Centurion Syndrome - Idiopathic Anterior Displacement of the Medial Canthus

Purpose: To describe a series of patients with epiphora due to a medial canthal anomaly. This anomaly consists of an anterior displacement of the anterior limb of the medial canthal tendon and a prominent nasal bridge, with lid malposition away from the globe and displacement of the lacrimal puncta out of the tear lake. The authors use the term Centurion syndrome to describe this anomaly

Recurrent ptosis due to myopathy of the levator palpebrae superioris

The authors report the 10-year follow-up of a case with a recurrent ptosis affecting both eyelids independently. The histology of the levator palpebrae superioris and Muller's muscle was consistent with a localised myopathic process. A therapeutic response to acetazolamide suggests that ion-channel dysfunction may be the underlying cause for this new myopathy

Comparative study of the subjective and objective grading of ptosis surgery outcomes.

Aims To assess the results of blepharoptosis surgery in our hospital by subjective and objective grading of the outcome and comparing them to determine their degree of correlation. Methods Retrospective interventional case series report supplemented by postal questionnaires and telephonic patient surveys. The study included 107 eyelids of 78 patients. Using a simple grading system, surgical outcome was objectively graded as good, suboptimal, or poor. Outcome was also defined according to the patients' perspective as good, suboptimal, or poor. Level of agreement between the subjective and objective grading of the outcome was measured using a weighted kappa analysis. Results The objective results were classed as good¿68/107 (63.5%), suboptimal¿18 eyelids (16.8%), and poor¿21 eyelids (19.6%). The subjective results were obtainable in 91 eyelids and were good¿54/91 (59.3%), suboptimal¿8/91 (8.7%), and poor¿29/91 (32%). A mismatch between objective and subjective outcomes was seen in 16 eyelids. We saw a statistically significant correlation between the objective grading and the patients' perspective (P<0.001). Conclusion Our overall ptosis surgery results are comparable with rates previously reported. The subjective and objective outcomes of ptosis surgery may sometimes vary, but nevertheless exhibit substantive agreement when measured by this simple grading system