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Gold eyelid implantation is widely considered the procedure of choice to reanimate the upper eyelid in paralytic lagophthalmos. Commercially supplied implants are not readily available in all places and are sometimes cumbersome to import.
We aimed to devise a method whereby every surgeon performing gold eyelid implantation could have easy and quick access to the implant. Furthermore, we aimed to develop a means of creating an implant of the exact weight required for complete eyelid closure.
Study design and setting:
A prospective study was performed from 1997 to 2005 in a tertiary research hospital, involving 50 subjects requiring gold upper eyelid implantation and using the technique in question.
Only patients with a minimum follow up of one year were included in the study group. Symptoms improved in 96 per cent of subjects, who were able to dispense with eyedrops and eye ointments. Visual acuity improved in 92 per cent of patients. There were two extrusions amongst the early cases.
Conclusion and significance:
Customised gold eyelid implantation offers an alternative in regions where commercial implants are not easily obtained.
MoSi2-based composites have been synthesized through the mechanical alloying (MA) of elemental molybdenum and silicon powders with and without carbon additions. The interplay between the phase formation sequence in the powders and the microstructural evolution in the consolidated samples is described. It is shown that the glassy SiO2 phase characteristic of conventional powder processed MoSi2 can be effectively eliminated by combining mechanical alloying, carbon additions, and an in situ carbothermal reduction reaction. Using this approach, composites consisting of uniformly distributed micron-size SiC in an MoSi2 matrix can be formed. The effect of important processing variables such as the extent of carbon additions, extraneous iron pickup during MA, partial pressures of oxygen, consolidation temperatures, and consolidation atmospheres is discussed based on the evidence obtained from DTA, TGA, TEM, and XRD.
Compositionally-tailored, silica-free, MoSi2/SiC composites with SiC content ranging from 0 to 40 percent were synthesized through a novel processing scheme involving mechanical alloying and in-situ reactions for the formation of the reinforcement. Room temperature indentation fracture toughness and hardness measurements were obtained from these silica-free composites and were compared with values obtained from silica-containing, conventionally-processed MoSi2/SiC composites.
Compositionally tailored MoSi2/SiC composites with silicon carbide content ranging from 0 to 60 volume percent were synthesized through a novel processing scheme involving the mechanical alloying of elemental molybdenum, silicon, and carbon. The effects of important processing parameters such as the nominal powder composition and the processing temperature on the microstructural evolution during mechanical alloying and subsequent heating are described based on the results obtained from DTA and XRD.
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