Description
A 52-year-old obese man presented with the history of redness, watering, photophobia and decreased vision in the left eye (hand movement close to face in the left eye and 20/40 in the right eye) for the past 6 months. History revealed that the patient had undergone surgical intervention twice for the left upper eyelid (surgical details not available) without successful outcome. Examination showed bilateral lax upper and lower eyelids, palpebral conjunctival congestion and papillary reaction (figure 1A–C). Right side cornea was normal, but left side cornea showed perforated central cornea with shallow anterior chamber along with normal corneal sensations. Ultrasonography of the left eye posterior segment was anechoic; therefore for the left eye, the patient underwent glue application with bandage contact lens under topical anaesthesia followed by left-sided upper eyelid lateral tarsal strip under local anaesthesia in the same setting along with tightening of lower eyelid...
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