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Objective: To compare efficacy, durability and postoperative complications of frontal suspension with the use of autologous fascia lata, silicone sling or polypropylene suture. Methods: A descriptive, analytical, observational and retrospective study of patients with severe ptosis who underwent frontalis suspension, during a 2-year period. Data analyzed included comparative margin to reflex distance, palpebral fissure, and complications. Results: Fascia lata was the material that provided the best results of margin to reflex distance and palpebral fissure in the postoperative analysis after one year. In addition, it had the lowest rate of complications (10%) and no cases of infection. Silicone sling ranked second in best results (5% of infection and 5% of recurrence), followed by polypropylene suture (15% of undercorrection and 5% of recurrence). Conclusion: Fascia lata was shown to be superior to other materials regarding durability of the effect and improvement of ptosis, as well as lower rate of complications. [ABSTRACT FROM AUTHOR]

Sixty-nine (69) year old patient with severe upper eyelid entropion following surgical correction of ptosis through levator muscle aponeurosis advancement and reinsertion. The aponeurosis advancement appeared to be much lower than typically intended, and surgical repair was performed via aponeurosis re-fixation into the superior 1/3 of the tarsal plate, with subsequent improvement in the aesthetic and functional outcome, and a satisfied patient. Due to the inferiorly located tarsal sutures, the tarsal plate acquires a U-shape due to a central fold and an inferior rotation of its upper half, resulting in entropion formation. This case highlights the importance of taking great care when advancing the levator muscle in ptosis due to levator aponeurosis dehiscence, particularly in elderly patients, so as to avoid vertically folding the superior tarsal plate. [ABSTRACT FROM AUTHOR]

The purpose of this report is to describe a case of external ophthalmomyiasis, discussing the clinical picture, differential diagnoses and treatment options. The information was obtained by means of a review of the medical record, an interview with the patient and a photographic record of the diagnostic and therapeutic methods to which the patient was submitted. Data were analyzed together with an extensive review of the literature. Our article reports a case of a patient who was initially diagnosed and treated for pre-septal cellulitis and after evaluation by a specialist in oculoplastics, the diagnosis and appropriate treatment for ophthalmomyiasis was performed. It also reveals the importance of this diagnosis, infrequent in large urban centers, its treatment and evolution. [ABSTRACT FROM AUTHOR]

Introduction: Blepharoplasty became the second most frequent aesthetic procedure in the USA, promoting an increase in the patients' quality of life and self-esteem. It is one of the least invasive aesthetic surgeries, and when it is well executed, it is proved to be the best and safest way to have a facial rejuvenation. However, discrete and ephemeral rare surgery complications may occur, like edemas and bruises, amaurosis, is one of the permanent difficulties that may cause a great damage to the patient. Other clinical presentations of these complications are hematomas, oculomotor abnormalities, lagophthalmos, hemorrhages, infections and palpebral ptosis. Methods and Materials: A retrospective revision study of 185 medical records of patients conducted to blepharoplasty from July to December 2016. Results: From the 185 patients, 164 (88,6%) of them were female and 21 (11,3%) were male. The average age handled in this study was 57,6 years. Three cases of postoperative complications (1,62%) were found, making observations in three different patients. Two of the patients (1,08%) suffered from pre-septal infection, and one (0,54%) patient suffered of unilateral palpebral ptosis. Conclusion: The blepharoplasty was proved to be an excellent surgery procedure, safe and with a high rate of patient satisfaction. [ABSTRACT FROM AUTHOR]

A case of fibroblastic meningioma is reported in a bovine, presenting depression, purulent nasal discharge, bruxism, eyelid ptosis, tongue paralysis, and trismus. At necropsy there was a tumor in the region of the right frontal cortex, occupying the right lateral ventricle. Microscopically it was composed by neoplastic meningothelial cells. The diagnosis was performed based on histologic characteristics and confirmed by immunohistochemistry revealing that tumor cells were positive for vimentin and negative to cytokeratin, glial fibrillary acidic protein, and neuron specific enolase. Diseases of the central nervous system are important in cattle in the semiarid region of northeastern Brazil, and tumors of the brain and spinal cord should be included in the differential diagnosis of this group of diseases. [ABSTRACT FROM AUTHOR]