Subject(s)
Ectropion , Lagophthalmos , Humans , Ear Cartilage/transplantation , Ectropion/etiology , Ectropion/surgery , Aponeurosis , MusclesSubject(s)
Blepharoptosis , Illusions , Surgery, Plastic , Humans , Blepharoptosis/surgery , Eyelids/surgerySubject(s)
Blepharoplasty , Laser Speckle Contrast Imaging , Eyelids/diagnostic imaging , Eyelids/surgery , HumansSubject(s)
Blepharoplasty , Blepharoptosis , Rhytidoplasty , Blepharoptosis/surgery , Eyebrows , Eyelids/surgery , Humans , Lifting , Reflex , Retrospective StudiesSubject(s)
Ectropion/surgery , Eyelids/surgery , Plastic Surgery Procedures/methods , Postoperative Complications/prevention & control , Suture Techniques/adverse effects , Adult , Aged , Aged, 80 and over , Eyelids/physiology , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Complications/etiology , Plastic Surgery Procedures/adverse effects , Skin Aging , Treatment OutcomeABSTRACT
This is a case report of a symptomatic varicose angular vein exacerbated by chronic glasses wear. Compressing the vein in a recumbent position led to increased fullness of the medial canthal region and reproduced his symptoms. Obliteration by cauterization of the vein led to resolution of symptoms.
Subject(s)
Eyeglasses/adverse effects , Eyelid Diseases/diagnosis , Eyelids/blood supply , Varicose Veins/diagnosis , Aged , Diagnosis, Differential , Eyelid Diseases/etiology , Eyelid Diseases/surgery , Humans , Male , Ophthalmologic Surgical Procedures/methods , Varicose Veins/etiology , Varicose Veins/surgeryABSTRACT
A 70-year-old male with history of multiple cutaneous squamous cell carcinoma throughout the body presented with a left lower lid margin squamous cell carcinoma. The lesion was excised via Mohs surgery elsewhere, and the defect was reconstructed with a tarsoconjunctival flap (Hughes flap). The lesion recurred, and the patient had a second Mohs surgery for excision. For reconstruction, a second tarsoconjunctival flap spanning the entire horizontal distance of the upper lid was done. The remaining 2-3 mm of upper tarsus provided good support of the upper lid. Careful planning may allow for successive tarsoconjunctival flaps if needed in the future.
