospective study was carried out on 52 lids of 49 patients with cicatricial entropion. The lamellar split with vertical reposition of anterior lamella was the technique used in these cases, with an overall success of 98.1%. Good cosmetic results were obtained in all cases with a shorter period of healing with a mean of 15.73 +/- 2.63 days