Acesso posterior para implante de peso de ouro

Eing, Felipe; Marquardt, F.; Cavalheiro, Rodrigo da Costa Ratto; Cruz, Antônio Augusto Velasco e

doi:10.1590/s0004-27492008000500017

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…Rigid implants such as gold or platinum and exible implants can also be used. Implants can be placed in different localizations as a single piece or multi-piece [20,21]. Post-implantation complications such as foreign body reaction, allergic reaction, redness, astigmatism, entropion, and implant exposure may occur [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the reliability, utility, and quality of the lid loading videos on YouTube

et al. 2022

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It is aimed to determine the utility, reliability and quality of the lid loading videos on YouTube, a video sharing platform. Methods:A YouTube searches were made with the keywords 'Eyelid Loading', 'Gold Weight Implantation', 'Lid Loading for Lagophthalmos' (without user login, cleared search history, in incognito tab). A total of 75 videos were recorded. Length of videos (seconds), number of views, uploaded source (doctor/health institution/medical channel), number of subscribers, number of likes, time since uploading (days), video content (surgical/theoretical information), type of narration (verbal narration/subtitle) recorded. DISCERN, The Journal of the American Medical Association (JAMA), and Global Quality scores of the videos were evaluated and recorded by two experienced oculoplastic surgeons (KSC, HT). Results:After the exclusion criteria, the remaining 46 videos were included in the study. The mean DISCERN score was 25.17 ± 6.88 (very poor quality), the JAMA score was 0.79 0.63 (very poor quality), GQS was 2.84 ±1.03 (medium quality). Thirty videos (65.2%) had verbal narration and 16 videos (34.8%) had subtitled narration. The DISCERN score and GQS were signi cantly higher in the videos with verbal narration compared to the narration with subtitles (p<0.05). All 3 scores were positively correlated with each other. There was also a positive correlation between video length, number of subscribers, and DISCERN score. Conclusions:The videos about lid loading on YouTube are of poor reliability, accuracy, and educational quality. The duration of the video and the type of narration can be kept in the foreground when choosing the video.Experts must review the content that is uploaded to websites like YouTube.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the reliability, utility, and quality of the lid loading videos on YouTube

et al. 2022

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“…We appreciated the article by Elahi et al, 1 but we missed the credit to our paper from 2008 describing the transconjunctival insertion of gold weights in 13 patients. 2 We have promoted this technique in several meetings, including in the 2013 ASOPRS fall meeting with a poster entitled “Upper eyelid contour analysis after posterior insertion of gold weight.” In this poster, we have shown that the most common contour abnormality in patients with long-term postoperative time was a flattening of the central portion of the eyelid associated with ptosis. A few years later (2016), a second paper on this technique “Short incision, posterior approach upper eyelid gold weight implantation” was rejected in OPRS.…”

Section: To the Editormentioning

confidence: 99%

Re: “Sutureless Transconjunctival Insertion of Eyelid Weights: A Novel Technique”

Cruz

2022

Ophthalmic Plastic &Amp; Reconstructive Surgery

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In the article, "Efficacy and Complications of External and Internal Pediatric Blepharoptosis Repair Techniques: A Systematic Review," Lim et al. review and evaluate the efficacy and complication rates of external and internal blepharoptosis repair techniques in pediatric patients. 1 They find both techniques to be successful.In their discussion of the Müller muscle-conjunctival resection, they state that only Mokhtarzadeh and Bradley 2 have reported distinct outcomes for pediatric patients receiving the Müller muscle-conjunctival resection in their 2015 publication. They had 6 patients who did not require revision. However, in the original 1975 publication of the Müller Muscle-Conjunctival Resection, Urist and I reported on 9 congenital blepharoptosis cases. 3 In 1 patient with a 3 mm congenital blepharoptosis, the upper eyelid responded only 1 mm during the phenylephrine test. This was one of our first cases, and we decided to attempt a Müller muscle-conjunctival resection. Postoperatively, the eyelid elevated only 1 mm; this was our only failure in that group of patients. In another case, the patient was severely mentally retarded. The phenylephrine test produced an MRD1 of -1 mm, which elevated the eyelid almost to the pupil and presumably improved vision. The surgical procedure produced a similar level and was believed to be the method of improving vision with the least risk of exposure keratopathy in this institutionalized patient. We found a difference of only 0.5 mm, or less, between the upper eyelid level after the phenylephrine test, compared to the final postoperative result in all 7 other patients who underwent the operation.Later, in 1986, I reported on the results of my first 10 years of the Müller muscle-conjunctival resection procedure. 4 Nineteen eyelids had congenital blepharoptosis. Ten of these had no difference in upper eyelid levels postoperatively. Six had 0.5 mm difference, 2 1 mm difference, and 1 1.5 mm. Eighty-four percent (84%) of these lids achieved an MRD1 of 2.5-5 mm, and in 16%, the MRD1 was 0.5-2 mm.I hope this additional information will further support the authors' "Efficacy of Internal Pediatric Blepharoptosis Procedures."

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