Aims-To assess the eVectiveness of enucleation or evisceration in relieving pain from painful blind eyes. Methods-24 patients with intractable ocular pain underwent enucleation or evisceration with or without an orbital implant. Results-Complete pain relief was achieved in all patients at an average time of 3 months (range 1-15 months). Seven patients required further medical or surgical treatment in addition to removal of the globe. Conclusion-Enucleation and evisceration were eVective in relieving ocular pain in all patients with a painful blind eye in our study. However, complications of surgery and orbital implants can cause recurrent pain. (Br J Ophthalmol 2000;84:437-438)

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Digital image analysis allows an objective assessment of the upper eyelid marginal contour after ptosis repair. A nasal shift in the upper eyelid marginal peak has been identified in ptotic eyes (as compared with the contralateral side) and, after successful ptosis repair, there is a significant temporal shift to match the unoperated fellow eye.

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