The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
This 45 year-old man was
unhappy with his right eye because of the absence of skin crease and the
fact it looked smaller than the left eye. Examination showed this to be the
result of anterior descend of the pre-aponeurotic fat (most likely
congenital as the absent skin crease was presnet in childhood) that had
obliterated the skin crease. A skin crease incision was made that
corresponded to the height of the left eye. The septum was opened and the
pre-aponeurotic fat was cauterized to cause it to move posteriorly. The
wound was closed with 5 6/0 vicryl sutures that picked up the levator
Absent right skin crease and the
immediate post-operative appearance.