The Experts below are selected from a list of 12 Experts worldwide ranked by ideXlab platform

Amar Agarwal - One of the best experts on this subject based on the ideXlab platform.

  • Transient inverse Bells Phenomenon following frontalis sling surgery
    2017
    Co-Authors: Dhivya Ashok Kumar, Amar Agarwal
    Abstract:

    Downward and inward movement of eyeballs on voluntary lid closure is known as Inverse Bells Phenomenon. This has been known to happen after maximal Levator resection surgeries. We present similar reversal of normal Bells Phenomenon to Inverse Bells following Frontalis sling surgery in a young female patient with congenital ptosis. The inversion became normal after 2 weeks with conservative management. We believe that this report can add to the existing literature that inverse Bells shall occur not only in Levator surgery but also following frontalis sling and the surgeon should be well aware of such complication.

Dhivya Ashok Kumar - One of the best experts on this subject based on the ideXlab platform.

  • Transient inverse Bells Phenomenon following frontalis sling surgery
    2017
    Co-Authors: Dhivya Ashok Kumar, Amar Agarwal
    Abstract:

    Downward and inward movement of eyeballs on voluntary lid closure is known as Inverse Bells Phenomenon. This has been known to happen after maximal Levator resection surgeries. We present similar reversal of normal Bells Phenomenon to Inverse Bells following Frontalis sling surgery in a young female patient with congenital ptosis. The inversion became normal after 2 weeks with conservative management. We believe that this report can add to the existing literature that inverse Bells shall occur not only in Levator surgery but also following frontalis sling and the surgeon should be well aware of such complication.

Subha S S - One of the best experts on this subject based on the ideXlab platform.

  • Ocular manifestations of leprosy and its management
    2009
    Co-Authors: Subha S S
    Abstract:

    INTRODUCTION: Hansens disease is a granulomatous infectious disease caused by Mycobacterium leprae. It affects mainly peripheral nerves but it can also affect skin, muscles, eye, bone, testes and internal organs. Although much improved in last 25 years, knowledge of the pathogenesis, course, treatment and prevention of the disease continues to evolve. The skin lesions and deformities were historically responsible for stigma attached to the disease. The introduction of MDT in early 1980 had begun to have an impact on the transmission of disease and severity of its attending complications. Eye involvement in leprosy is quite common. Its complications, particularly sight threatening complications, if neglected will lead to blindness. Good vision is required not only for performance of routine activities but also for the care of anaesthetic hands and feet. Loss of eyesight in a person who already have anaesthesia in hands and feet is a disaster. Ocular lesions range from chronic irritation of eyes to blindness. The incidence of eye involvement in leprosy is stated to be anywhere from 15 % (tuberculoid) to 100% in long standing lepromatous leprosy. Ocular involvement had been seen even in patient who have completed the MDT. Every year, approximately 5.6% of patients with multibacillary leprosy who completed MDT can be expected to develop new ocular complications of leprosy which often (3.9%) are potentially vision threatening. Similarly complications can occur during MDT therapy and during relapse of the disease. Ocular morbidity like orbicularis weakness and lagophthalmos are found to be more in patients with reversal reaction. Elderly, deformed, skin smear positive lepromatous patients are associated with increased ocular morbidity and form a group that require acceptable and accessible eye care. This study aims at determining the incidence of various ocular manifestations of leprosy and its management. AIMS AND OBJECTIVES: 1. To analyse the ocular manifestations of leprosy in a hospital population. 2. To analyse the incidence of ocular complications and visual outcome. MATERIALS AND METHODS: A prospective and descriptive study on ocular manifestations of leprosy and its management was conducted in Government Rajaji Hospital – Department of ophthalmology, Madurai. This study was conducted from January 2007 to Dec-2007, during which 46 patients with ocular manifestations were analyzed. In this study all the patients with systemic leprosy who presented to the department of Dermatology outpatient were referred to the department of Ophthalmology and screened for ocular manifestations.CONCLUSION: In this prospective and descriptive study done in Government Rajaji Hospital during January 2007 to December 2007, 46 patients with ocular leprosy were analysed. Among these 46 patients who presented with ocular leprosy, 4 patients had history of lepra reaction. Cataract surgery alone was done in 19 patients. Combined surgery was done in 1 patient. 95% of patients had good visual outcome after cataract surgery. Temporary lateral tarsorraphy was done in 8 patients of lagophthalmos having inadequate Bells Phenomenon. Majority of these patients had developed ocular manifestations despite completing anti-leprosy treatment with good compliance, thus emphasizing the importance of monitoring patients even after completing treatment. Majority of patients treated for ocular inflammation had good visual outcome

Erna Riani - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
    'Fakultas Kedokteran Universitas Sriwijaya', 2016
    Co-Authors: Sabatini, Shaelva Lassa, Erna Riani
    Abstract:

    Ptosis repair is a challenging oculoplastic surgical procedure that requires correct diagnosis, thoughtful planning, thorough understanding of eyelid anatomy, experience, and good surgical technique. Ptosis can causefunctional problem and cosmetic issue.Thisstudywasreport 2 cases of congenital myogenic ptosis which were treated with frontalis suspension surgery.Case report,a 11-year old and a 20-year old girl came to our clinic with chief complain drooping in the upper eyelid RE since their childhood. Patients also complained difficulty of reading. The degree of ptosis during the day was the same. No diplopia, dysphonia, dyspnea, and dysphagia. VA 20/20 in the both eyes. Ocular motility were normal. MRD1 0 mm, FP 5 mm, no upper eyelid crease, LF 4 mm, no lagophthalmos, eyelid lag present, upper eyelid RE higher than LE in down gaze, and Bells Phenomenon normal. Light reflex of pupil positive and diameter 3 mm in standard room illumination. Schimer test and TBUT were within normal. We diagnosed these patients with congenital myogenic ptosis RE and performed frontalis suspension surgery with autogenous tensor fascia lata.Postoperative, for first patient we got MRD1 2 mm and FP 7 mm. For second patient we got MRD14 mm and FP 9 mm. Patients had no complain drooping in the upper eyelid RE and difficulty of reading anymore.Frontalis suspension surgery is a way to treat patient with congenital myogenic ptosis who have poor levator function

Sabatini, Shaelva Lassa - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Congenital Myogenic Ptosis with Frontalis Suspension Surgery
    'Fakultas Kedokteran Universitas Sriwijaya', 2016
    Co-Authors: Sabatini, Shaelva Lassa, Erna Riani
    Abstract:

    Ptosis repair is a challenging oculoplastic surgical procedure that requires correct diagnosis, thoughtful planning, thorough understanding of eyelid anatomy, experience, and good surgical technique. Ptosis can causefunctional problem and cosmetic issue.Thisstudywasreport 2 cases of congenital myogenic ptosis which were treated with frontalis suspension surgery.Case report,a 11-year old and a 20-year old girl came to our clinic with chief complain drooping in the upper eyelid RE since their childhood. Patients also complained difficulty of reading. The degree of ptosis during the day was the same. No diplopia, dysphonia, dyspnea, and dysphagia. VA 20/20 in the both eyes. Ocular motility were normal. MRD1 0 mm, FP 5 mm, no upper eyelid crease, LF 4 mm, no lagophthalmos, eyelid lag present, upper eyelid RE higher than LE in down gaze, and Bells Phenomenon normal. Light reflex of pupil positive and diameter 3 mm in standard room illumination. Schimer test and TBUT were within normal. We diagnosed these patients with congenital myogenic ptosis RE and performed frontalis suspension surgery with autogenous tensor fascia lata.Postoperative, for first patient we got MRD1 2 mm and FP 7 mm. For second patient we got MRD14 mm and FP 9 mm. Patients had no complain drooping in the upper eyelid RE and difficulty of reading anymore.Frontalis suspension surgery is a way to treat patient with congenital myogenic ptosis who have poor levator function