Faculty Bibliography

Fifteen patients with paralysis of the 7th and 5th nerves or the 7th nerve alone were treated with an encircling silicone prosthesis. There has been no serious ocular complication observed over the last 3 years. The prosthesis has been removed in 9 of the 15 patients in whom good 7th nerve recovery has occurred. In the remaining 6 patients, the prosthesis is being well tolerated

The goal of cosmetic blepharoplasty is to obtain an improvement in the appearance of the eyelids without causing functional or symptomatic alterations in the patients. Patients with undiagnosed problems in tear production who have cosmetic blepharoplasties are a common source of extremely dissatisfied patients with alarming ocular symptoms. Although keratoconjunctivitis sicca is the most common manifestation of an abnormal tear film state, there are other conditions of which the eyelid surgeon should be aware. Knowledge of methods used in the diagnosis of states of tear deficiency will allow the surgeon to better select candidates for cosmetic eyelid procedures