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Blepharoptosis

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https://www.readbyqxmd.com/read/29369985/external-levator-advancement-versus-m%C3%A3-ller-muscle-conjunctival-resection-for-aponeurotic-blepharoptosis-a-randomized-clinical-trial
#1
Preamjit Saonanon, Supapan Sithanon
BACKGROUND: The purpose of this study was to compare the efficacy of external levator advancement and Müller muscle-conjunctival resection in aponeurotic blepharoptosis repair. METHODS: Mild to moderate blepharoptosis patients with good levator function and a positive phenylephrine test were randomized to upper blepharoplasty with either external levator advancement or Müller muscle-conjunctival resection. The primary outcome was marginal reflex distance 1 at 1 month after surgery...
February 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29369905/floppy-eyelid-syndrome-an-unfamiliar-entity-for-plastic-surgeons
#2
Chia-Chen Lee, Hsin-Ti Lai, Yur-Ren Kuo, Su-Shin Lee, Chung-Sheng Lai
BACKGROUND: Floppy eyelid syndrome (FES) is typically characterized by chronic eye irritation and an increased laxity of the upper eyelid that can be easily everted by applying minimal upward traction. However, it is a clinical entity that is less known to most plastic surgeons. Blepharoptosis is one of the most common features, which links to FES, for which a thorough differential diagnosis has become important in directing proper medical treatment. PURPOSE: This review aims to discuss current understanding about FES in a broader spectrum, encompassing the clinical features and evaluation of FES, the underlying etiologies, systemic associations, and surgical procedures for upper eyelid tightening...
February 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29367892/the-magnetic-levator-prosthesis-for-temporary-management-of-severe-blepharoptosis-initial-safety-and-efficacy
#3
Kevin E Houston, Matteo Tomasi, Christina Amaral, Nicole Finch, Michael K Yoon, Hang Lee, Eleftherios I Paschalis
Purpose: We further optimized and evaluated the safety of the magnetic levator prosthesis (MLP) for temporary management of severe blepharoptosis, and compared efficacy and comfort against the ptosis crutch. Methods: The interpalpebral fissure (IPF) of participants (n = 12) with ptosis was measured during attempted eyelid opening, volitional closing, and spontaneous closing with no device, ptosis crutch, or the MLP. A 10-point scale documented comfort. Additionally, a 20 minute and then 1 week trial of the MLP was offered...
January 2018: Translational Vision Science & Technology
https://www.readbyqxmd.com/read/29342029/association-of-involutional-lower-eyelid-entropion-with-reduced-upper-eyelid-position-relative-to-the-corneal-light-reflex-quantification-of-facial-asymmetry
#4
Paul O Phelps, Edward J Wladis, Dale R Meyer
PURPOSE: To investigate the association between upper eyelid position relative to the corneal light reflex (MRD1) and to delineate an association between eyelid height and involutional lower eyelid entropion. METHODS: Retrospective study of patients presenting for entropion repair to an academic ophthalmic plastic surgery service. A total of 111 patients were included in the study; 95 had unilateral involutional lower eyelid entropion, and 16 had bilateral lower eyelid entropion...
January 16, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29329174/symmetry-of-upper-eyelid-contour-after-unilateral-blepharoptosis-repair-with-a-single-strip-frontalis-suspension-technique
#5
Patricia Akaishi, Alicia Galindo-Ferreiro, Antonio A V Cruz
PURPOSE: To analyze the upper eyelid contour of patients with unilateral congenital ptosis who underwent single-strip frontalis suspension. METHODS: The authors compared the upper eyelid shape of the right and left eyes of 10 patients who underwent unilateral frontalis suspension with a single strip of autogenous fascia. At a mean postoperative time of 10.1 ± 4.01 months, the image J software was used to measure the ratio between the nasal and temporal areas of the upper half of the palpebral fissure...
January 10, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29326377/lymphatic-malformation-with-acquired-horner-syndrome-in-an-infant
#6
Birgit Spors, Joerg Seemann, Natalie Homer, Aaron Fay
An infant presented with right upper eyelid ptosis and was subsequently diagnosed with acquired Horner syndrome. Further evaluation revealed a right-sided cervicothoracic lymphatic malformation. At 13 weeks of age, the child underwent percutaneous intracystic sclerotherapy with a mixture of sodium tetradecyl sulphate and ethanol. Twenty-one weeks after initial treatment, ophthalmic examination showed complete resolution of the blepharoptosis and pupillary miosis. Percutaneous sclerotherapy not only effectively treated the space-occupying lymphatic malformation but also reversed the Horner syndrome that was presumably induced by neural tension (more likely) or compression...
January 11, 2018: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29315143/predictive-techniques-for-neurotoxin-outcomes
#7
Liza Brown, Drew Taylor, Eduardo Weiss
BACKGROUND: Botulinum-derived neurotoxins have become a substantial tool in dermatologists' armamentarium for facial/neck rejuvenation. Current literature discusses anatomical "danger zones" to avoid during neurotoxin injection to prevent brow ptosis, blepharoptosis, and lower facial ptosis. OBJECTIVE: The aim of this study was to determine whether lidocaine 1% local anesthetic can be used to predict botulinum toxin treatment outcomes and prevent adverse effects of unwanted paralysis...
January 8, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29303940/simplified-treatment-of-over-and-under-corrected-blepharoptosis-surgery
#8
Allen M Putterman, Catherine Y Liu
No abstract text is available yet for this article.
January 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29277398/blepharoptosis-blepharoplasty-bundle-bungle
#9
EDITORIAL
Julian D Perry
No abstract text is available yet for this article.
December 22, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29259900/anterior-lamellar-recession-for-management-of-upper-eyelid-cicatricial-entropion-and-associated-eyelid-abnormalities
#10
Tamer I Gawdat, Mahmoud A Kamal, Ahmed S Saif, Mostafa M Diab
AIM: To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion (UCE) correction using anterior lamellar recession (ALR) with addressing the associated conditions including dermatochalasis, brow ptosis, blepharoptosis, and lid retraction. METHODS: Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed. Success was defined as the lack of any lash in contact with the globe, no need for a second procedure, and acceptable cosmesis at the final follow up...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29220117/anterior-surface-breakdown-and-implant-extrusion-following-secondary-alloplastic-orbital-implantation-surgery
#11
Shadi Axmann, Dion Paridaens
BACKGROUND: Secondary orbital implantation surgery can be complex due to scarring of the orbital tissues and can be complicated by implant exposure and extrusion. PURPOSE: To evaluate the incidence and risk factors of implant exposure and extrusion following secondary alloplastic orbital implantation surgery in anophthalmic patients. METHODS: Retrospective analysis of a consecutive series of patients who underwent secondary placement of an alloplastic orbital implant by one surgeon between 2001 and 2016 in the Rotterdam Eye Hospital...
December 8, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/29200819/the-efficacy-of-preoperative-posterior-subtenon-injection-of-triamcinolone-acetonide-in-noninfectious-uveitic-patients-with-secondary-glaucoma-undergoing-trabeculectomy
#12
Narumon Keorochana, Sutheera Kunasuntiwarakul, Isaraporn Treesit, Raveewan Choontanom
Objective: The aim of this study was to evaluate the efficacy and safety of preoperative posterior subtenon injection of triamcinolone acetonide (PSTA) in noninfectious uveitic patients with secondary glaucoma undergoing primary trabeculectomy with mitomycin C. Design: This was a retrospective study. Patients and methods: We reviewed the medical records of 10 noninfectious uveitic patients, who had received a single preoperative PSTA 40 mg/1 mL, with secondary glaucoma undergoing primary trabeculectomy with mitomycin C...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29126245/eyelid-make-up-to-manage-transient-blepharoptosis-after-botulinum-toxin-injection
#13
Tammy H Osaki, Midori H Osaki
No abstract text is available yet for this article.
December 13, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29108856/etiology-of-pediatric-acquired-blepharoptosis
#14
Sulakshan Rasiah, Thomas G Hardy, James E Elder, Cheng Yi Ng, Alan McNab
PURPOSE: To describe the etiology of acquired pediatric blepharoptosis in a large clinical series and to elucidate the causes of the disease. METHODS: The medical records of all patients presenting with acquired blepharoptosis at two specialist ocular plastics practices and a pediatric ophthalmology practice during a period of up to 25 years were reviewed retrospectively and classified according to their diagnosis. Patients were grouped into children (<18 years), younger adults (18-40 years), and older adults (>40 years)...
November 3, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29066632/lymphatic-malformation-with-acquired-horner-syndrome-in-an-infant
#15
Birgit Spors, Joerg Seemann, Natalie Homer, Aaron Fay
An infantpresented with right upper eyelid ptosis and was subsequently diagnosed with acquired Horner syndrome. Further evaluation revealed a right-sided cervicothoracic lymphatic malformation. At 13 weeks of age, the child underwent percutaneous intracystic sclerotherapy with a mixture of sodium tetradecyl sulphate and ethanol. Twenty-one weeks after initial treatment, ophthalmic examination showed complete resolution of the blepharoptosis and pupillary miosis. Percutaneous sclerotherapy not only effectively treated the space-occupying lymphatic malformation but also reversed the Horner syndrome that was presumably induced by neural tension (more likely) or compression...
October 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29059312/conjunctival-melanoma-in-chinese-patients-local-recurrence-metastasis-mortality-and-comparisons-with-caucasian-patients
#16
COMPARATIVE STUDY
Chuandi Zhou, Yuxin Wang, Renbing Jia, Xianqun Fan
Purpose: To evaluate the prognosis in Chinese patients with conjunctival melanoma and determine its predictors. Further, to explore the racial differences in clinical characteristics and outcomes between Chinese and Caucasian patients. Methods: This cohort study included 57 eyes of 57 consecutive patients with pathologically verified conjunctival melanoma between 1996 and 2016. Medical records were reviewed for factors associated with the local recurrence, metastasis, and tumor-related mortality...
October 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29058245/ocular-findings-in-a-patient-with-oculofaciocardiodental-ofcd-syndrome-and-a-novel-bcor-pathogenic-variant
#17
Yujia Zhou, Antonina Wojcik, Victoria R Sanders, Bahram Rahmani, Sudhi P Kurup
PURPOSE: To report a case of OFCD associated with a de novo BCOR pathogenic variant and highlight the ocular findings and possible mechanisms. METHODS: A retrospective chart review of the patient's ocular and systemic findings was performed. The patient underwent diagnostic whole exome sequencing (WES). RESULTS: The patient had a comprehensive eye exam in infancy demonstrating bilateral congenital cataracts consisting of posterior lenticonus with a posterior cortical opacity...
October 22, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/29054311/transcutaneous-aponeurotic-repair-with-small-detachment-of-the-levator-aponeurosis-for-aponeurotic-blepharoptosis-in-japanese-patients
#18
Hiromichi Matsuda, Takuya Shiba, Yasuhiro Takahashi, Hiroshi Tsuneoka
PURPOSE: To examine the surgical outcomes of a modified transcutaneous aponeurotic repair for aponeurotic blepharoptosis in a Japanese population. METHODS: This retrospective study included 75 eyelids of 45 patients with aponeurotic blepharoptosis who had undergone a modified transcutaneous aponeurotic repair. This procedure included a long skin incision for securing a wide surgical field, creation of a double eyelid crease, and a small extent of detachment of the levator aponeurosis from the tarsal surface...
September 28, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29053045/relationship-between-ocular-dominance-and-brow-position-in-patients-with-blepharoptosis
#19
Andrew W Thorne, Rao V Chundury, Julian D Perry, Daniel B Rootman
PURPOSE: This study aims to determine if ocular dominance plays a role in predicting compensatory eyebrow elevation in cases of ptosis. METHODS: This retrospective observational cohort study screened all individuals presenting to two tertiary oculoplastics practices with complaints of ptosis for entry. Primary position photographs were obtained. Ocular dominance was assessed via a modified Porta test. Ptosis was defined in bilateral cases as marginal reflex distance of <2...
October 20, 2017: Orbit
https://www.readbyqxmd.com/read/29046205/-clinical-phenotype-and-genetic-analysis-of-med13l-syndrome
#20
Qing-Jie Meng, Xue-Lian He, Han Xiao, Qian Xia, Bo Bi, Yun Xiang
A boy aged 4 years and 2 months was found to have delayed language and motor development, instability of gait, poor eye contact, stereotyped behavior, and seizure at the age of 3 years. Physical examination showed special facial features, including plagiocephaly, blepharoptosis, wide nasal bridge, down-turned mouth corners at both sides, and low-set ears. There were only two knuckles at the little finger of the left hand. The anteroposterior and lateral films of the spine showed scoliosis; echocardiography showed ventricular septal defect; the Gesell Developmental Scale showed delayed language development and moderate intellectual disability; there were no abnormalities in the karyotype; genome-wide SNP arrays found a duplication in 12q24...
October 2017: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
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