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Melkersson-Rosenthal syndrome is an uncommon disorder of uncertain aetiology characterized by orofacial oedema, facial nerve palsy and lingua plicata. The triad is seldom seen in its complete form, and oligo-symptomatic or mono-symptomatic forms are more common. An unusual case of Melkersson-Rosenthal syndrome involving the left upper eyelid is presented. The pathology, clinical features and management of this disorder are discussed.

Aims-To verify and evaluate the eVect of reinsertion of the lower eyelid retractor aponeurosis to correct involutional entropion. Methods-The involutional entropion is one aVection that occurs mainly in the lower eyelid of patients over 60 years old. The surgical techniques proposed to correct this condition are based on correction of horizontal laxity-the preseptal orbicularis muscle overrides the pretarsal muscle, and the reinsertion of the lower eyelid retractor aponeurosis. 30 patients clinically diagnosed with involutional entropion and randomly selected underwent reinsertion of the lower eyelid retractor aponeurosis to the tarsal plate, without horizontal shortening or resection of the skin or orbicularis muscle. Results-Good anatomical and functional correction was achieved in 96.6% of the patients and no recurrence was observed on 29 month follow up examination. The surgical result was very satisfactory. Conclusions-It was concluded that this procedure is eVective and has low recurrence rate, showing the important role of the reinsertion of the lower eyelid retractor aponeurosis in this surgical correction. (Br J Ophthalmol 2000;84:606-608)

A paracoccidioidomicose (Pbmicose) é a micose profunda mais freqüen-te no Brasil, mas o acometimento ocular é raro e, quando presente, geralmente secundário. Os autores relatam caso de Pbmicose pálpebro-conjuntival em que não foi encontrado foco extra-ocular. É feita uma revisão da literatura e discutida a importância da suspeita diagnóstica em população de risco e do tratamento precoce desta condição para o bom prognóstico visual. Primary paracoccidioidomycosis of eyelid and conjunctiva

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