Clinical Study of Midline Surgery

The authors performed midline operation upon esotropia with abducens nerve paralysis and diplopia for 6 months following head trauma. Eye ball was straight without diplopia, but there was no improvement of lateral gaze in the paralytic eye.

A Case or Congenital Lid Coloboma

Reconstruction of an eye lid or even a part of it requires a minimum of three elements; an outer layer of skin; an inner layer of mucosa; and a semi-rigid skeleton interposed between them. The upper lid is the most difficult to reconstruct as it must be movable. This report contains of a congenital upper lid coloboma of which reconstructed by Abbe-type full thickness flap of the lower eye lid. He is a 15 years old boy who has congenital middle third defect of left upper eye lid. The defect was rectangular shape, the edge rolled, and without lashes and glandular structures, with the base located at the central portion of upper lid margin. The inner margin is about 3mm apart from superior lacrimal punctum. He has no other associated congenital anomalies. His visual acuity of left eye was light perception that resulted from chronic exposure keratopathy. The authors operated a case of congenital lid colob@ma and obtained good cosmetic result.