Guest guest Posted January 19, 2004 Report Share Posted January 19, 2004 about bleph........ > > > > > > > > > > hello & Rob > > > > I believe you are kiwis who have a child with this syndrome? > > > > I ahve just discovered this group so keen to find out more info. I > > > > think I read on one of your earlier messages that you knew something > > > > about the link between this & infertility & any tests that can be > > > > done on an affected female. Our daughter is 17 yrs & has bleph (as > > > > myself - I was the first & only in my family) & we are very ken to > > > > learn more about the connection between bleph & infertility. > > > > What part of NZ are you in? We live at Waihi Beach in the Bay of > > > > Plenty but my daughter is in Queensland at the moment. > > > > Bye for now > > > > Maree > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2004 Report Share Posted January 24, 2004 Thankyou Rob for your explanations of the surgical procedures.............appreciate the time you took to look it all up. Bye maree > Hey dudes, > > >>Hi Maree, thanks for all the info....umm wondering if maybe Noelle > or Rob > >>or someone just as clever could maybe explain a little of Maree's Medical > >>Java? > > I'll translate as best I (or my Stedman's Dictionary) can, interspersed... > > >>correct timing for this operation. Can anyone also tell me please....is > >>there different techniques to correct the Epicanthus Folds? > > There have apparently been many techniques cited over the years. Among > recent work, & Nowinski (Arch Ophthalmol 1989;107;448-452) list > the three best as: (1) Mustarde's five-flap " jumping man " , (2) 's > modification of the Blair technique (whetever that is! sorry, no info), > and (3) Double Z-plasties with Y-to-V flap. Their preference is for #3, > and these days it seems to be the most common. > > >>>I had surgery when I was a baby - the only info I have is `operations at > >>>the inner canthi for blepharophimosis`. > > Probably epicanthus inversus correction and bleph correction. > > >>> Then at age 15 I was seen by a > >>>specialist, `with bilateral ptosis & myopia with fine rotatory nystagmus > >>> & some left amblyopia`. > > That's droopy eyelids (both), short-sightedness, slight involuntary eye > movements and poor vision in one eye), respectively. There are a number > of types of amblyopia, so I can't be more specific. > > >>>He then proceeded to `shorten both levators from > >>>the under surface (Blaskovikz type of operation) > > von Blascovics appears to have pioneered the treatment of ptosis in the > 1920s. The 'levators' are the muscles that lift the eyelids. A less > common procedure these days, I believe (fascia lata slings are more > common, also known as a 'frontalis suspension', the frontalis being the > forehead muscle). > > >>> & extended the lateral > >>>[c]anthi - a definite improvement apparently. > > The lateral canthus is the outer corner of the eye, whereas the inner > corner (where the majority of the BPEI 'action' occurs) is called the > medial canthus. > > >>>My daughter, , at the age of 13yrs had `bilateral medial > >>>canthoplasties (V-Y) closures > > Both canthi, near the nose. V-Y: see above > > >>> in addition to shortening of both medial > >>>canthal ligaments (anterior ligaments)`. > > The ligament which supports the canthus by holding it towards the nose. > The anterior ones are at the front. Shortening them is a common way to > bring the canthi closer in as a treatment for telecanthus (canthi too > far apart), since there's a limit to how far the V-Y and Z-plasties can > extend the opening. > > >>>the anaesthetic so it was some years before she wanted to pursue further > >>>treatment which would be for `a mild degree of lower lid ectropion` (I > >>>think that means the lower lid is away from the eye a bit > > Yes. > > >>> - causes some problems with tears running the wrong way!) > > Yes. Also can result in, or be made worse by, the tear ducts being in an > ineffective spot, hence watery eyes, etc. > > >>>have the `repair of the upper lid ptosis - with autologous fascialata`. > > Fascia lata is the tough slippery stuff that surrounds the thigh > muscles, keeping them in their shape and allowing them to slide against > each other. Autologous means (grafts, transplants, etc) from/to the same > person. I.e. using one's own fascia lata rather than someone else's. > > Now my poor thrashed medical dictionary is about to catch fire, so away > with me! > > Rob Quote Link to comment Share on other sites More sharing options...
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