RESUMO
Ptosis correction by Fox Pentagon technique of frontalis brow suspension, using 'trocar site closure device' for placement of banked fascia lata is presented. The use of this device was found to be safe, secure, smooth, and stable. It has a gently tapered cutting upper edge and a blunt front, and is less traumatic as compared to the conventional Wright's fascia needle or the 18 gauge needle which are sharper and could cause an inadvertent and relatively more damage to the eyelids' delicate tissues. The surgery can be performed quickly with this single-use device and it provides a good grasp for holding the fascia lata during the manoeuvres, forming the desired pentagon
RESUMO
A 52 year old male presented with peripheral ulcerative keratitis in the right eye. Patient's history included retinitis pigmentosa, pseu-dophakia [right eye], cataract [left eye], bilateral partial deafness, ischemic heart disease, hypertension, type 1 diabetes mellitus, depression, hyperparathyroidism, hypertriglycemia and renal failure. The patient was on weekly hemodialysis. The peripheral corneal ulceration remained stable until he developed sudden and rapid thinning after eight months of regular follow up and management. Laboratory investigations including immunological studies were negative and we had to rely on treatment based on clinical signs, including the visual acuity, size, depth and staining of the ulcer and perilimbal, episcleral, scleral, corneal and anterior chamber reactions. The patient was treated with medical and conservative approaches and the eye was protected with a plastic shield to avoid injury. Despite our efforts, the patient perforated his eye due to a trivial trauma during sleep. He was managed successfully with cyanoacrylate glue and a bandage contact lens. The anterior chamber reformed after the perforation was sealed and the patient is on a regular follow up with a multidisciplinary approach