Posted by firstname.lastname@example.org - Posted on 08/22/2015 18:07:33
76 year old with constant tearing and eye pain has the apperance of the lid shown in the picture. What is the best way to manage this patient?
Mostly seen in teh lower lids secondary to a combination of horizontal lid laxity, attenuation or disinsertion of the eye lid retractors, overriding of preseptal orbicularis and involutional enophthalmos
Treatment: Horizontal eyelid tightening (tarsal strip) along with marginal rotation of through a full thickness horizontal eyelid incision (Wies procedure) to advance the retractors.