Objective: To evaluate lid-wiper epitheliopathy (LWE) in contact lens users and in patients with symptoms characteristic of dry eye but with normal dry-eye tests and to compare the results with those of controls. Methods: One hundred fifty-five patients were enrolled in the study and were divided into three groups. The first group included 69 contact lens users, the second group included 46 patients with dry eye, and the third group included 40 controls. The contact lens users were also divided as symptomatic and asymptomatic according to the Standard Patient Evaluation of Eye Dryness questionnaire and Ocular Surface Disease Index. The patients were examined for LWE with three different dyes (fluorescein, rose bengal, and lissamine green). The results were compared using chi-square and T tests. Results: More LWEs were detected in the contact lens and dry-eye groups compared with controls. In the contact lens group, 67% of the symptomatic patients and 32% of the asymptomatic patients showed LWE. The difference was statistically significant (P ϭ 0.001). No significant correlation was found between LWE and the dry-eye tests (fluorescein breakup time and Schirmer test). Conclusions: LWE should be investigated in symptomatic contact lens users and in patients with symptoms characteristic of dry eye but with normal dry-eye tests. Lid wiper may traumatize the corneal epithelium and increase the sensitivity of the cornea. This could be the main cause of the symptoms in patients without any significant dry-eye test findings. P arsons 1 was the first to report that a portion of the marginal conjunctiva of the upper eyelid was in contact with the ocular surface. In 1965, Ehlers 2 pointed out the rubbing effect of a localized part of the upper eyelid on the bulbus oculi. In addition, Kessing 3 observed the contact of the upper eyelid with the ocular surface on the basis of radiologic findings.Lid-wiper epitheliopathy (LWE) is a recently defined entity that is correlated with dry-eye symptoms in contact lens users. 4 Korb et al. 4 reported that 80% of symptomatic contact lens wearers showed staining of the lid wiper, indicating LWE. This entity involves epitheliopathy of a portion of the marginal conjunctiva of the upper eyelid. This is called lid wiper because that aspect of the marginal conjunctiva of the upper eyelid wipes the ocular surface during eye blinking. 4 This region reaches horizontally from the upper punctum to the outer canthus. 4 LWE is an entity found in both contact lens users and individuals who have dry-eye symptoms and who have never worn contact lenses. 4 In a study by Korb et al., 5 LWE was investigated in patients with and without symptoms who had not used contact lenses during the previous 6 months, with normal fluorescein breakup time (FBUT) and Schirmer test values and an absence of fluorescein corneal staining. They found a statistically significant difference in the prevalence of LWE between the symptomatic and asymptomatic patients. Staining was observed in 76% of the symptomatic patients and 1...

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Olopatadine hydrochloride 0.1% is an effective agent for relieving the signs and symptoms of vernal keratoconjunctivitis. Also, it reduces the number of goblet cells, which, in turn, decreases the amount of mucus discharge in vernal keratoconjunctivitis during treatment.

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Soft contact lenses and rigid gas-permeable contact lenses cause corneal thickening and corneal flattening in the first months, but they cause corneal thinning and corneal steepening with time. These alterations can be evaluated as evidence that contact lenses negatively influence corneal physiology.

Purpose. To describe the long-term results of frontalis suspension using autogenous fascia lata in children with congenital ptosis under 3 years old. Methods. Forty three-eyes of 35 patients were enrolled in the study. Frontalis suspension using autogenous fascia lata was performed in all patients. The postoperative eyelid level, ptosis recurrence, visual acuity, and cosmetic results were evaluated. Results. The mean age of the patients was 16.8 ± 9 months (7–36 months). The mean follow-up time was 52.8 ± 15 months (14–95 months). All patients had good (ptosis <2 mm) or moderate (2-3 mm ptosis) eyelid level after the operation. All patients achieved satisfactory cosmetic results. Succesfull harvesting was performed in all cases and no additional materials or surgical manipulation were needed during the surgery. Conclusion. Frontalis suspension using autogenous fascia lata can be used in children under 3 years old without harvesting problems. Surgical experience and good knowledge of anatomy are important factors for successful results after the surgery.

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Transcanalicular dacryocystorhinostomy (TCDCR) with diode laser is a minimally invasive technique with good cosmetic results. The reported complication rate is low. In this brief report, the authors describe a patient with tissue necrosis and nasal-cutaneous fistula after TCDCR. A 65-year-old woman attended the authors' clinic 1 month after TCDCR. Examination revealed a large tissue defect and nasal-cutaneous fistula in the medial canthal region. Aspergillus growth was noted in culture specimens taken from the nasal cavity. The patient was treated with intravenous amphotericin B. The treatment resulted in granulation and closure of the defect.