* BACKGROUND: Chalazia are not uncommon in children. If conservative therapy for them fails, incision and drainage are necessary and usually require a general anesthetic, which increases costs and risks. * PATIENTS AND METHODS: Five children (3 to 8 years old) had a eutectic mixture of lidocame and prilocaine applied to the skin of the eyelid for 1 hour. Then local anesthetic was injected into the same site. * RESULTS: The local anesthetic injection was painless, permitting successful incision and drainage in all cases. * CONCLUSION: Lidocaine-prilocaine cream permits local anesthetic injection into the eyelids, facilitating office-based management of chaiazia in children. [Ophthalmic Surg Lasers 1996;27:431-433.]

* BACKGROUND AND OBJECTIVE: A mechanized micropigmentor with a triple prong tip was used to tattoo two corneas for cosmetically unacceptable blemishes. * PATIENTS AND METHODS: Two adult patients with cosmetically disfiguring corneal blemishes in sightless eyes requested cosmetic improvement. With a mechanized micropigmentor, appropriate pigment was directly inoculated through the epithelium. * RESULTS: After 2 and 3 years of follow-up, respectively, there have been no complications and there has been minimal fading. * CONCLUSION: This mechanical device facilitates many more penetrations to introduce pigment, with a more uniform depth than can be achieved by freehand methods. [Ophthalmic Surg Lasers 1996;27:25-28.]

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A combined endocavitary (laparoscopic) and endoluminal (coloscopic) approach allows to compensate methodologic restrictions of both procedures. With this procedure local excisions of the colonic wall in localised, (still) benign lesions are feasible. Combined procedures were applied in 33 patients with colonic lesions. The conversion rate was 9%. In 2 cases anastomotic fistulae were seen, which could be treated conservatively. The postoperative time of hospitalisation was 10 days. In patients with uncomplicated local excisions this time period was markedly shorter than in patients with segmental resection of the colon (9 versus 11 days). The simultaneous colonoscopy during laparoscopic procedures of the colon is valuable in cases of local excision of localised benign lesions. In cases where the findings a priori imply a laparoscopic segment resection, intraoperative colonoscopy is not necessary in the first place.