Abstract: A 37-year-old, female Chilean flamingo (Phoenicopterus chilensis) presented with severe facial angioedema, bilateral corneal and palpebral
edema, nictitating membrane paralysis, bradycardia, bradypnea, hypothermia, and numerous stingers and remnants of eastern yellow jacket wasps (Vespula maculifrons) attached to the feathers of the head, palpebrae, and conjunctiva.
Conjunctiva.--The conjunctiva is a mucous membrane that covers the inner surface of the eyelid (palpebral
conjunctiva) and the anterior surface of the eye (bulbar conjunctiva).
sensitive -motora Reflejo ipsilateral flexor 4 4 4 4 Reflejo Corneal 4 4 4 4 Reflejo Pinneal 4 4 4 4 Respuesta al susto 0 0 0 0 NEUROLOGICAS 1) Tono muscular Tono corporal 4 4 A 4 Tono abdominal 4 4 4 4 Tono de las palas 4 4 4 4 Fuerza de agarre 4 4 4 4 Maniobracion en varilla 0 0 0 0 2) Equilibrio y marcha Reflejo cie enderezamiento 0 0 0 0 Marcha hipotiinica 0 0 0 0 3) fcxcitaciiiri del SNC Temblores 0 0 0 0 lasci colaciones o tics 0 0 0 0 Convulsiones 0 0 0 0 AUTONOMICAS 1) Ojos Cierre palpebral
0 0 0 0 Exoftalmos -- -- -- -- 2) Secreciones.
Left ocular range of motion, including palpebral
motion, was severely limited.
La fisura palpebral
derecha era mas larga que la izquierda en las hembras, pero en los machos era lo contrario.
The most prevalent facial features were short palpebral
fissures (80%), long and flat philitrum (96%), thin upper lip (51%), and hypoplastic midface (45%).
Case 2 (index case's ward mate), a 62-year-old male with no underlying disease, was admitted to the nephrology department and diagnosed as nephrotic syndrome due to edema of lower extremity for 1 months and palpebral
edema for 3 days on December 16, treated with hormone drug.
(1993) recommended a two layered technique for suturing the major lacerations of eye lid with first layer involving the palpebral
conjunctiva followed by second layer involving muscle layer and skin.
He had microcephaly and trigonocephaly, proptosis, downslanting palpebral
fissures, midface hypoplasia, depressed nasal bridge, short columella, micrognathia, and low-set dysplastic ears.
This phenotype comprises down slanting palpebral
fissures, flattening of the malar bones, relative lengthening of the face and a persistently open mouth.
I used to think patients with anything but a large vertical palpebral
aperture would struggle with them but actually, at 15-18mm, mini-sclerals are similar in diameter to a soft lens and don't drape and stick to the finger.
The angle between the eye ridge and the axial furrow is comparatively high and the palpebral
lobe is strongly curved, which results in a wide, sub-triangular palpebral