The Long-Term Results of Frontalis Suspension Using Autogenous Fascia Lata in Children with Congenital Ptosis under 3 Years Old

Purpose. To describe the long-term results of frontalis suspension using autogenous fascia lata in children with congenital ptosis under 3 years old. Methods. Forty three-eyes of 35 patients were enrolled in the study. Frontalis suspension using autogenous fascia lata was performed in all patients. The postoperative eyelid level, ptosis recurrence, visual acuity, and cosmetic results were evaluated. Results. The mean age of the patients was 16.8 ± 9 months (7–36 months). The mean follow-up time was 52.8 ± 15 months (14–95 months). All patients had good (ptosis <2 mm) or moderate (2-3 mm ptosis) eyelid level after the operation. All patients achieved satisfactory cosmetic results. Succesfull harvesting was performed in all cases and no additional materials or surgical manipulation were needed during the surgery. Conclusion. Frontalis suspension using autogenous fascia lata can be used in children under 3 years old without harvesting problems. Surgical experience and good knowledge of anatomy are important factors for successful results after the surgery

Corneal Topography Changes in Cases with Duane Retraction Syndrome in Different Gaze Positions

Objective: To evaluate the corneal topographic changes in patients with Duane retraction syndrome in different gaze positions and to investigate the effect of eyelids on corneal topography. Material and Methods: Thirty-three cases with Duane retraction syndrome and 19 control patients were included in the study. Corneal topographies of the cases with Duane retraction syndrome were first measured during their preferred gaze and then during primary gaze position. Topographies of the cases in control group were measured in their right eye during primary gaze position and when the eye was on adduction. Results: Mean horizontal sim K value of the cases with Duane retraction syndrome with preferred gaze position was 41.4 +/- 2.3 D, while vertical sim K value was 42.7 +/- 1.9 D, and with their primary gaze position, mean horizontal sim K value was 40.5 +/- 1.8 D, and vertical sim K value was 42.7 +/- 1.8 D. Statistically significant horizontal flattening was noted in primary gaze position (p=0.009). No statistically significant difference was found between the measurements of horizontal and vertical sim K values of control patients in different gaze positions. Conclusion: Duane retraction syndrome is a rare congenital ocular motility disorder. Although the pathogenesis is not clear, abnormal innervation of the extraocular muscles is mostly blamed. Most of the patients with Duane retraction syndrome develope a face turn position to achieve binocular vision. In our study, we concluded that eyelid position and the changes in corneal topography might affect the development of face turn position

Effects of Upper Eyelid Surgery on the Ocular Surface and Corneal Topography

Objectives: To evaluate the effect of upper eyelid surgery on ocular surface and corneal topography

Regression of conjunctival tumor during dietary treatment of celiac disease

A 3-year-old girl presented with a hemorrhagic conjunctival lesion in the right eye. The medical history revealed premature cessation of breast feeding, intolerance to the ingestion of baby foods, anorexia, and abdominal distention. Prior to her referral, endoscopic small intestinal biopsy had been carried out under general anesthesia with a possible diagnosis of Celiac Disease (CD). Her parents did not want their child to undergo general anesthesia for the second time for the excisional biopsy. We decided to follow the patient until all systemic investigations were concluded. In evaluation, the case was diagnosed with CD and the conjunctival tumor showed complete regression during gluten-free dietary treatment. The clinical fleshy appearance of the lesion with spider-like vascular extensions and subconjunctival hemorrhagic spots, possible association with an acquired immune system dysfunction due to CD, and spontaneous regression by a gluten-free diet led us to make a presumed diagnosis of conjunctival Kaposi sarcoma

Eye Rubbing as an Apparent Cause of Recurrent Keratoconus

Purpose: To report a case of recurrent keratoconus after penetrating keratoplasty (PKP) because of allergic conjunctivitis

Evaluation of Visual Acuity with Sweep VEP Method

Purpose: To evaluate the visual acuity with sweep visual evoked potential (VEP) method

Regression of conjunctival tumor during dietary treatment of celiac disease

A 3-year-old girl presented with a hemorrhagic conjunctival lesion in the right eye. The medical history revealed premature cessation of breast feeding, intolerance to the ingestion of baby foods, anorexia, and abdominal distention. Prior to her referral, endoscopic small intestinal biopsy had been carried out under general anesthesia with a possible diagnosis of Celiac Disease (CD). Her parents did not want their child to undergo general anesthesia for the second time for the excisional biopsy. We decided to follow the patient until all systemic investigations were concluded. In evaluation, the case was diagnosed with CD and the conjunctival tumor showed complete regression during gluten-free dietary treatment. The clinical fleshy appearance of the lesion with spider-like vascular extensions and subconjunctival hemorrhagic spots, possible association with an acquired immune system dysfunction due to CD, and spontaneous regression by a gluten-free diet led us to make a presumed diagnosis of conjunctival Kaposi sarcoma

Evaluation of Stereopsis with Stereogram Visual Evoked Potential

Aim: To evaluate the stereopsis with stereogram visual evoked potentials (VEP) in strabismic patients