Evaluation of Satisfaction Regarding Patient's Management of Ocular Surface Diseases
Eyelid DiseasesMulticentric study, open label, uncontrolled phase IV in 30 patients with meibomian glands dysfunction . Its objective is to Collect information from patients and ophthalmologists specialized in ocular surface and eyelids to anticipate how Blephasteam ® can be optimized. This study involves 2 visits, visit of Inclusion, J0, then end of study visit, D21. Between the two visits patients will be treated with Blephasteam ® for 21 days (up to two uses per day) and complete a questionnaire every two days during the first week and then once a week the next two weeks.
Managment of Tear Trough Deformity
Eyelid DiseasesThe tear trough deformity is a challenging cosmetic condition.surgical treatment and filling are good treatment options
Topical Antibiotic Prophylaxis for Eyelids
Antibiotic Side EffectEyelid; Wound8 moreThe investigators propose a prospective randomized control trial testing the hypothesis that routine topical antibiotic prophylaxis does not significantly reduce the rate of infection after eyelid surgery.
Small Incision Technique Versus Upper Blepharoplasty in Upper Eyelid Medial Pad Fat Removal
Eyelid DiseasesMedial upper eyelid pad of fat bulge is a common problem. Small incision surgery could be a time-efficient, minimally invasive and scar formation procedure .
Surgical Treatment of Lower Eyelid Involutional Entropion and Dermatochalasis
Eyelid Diseaseslower eyelid involutional entropion and dermatochalasis are common associated problems. combined approaches give good results.
The Role of Local Tranexamic Acid on Periorbital Oculoplastic Surgery
Eyelid DiseasesPeriorbital Disorder2 moreThis study investigates the effect of tranexamic acid, a medication that helps reduce bleeding, in patients undergoing surgeries around their eyes.
Clinical Safety Study on an Eyelid Warming Device to Evaluate the Eyelid and Cornea Temperature...
Eyelid DiseasesThe eyelid warming device is designed to relieve the symptoms of dysfunction of the glands in the eyelids. Prospective, non comparative, open, monocentre study. The objectives are: To verify and establish the temperature of the eyelids and cornea for each eye before and after 10 minutes device application To evaluate the ocular surface, NIBUT and IOP before and after device application To determine the acceptability of healthy volunteers on the practical use of this device The subjects will attend 2 visits.
Transconjunctival vs Transcutaneous Anaesthesia in Oculoplastics
AnesthesiaLocal1 moreEyelid surgery is commonly performed under local anaesthesia. For many such procedures, the local anaesthetic injection may be given either transcutaneously (through the skin) or transconjunctivally (through the conjunctiva, i.e. from the inner surface of the eyelid after administration of topical anaesthetic drops). Both methods are commonly used, sometimes in combination. Currently, the choice of route is largely determined by surgeon preference, but it is not known whether one method is better or more comfortable than the other. Our study will compare the two methods of local anaesthetic administration, in terms of patient comfort during anaesthetic administration, efficacy (i.e. whether any additional anaesthetic is needed during surgery), and adverse effects (e.g. bruising, postoperative double vision). We will recruit adult patients who are due to undergo eyelid surgery on both sides under local anaesthesia, on Miss Siah's lists at Southampton General Hospital or Lymington Hospital. Patients will receive topical anaesthetic eye drops to both eyes, followed by an injection of local anaesthetic to each eyelid. One side will be administered transcutaneously, and the other side transconjunctivally. The order be randomised. After the injections, participants will be asked to rate their pain levels during each injection on a standardised numerical scale (1-10). A photograph will also be taken, so that an independent assessor can subsequently rate the extent of any bruising. The eyelid surgery will then be performed as normal, with any need for further anaesthetic during the surgery being recorded. Patients will attend for their normal follow-up appointment afterwards and any postoperative complications will be recorded, but the study will not require any extra hospital visits. The study is sponsored by University Hospitals NHS Foundation Trust, but does not have any external funding.
Botulinum Toxin to Improve Lower Blepharoplasty Scar
Other Degenerative Disorders of Eyelid and Periocular AreaThe combination of Botulinum toxin for crow feet (lateral part of orbicularis oculi muscle) and lower blaphaloplasty might have reduces the tension on the end of lower blaphaloplasty incision whereas the scar is more visible on patient. The main aim of this trial is to investigate whether the injection of Botulinum toxin into the bilateral orbicularis oculi muscles could improve the appearance of the scar after lower blepharoplasty.
Telemedicine Follow-up for Routine, Low-Risk Oculoplastic Surgery
Eyelid DiseasesPtosis9 moreThe investigators propose utilizing a simple telemedical protocol to allow patients to substitute the first post-operative visit with a remote survey that includes essential post-operative history, vision measurement, and photographs, all of which can be provided using a personal computer, tablet, or smart phone. The investigators have selected for this purpose a subset of oculoplastic procedures involving the eyelid and lacrimal system that have well-reported low rates of serious complications, since high-risk procedures will likely always require close, in-person care. The investigators hypothesize that telemedicine follow-up for the first post-operative week after low-risk oculoplastic surgery will decrease the time burden on patients without compromising their satisfaction or increase the risk of late post-operative complications.