Biomedical subjects
S A Fox
Publications and source records attributed to S A Fox.
Lens extraction with anterior chamber lens implantation in the macaque.
Three macaques (Macaca arctoides) had anterior chamber implantations with the Choyce Mark VIII lenses in 5 eyes. The eyes were monitored clinically and histologically for approximately 2 years. Histologic sections verified that these lenses were well tolerated in the eyes of the macaques.
Levator tucking.
Nine cases of ptosis were repaired by levator tucking. There were 4 postoperatuve complications. Tucking seems to offer no advantage over levator resection or the Fasanella-Servat procedure in the lesser degrees of ptosis. A new firmer tucking procedure is suggested for those who wish to try this technique.
Repair of nasocanthal malignant neoplasms. Combined laissez-faire and chemosurgery techniques.
A simplified method for management of nasocanthal malignant neoplasms combines the laissez-fiare technique first reported by this author with the Mohs technique of microscopic control of cancer cell eradication. Basically, with a little surgical help, the wound is allowed to granulate in spontaneously.
Senile (atonic) entropion.
The etiology and surgery of senile entropion are reviewed. Many of the presumptive causes of this clinical entity including the vague neurological etiology which caused it to be labeled "spastic" have been found baseless, and the explanation of the elder Fuchs, later confirmed by Duke-Elder, that the cause of senile entropion is due to degenerative tissue changes has been found to be more logical and more compatible with the anatomic findings. There have always been two methods of surgical repair of senile entropion: (1) unwinding the lid by resection of horizontal strips of skin or skin and muscle, and (2) by resection of vertical spindles and triangles of tissue to tauten the lids horizontally. I prefer the latter technique.
Letter: Senile (atonic) entropion.
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A modified Fasanella-Servat procedure for ptosis.
This procedure was first suggested for "minimal ptosis of 3-4 mm." However, since the amount of ptosis varies widely with the etiological factors, the true indication in any given case is not the amount of ptosis but the amount of levator action. Hence, unless there is at least 10 mm of levator action, this operation is contraindicated. Since the levator (except that part of the aponeurosis that is adherent to the tarsus) is not involved, the procedure has been simplified accordingly.
A simple levator resection operation.
A simple procedure for identification and isolation of the levator muscle is presented. With this technique the conjunctiva need not be cut from its tarsal connection. No extra sutures are used to create a lid fold. It is emphasized again that the criterion for the amount of levator resection is not the degree of ptosis but the amount of levator action.
A new ptosis classification. Late spontaneous ptosis.
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Idiopathic blepharoptosis of lower eyelid.
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Surgery of senile ectropion and entropion.
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A procedure for lower lid reconstruction.
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Lengthening and shortening the palpebral fissure.
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Simple epicanthus procedure.
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