Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique.

Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique. Research Abstract Details 

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Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique. Abstract Text:

George M Saleh,Ioannis Mavrikakis,Jean-Louis de Sousa,Wen Xing,Raman Malhotra,George M Saleh,Ioannis Mavrikakis,Jean-Louis de Sousa,Wen Xing,Raman Malhotra,

PURPOSE: To evaluate corneal astigmatism with the combined high pretarsal and levator fixation gold weight implantation technique. METHODS: Twenty-one eyelids of 21 patients with facial nerve palsy were prospectively enrolled. All patients underwent upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique. Keratometry and automated refraction were performed preoperatively and postoperatively. Five patients were excluded from final analysis because of incomplete keratometry data. The data were analyzed looking for statistically significant changes in lagophthalmos, automated refraction, and keratometry. RESULTS: A statistically significant improvement in lagophthalmos with spontaneous blinking (p = 0.0014), and gentle (p = 0.0016) and forced (p = 0.0027) closure was noted postoperatively. No significant differences were found when comparing preoperative and postoperative automated refraction readings (p = 0.89, p = 0.88), automated refraction axis (p = 0.71), keratometry readings (p = 0.40, p = 0.77), or keratometry axis (p = 0.63). CONCLUSIONS: Implantation of a gold weight in the upper eyelid with the combined high pretarsal and levator fixation technique does not appear to cause a significant change in corneal astigmatism. This is contrary to data for pretarsal gold weight implantation, which does induce significant with-the-rule corneal astigmatism.

Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique. Publishing Authors By Initials

GM Saleh,I Mavrikakis,JL de Sousa,W Xing,R Malhotra,GM Saleh,I Mavrikakis,JL de Sousa,W Xing,R Malhotra,

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PUBMED ID PMID:

MEDLINE DATE: 2007 Sep-Oct

Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Ophthalmic plastic and reconstructive surgery

VOLUME: 23

Page Numbers: 381-3

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ISSN: 0740-9303

DAY: 20

MONTH: 09

YEAR: 2007

Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique. Information

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LANGUAGE: eng

NlmUniqueID: 8508431

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Grant and Affiliation Information for Corneal astigmatism with upper eyelid gold weight implantation using the combined high pretarsal and levator fixation technique.

AFFILIATION: Corneo Plastic Unit, The Queen Victoria Hospital, East Grinstead, United Kingdom.

Country: United States

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MEDLINETA: Ophthal Plast Reconstr Surg

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