Dear Editor,The presence of intraocular eyelashes following a penetrating injury or surgical intervention is rarely encountered and is usually an incidental finding in clinic1' There is significant individual diff...Dear Editor,The presence of intraocular eyelashes following a penetrating injury or surgical intervention is rarely encountered and is usually an incidental finding in clinic1' There is significant individual difference in how the eye responds to intraocular eyelashes.展开更多
BACKGROUND Crab lice(Phthirus pubis)infestation can occur at any age,to either males or females,and across all regions of the world.However,cases involving the eyelashes and adjacent eyelids(phthiriasis palpebrarum)ar...BACKGROUND Crab lice(Phthirus pubis)infestation can occur at any age,to either males or females,and across all regions of the world.However,cases involving the eyelashes and adjacent eyelids(phthiriasis palpebrarum)are rare.Usually occurring as a sexually transmitted disease,crab lice can be spread by poor hygiene or in a dirty environment through direct contact with contaminated skin(hands)or textiles(towels and clothing).CASE SUMMARY A 50-year-old woman presented to our hospital with a 2-wk history of chronic eyelid pain and itching in the right eye,which exacerbated in the evening hours and which had not resolved following a 1-wk course of antibiotics and corticosteroid ointments(for blepharitis diagnosis from another hospital).A careful ophthalmic slit-lamp and light microscope examination revealed multiple crab lice and nits on the right upper eyelashes;the right and left lower eyelashes were normal.Following the new diagnosis of phthiriasis palpebrarum,the patient was treated by removing the affected eyelashes,the crab lice,and their nits completely.Additionally,the eyelids were washed once with povidone-iodine.A follow-up examination at 2 wk later showed complete resolution of symptoms and no evidence of re-infection.CONCLUSION This case emphasizes the importance of correct diagnosis and complete removal of eyelashes,crab lice and nits to cure phthiriasis palpebrarum.展开更多
Objective: to study the clinical effect of modified double eyelid plasty in the treatment of senile upper eyelid skin relaxation with entropion and trichiasis. Methods: the clinical data of 100 elderly patients with u...Objective: to study the clinical effect of modified double eyelid plasty in the treatment of senile upper eyelid skin relaxation with entropion and trichiasis. Methods: the clinical data of 100 elderly patients with upper eyelid skin relaxation and entropion trichiasis treated in our hospital were retrospectively analyzed. All patients were treated with modified double eyelid plasty, and the clinical effect was analyzed. Results: the suture was removed 7 days after operation. The skin incision healed well, the height and radian of double eyelid were natural, the position of eyelid margin was normal, the eyelashes were far away from the cornea, and the clinical symptoms alleviated or disappeared;10 cases of slight postoperative eyelid insufficiency were improved by applying ointment after operation;There were no serious complications in 100 patients;After 12 months of follow-up, there was no recurrence of trichiasis and the double eyelids were symmetrical on both sides. Compared with before operation, the width, inclination, angle and inner canthus distance of blepharoplasty were better (P < 0.05). Conclusion: the treatment of senile upper eyelid skin relaxation with entropion trichiasis with modified double eyelid plasty can improve the state of upper eyelid skin relaxation, restore the position of eyelid to normal, and correct entropion trichiasis. Compared with before and after operation, the width, inclination, angle and distance of eyelid fissure are better, which can be used for reference.展开更多
Background:Burn-related injury to the face involving the structures of the eyes,eyelids,eyelashes,and/or eyebrows could result in multiple reconstructive procedures to improve functional and cosmetic outcomes,and corr...Background:Burn-related injury to the face involving the structures of the eyes,eyelids,eyelashes,and/or eyebrows could result in multiple reconstructive procedures to improve functional and cosmetic outcomes,and correct complications following poor acute phase management.The objective of this article was to evaluate if nonsurgical or surgical interventions are best for acute management of ocular and/or peri-ocular burns.Methods:This systematic review and meta-analysis compared 272 surgical to 535 non-surgical interventions within 1 month of patients suffering burn-related injuries to 465 eyes,253 eyelids,90 eyelashes,and 0 eyebrows and evaluated associated outcomes and complications.The PubMed,Embase,Cochrane Library,Web of Science,and Scopus databases were systematically and independently searched.Patient and clinical characteristics,surgical and medical interventions,outcomes,and complications were recorded.Results:Eight of the 14,927 studies queried for this study were eligible for the systematic review and meta-analysis,with results from 33 of the possible 58 outcomes and complications using Preferred Reporting Items for Systematic Reviews and Meta-analysis(PRISMA)and Cochrane guidelines.Surgery was associated with standard mean differences(SMD)0.44 greater visual acuity on follow-up,SMD 1.63mm shorter epithelial defect diameters on follow-up,SMD 1.55 mm greater changes in epithelial diameters from baseline,SMD 1.17 mm^(2) smaller epithelial defect areas on follow-up,SMD 1.37 mm^(2) greater changes in epithelial defect areas from baseline,risk ratios(RR)1.22 greater numbers of healed epithelial defects,RR 11.17 more keratitis infections,and a 2.2 greater reduction in limbal ischemia compared to no surgical intervention.Conclusions:This systematic review and meta-analysis found that compared to non-surgical interventions,acute surgical interventions for ocular,eyelid,and/or eyelash burns were found to have greater visual acuity on follow-up,shorter epithelial defect diameters on follow-up,greater changes in epithelial diameters from baseline,smaller epithelial defect areas on follow-up,greater changes in epithelial defect areas from baseline,greater numbers of healed epithelial defects,more keratitis infections,and a greater reduction in limbal ischemia,possibility preventing the need of a future limbal stem cell transplantation.展开更多
基金Supported by the National Natural Science Foundation of China(No.81700831)Natural Science Foundation of Shandong Province,China(No.ZR2017BH049)
文摘Dear Editor,The presence of intraocular eyelashes following a penetrating injury or surgical intervention is rarely encountered and is usually an incidental finding in clinic1' There is significant individual difference in how the eye responds to intraocular eyelashes.
基金Supported by the Youth Program of Wuxi No.2 People’s Hospital,No.YZQN16.
文摘BACKGROUND Crab lice(Phthirus pubis)infestation can occur at any age,to either males or females,and across all regions of the world.However,cases involving the eyelashes and adjacent eyelids(phthiriasis palpebrarum)are rare.Usually occurring as a sexually transmitted disease,crab lice can be spread by poor hygiene or in a dirty environment through direct contact with contaminated skin(hands)or textiles(towels and clothing).CASE SUMMARY A 50-year-old woman presented to our hospital with a 2-wk history of chronic eyelid pain and itching in the right eye,which exacerbated in the evening hours and which had not resolved following a 1-wk course of antibiotics and corticosteroid ointments(for blepharitis diagnosis from another hospital).A careful ophthalmic slit-lamp and light microscope examination revealed multiple crab lice and nits on the right upper eyelashes;the right and left lower eyelashes were normal.Following the new diagnosis of phthiriasis palpebrarum,the patient was treated by removing the affected eyelashes,the crab lice,and their nits completely.Additionally,the eyelids were washed once with povidone-iodine.A follow-up examination at 2 wk later showed complete resolution of symptoms and no evidence of re-infection.CONCLUSION This case emphasizes the importance of correct diagnosis and complete removal of eyelashes,crab lice and nits to cure phthiriasis palpebrarum.
文摘Objective: to study the clinical effect of modified double eyelid plasty in the treatment of senile upper eyelid skin relaxation with entropion and trichiasis. Methods: the clinical data of 100 elderly patients with upper eyelid skin relaxation and entropion trichiasis treated in our hospital were retrospectively analyzed. All patients were treated with modified double eyelid plasty, and the clinical effect was analyzed. Results: the suture was removed 7 days after operation. The skin incision healed well, the height and radian of double eyelid were natural, the position of eyelid margin was normal, the eyelashes were far away from the cornea, and the clinical symptoms alleviated or disappeared;10 cases of slight postoperative eyelid insufficiency were improved by applying ointment after operation;There were no serious complications in 100 patients;After 12 months of follow-up, there was no recurrence of trichiasis and the double eyelids were symmetrical on both sides. Compared with before operation, the width, inclination, angle and inner canthus distance of blepharoplasty were better (P < 0.05). Conclusion: the treatment of senile upper eyelid skin relaxation with entropion trichiasis with modified double eyelid plasty can improve the state of upper eyelid skin relaxation, restore the position of eyelid to normal, and correct entropion trichiasis. Compared with before and after operation, the width, inclination, angle and distance of eyelid fissure are better, which can be used for reference.
文摘Background:Burn-related injury to the face involving the structures of the eyes,eyelids,eyelashes,and/or eyebrows could result in multiple reconstructive procedures to improve functional and cosmetic outcomes,and correct complications following poor acute phase management.The objective of this article was to evaluate if nonsurgical or surgical interventions are best for acute management of ocular and/or peri-ocular burns.Methods:This systematic review and meta-analysis compared 272 surgical to 535 non-surgical interventions within 1 month of patients suffering burn-related injuries to 465 eyes,253 eyelids,90 eyelashes,and 0 eyebrows and evaluated associated outcomes and complications.The PubMed,Embase,Cochrane Library,Web of Science,and Scopus databases were systematically and independently searched.Patient and clinical characteristics,surgical and medical interventions,outcomes,and complications were recorded.Results:Eight of the 14,927 studies queried for this study were eligible for the systematic review and meta-analysis,with results from 33 of the possible 58 outcomes and complications using Preferred Reporting Items for Systematic Reviews and Meta-analysis(PRISMA)and Cochrane guidelines.Surgery was associated with standard mean differences(SMD)0.44 greater visual acuity on follow-up,SMD 1.63mm shorter epithelial defect diameters on follow-up,SMD 1.55 mm greater changes in epithelial diameters from baseline,SMD 1.17 mm^(2) smaller epithelial defect areas on follow-up,SMD 1.37 mm^(2) greater changes in epithelial defect areas from baseline,risk ratios(RR)1.22 greater numbers of healed epithelial defects,RR 11.17 more keratitis infections,and a 2.2 greater reduction in limbal ischemia compared to no surgical intervention.Conclusions:This systematic review and meta-analysis found that compared to non-surgical interventions,acute surgical interventions for ocular,eyelid,and/or eyelash burns were found to have greater visual acuity on follow-up,shorter epithelial defect diameters on follow-up,greater changes in epithelial diameters from baseline,smaller epithelial defect areas on follow-up,greater changes in epithelial defect areas from baseline,greater numbers of healed epithelial defects,more keratitis infections,and a greater reduction in limbal ischemia,possibility preventing the need of a future limbal stem cell transplantation.
