Aims & Objective: To compare the cosmetic and functional results of frontalis suspension in congenital blepharoptosis using Silicone sling versus polypropylene. Materials and Methods: A retrospective study, that was conducted at tertiary care hospital from 1st January 2018 to December 2021, thirty two patients with age ranging from 5-50 years, with congenital ptosis having levator function of 4 mm or less were randomly divided into two groups: Group I (which included 16 patients who underwent frontalis brow suspension using silicon rod) and Group II (which consisted of 16 patients who underwent frontalis brow suspension using prolene). After proper pre-operative assessment frontalis brow suspension was performed under general / local anaesthesia. Post-operative cosmetic results, recurrence rates and associated complications were compared between these 2 groups. Final results were taken to be those at 1 month, 6 months' post-operative. Results: The mean age of the silicone group was 26.4 +/- 18.6 years while it was 26.6 +/- 21.4 years for the prolenegroup. There was a male predominant distribution in both groups (9:1 silicone, 7:3 prolene ). The mean late postoperative margin reflex distance (MRD) and palpebral fissure height (PFH) for silicone group was1.76 +/- 1.02, 9.45 +/- 2.34 while for the prolene group was0.65 +/- 0.54 , 6.56 +/- 2.74 respectively . Patients in silicone group had significantly higher PFHs (P<0.0001) and ( P< 0.005) as well as MRDs (P<0.0007) and (P< 0.054) at 6 month and 1 months postoperatively compared to those in prolene group Good cosmetic success graded by lid contour, symmetry, and crease in the silicone group was recorded in 81.25% (13/16), 56.25% (9/16), and 68.75% (11/16) of patients, respectively.In the prolene group, 56.25% (9/16) of patients experienced good outcomes in both contour and symmetry. However, 43.75% (7/16) of this group had good crease outcomes.Frontalis brow suspension showed significantly good cosmetic and functional results using silicone tube (93%) as compared to prolene (69%). Conclusion: The established treatment for ptosis with poor levator function is frontalis sling suspension surgery. The upper ptotic lid is attached to the frontalis muscle and the lid is elevated actively on elevating brow. The use of silicone rod in tarsofrontalis sling surgery for congenital ptosis repair is a safe and effective surgery, with few complications and easy removal and adjustment.

To present the demographic and clinical profile and management strategies of patients with periocular and orbital amyloidosis. This study retrospectively reviewed the clinical records of twelve patients with periocular and orbital amyloidosis between January 2011 and February 2019 in Bangladesh. Clinical evaluation and Imaging studies were helpful to diagnosis the patients, but surgical biopsy followed by histopathological study was done to confirm the diagnosis. All cases were investigated to rule out systemic amyloidosis with limited facility and no systemic involvement was found. Informed written consent for surgical procedure and Clinical photographs were taken for all patients for documentation and clinical research. The study included thirteen patients including nine male (69.2%) and four female (30.8%) patients. Among the patients, seven (53.8%) were unilateral and six (46.2%) were bilateral. Clinical signs and symptoms were visible or palpable periocular mass or tissue infiltration in all 13 (100%) cases, mechanical ptosis was observed in 6 (46.2%) cases, and proptosis or globe displacement was found in 4 (30.8%). Age ranges from 25 years to 65 years. The Mean age ± SD was 48.23 ± 10.64 years. Treatment modalities were mainly open surgical biopsy either excision (53.8%) or debulking (46.2%). Periocular and orbital amyloidosis may present with a wide spectrum of clinical findings depending on the location of the disease. The goal of treatment is to preserve function and to prevent sight-threatening complications.

Blepharoptosis, or ptosis of the eyelid, refers to drooping of the upper eyelid .The condition is cosmetically noticeable even in the earliest stages .It usually results from a congenital or acquired abnormality of the muscles that elevate the eyelid. Ptosis may be the presenting sign or symptom of a serious neurologic disease. Regardless of the etiology, when ptosis obstructs vision, it is disabling. The appropriate management requires recognition of the underlying cause. we discuss the clinical approaches to the management of ptosis .This review article highlights the various aspects of ptosis evaluation and management.

Retinal vein occlusion refers to the closure of the central retinal vein that drains the retina or to that of one of its branches. Central retinal vein occlusion (CRVO) is caused by age related changes in the retinal vessels. Bilateral CRVO is a relatively rare event. Only less than 10% cases are bilateral, simultaneous bilateral CRVO is very rare. We are presenting a case report regarding a middle aged patient with history of trauma who presented with bilateral CRVO in the depatment of ophthalmology, BIRDEM General Hospital, Dhaka. After detailed clinical work up and invesigation a diagnosis of bilateral CRVO secondary to trauma was made. DOI: http://dx.doi.org/10.3329/bmj.v43i1.21377 Bangladesh Med J. 2014 January; 43 (1): 33-35