Linear nevus sebaceous syndrome (LNSS) is characterized by nevus sebaceous, mental retardation, seizures, and ocular abnormalities such as complex limbal choistoma. A young male with history of mass in right eye and blackish discoloration of skin over right and left side of forehead since birth presented with foreign body sensation and diminished vision in right eye. Ocular examination showed mass over epibulbar region with chorioretinal coloboma and posterior staphyloma in right eye and megalocornea in left eye. Histopathology report revealed complex limbal choristoma with compound melanocytic nevus. The case was managed by surgical excision of the limbal mass and filling the gap with scleral graft.
Blepharoplasty is a common aesthe c procedure performed among affl uent Asians. The most common group of popula on addressed with this surgery consists of elderly pa ents. Blepharoplasty is about sculpturing and contouring of the upper lid. As with any cosme c surgery, pa ent expecta ons are high and some mes unrealis c, hence it is of paramount importance to thoroughly understand, evaluate and establish the plan of surgery. The aim of this ar cle is to highlight the pathophysiological changes occurring in ageing lids and the various techniques for perfec ng upper and lower lid blepharoplasty.
Surgical classical DCR with external approach is considered as mainstay treatment with higher success rates for nasolacrimal duct obstructions. But In certain conditions, Transcanalicular endonasal laser DCR is proven more advantageous than classical DCR due to less complications like bleeding and low morbidity with acceptable success rate. The purpose of this study is to study the success rate and complications of Transcanalicular laser-assisted endoscopic dacryocystorhinostomy. We present our experience of transcanalicular enonasal laser DCR done in 50 patients with 6 month follow-up period. Diode laser was used to create ostium in all cases. Success rate of surgery is defined by patent sac syringing at each follow-up visit in most cases. Complications observed like bleeding, lid edema and pain are minor and easily manageable. At the end of our study, the final success rate is around 60% which is acceptable and comparable to other studies. Transcanalicular laser-assisted DCR, is a newer approach for nasolacrimal duct obstruction with good success rate and minimal complications with Shorter surgical time, faster recovery and better cosmesis than external classical DCR.
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