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Blepharoptosis

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https://www.readbyqxmd.com/read/28799556/anterior-approach-white-line-advancement-technique-and-long-term-outcomes-in-the-correction-of-blepharoptosis
#1
C B Schulz, R Nicholson, A Penwarden, B Parkin
PurposeAnterior approach white line advancement presents a novel surgical option for correction of blepharoptosis. The technique draws on several advantages of other approaches. The aim of this study was to present outcomes using this technique at a minimum follow-up of 18 months.Patients and methodsParticipants having undergone anterior approach white line advancement ptosis correction at a single institution were retrospectively recruited at a minimum of 18 months' follow-up. A total of 18 independent eyelid measurements were recorded at final review...
August 11, 2017: Eye
https://www.readbyqxmd.com/read/28776593/relationship-between-the-phenylephrine-test-and-eyelid-droop-after-aponeurotic-repair-with-the-use-of-an-epinephrine-containing-local-anaesthetic
#2
H Matsuda, T Shiba, Y Takahashi, H Tsuneoka
PurposeTo analyse the relationship between the results of the phenylephrine test and postoperative eyelid droop in transcutaneous aponeurotic repair using epinephrine-containing local anaesthetic for aponeurotic blepharoptosis.Patients and methodsWe retrospectively reviewed the medical records of 66 eyelids from 40 patients who underwent transcutaneous aponeurotic repair. A positive phenylephrine test result was defined as an increase in margin reflex distance-1 (MRD-1) ≥0.5 mm after application of phenylephrine eye drops...
August 4, 2017: Eye
https://www.readbyqxmd.com/read/28753160/-fat-grafting-in-the-hollow-upper-eyelids-and-volumetric-upper-blepharoplasty
#3
Mariano E Ramil
BACKGROUND: Periorbital volume loss creates a shadow frame, where traditional excisional blepharoplasties may aggravate the situation. Divergence in filling treatments establishes a demand for simple and reproducible techniques to achieve consistent results. Here, the author's hollow upper eyelid evaluation and treatment approach are presented. METHODS: A retrospective photographic analysis was conducted for 32 women who underwent fat grafting on the hollow upper eyelids between 2012 and 2016...
July 27, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28750630/conjunctival-lymphoma-during-pregnancy-a-case-report
#4
Sherine Jue Ong, Shih-Ming Jung, Hsin-Chiung Lin
BACKGROUND: To present a case of conjunctival lymphoma in a young woman complicated by pregnancy. CASE PRESENTATION: A 38-year-old previously healthy woman presented with a 2-year history of progressive right blepharoptosis. Giant papillomatous sessile masses were identified in the upper and lower fornix bilaterally and involved the tarsus of the right upper lid. The remaining ophthalmic examination was unremarkable. Histopathology and immunohistochemistry showed mucosa-associated lymphoid tissue (MALT) lymphoma with immunoglobulin kappa monotype...
July 27, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28749852/complications-following-enucleations-and-subsequent-oculoplastic-surgeries
#5
Jennifer S N Verhoekx, Win Hou Willy Tse, Anina Rengifo Coolman, Yashna B van Kinderen, Rene J Wubbels, Dion Paridaens
PURPOSE: To analyze the complications and subsequent type and frequency of oculoplastic surgeries after enucleation in adult patients. METHODS: The authors conducted a retrospective case note review of adult patients who underwent enucleation followed by placement of an alloplastic implant wrapped in donor sclera between 2001 and 2013. The data collected included patient demographics, surgical indication, implant size, postoperative complications, and subsequent oculoplastic surgical procedures...
July 26, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28749849/treatment-of-children-with-congenital-severe-blepharoptosis-by-frontalis-aponeurosis-flap-advancement-under-general-anesthesia-in-a-single-incision
#6
Jun Li, Chenbin Dong, XiangQi Liu, WeiJing He
PURPOSE: This study aimed to investigate the effect of frontalis aponeurosis flap advancement in children with congenital severe blepharoptosis. METHODS: A total of 23 cases (25 eyes) of children who had congenital severe blepharoptosis and poor levator function (≤4 mm) and received frontalis aponeurosis flap advancement treatment in the Plastic Surgery Department of the Children's Hospital of Fudan University from January 1, 2013, to January 1, 2015, were retrospectively analyzed to evaluate the postoperative effects...
July 26, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28747634/changes-of-corneal-tomography-in-patients-with-congenital-blepharoptosis
#7
Tiepei Zhu, Xin Ye, Peifang Xu, Jingyi Wang, Huina Zhang, Hailong Ni, Zhaoan Su, Juan Ye
The study aimed to evaluate the effect of drooped eyelid on corneal tomography in congenital blepharoptosis patients. Sixty-four patients with congenital blepharoptosis and 64 age- and sex- matched healthy subjects were included. According to the eyelid margin to corneal light reflex distance (MRD), eyes with congenital blepharoptosis were categorized as mild, moderate, or severe. The eyes were scanned using the rotating Scheimpflug camera. Increased topometric parameters were observed in moderate and severe blepharoptosis...
July 26, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28728332/skin-necrosis-with-oculomotor-nerve-palsy-due-to-a-hyaluronic-acid-filler-injection
#8
Jae Il Lee, Seok Joo Kang, Hook Sun
Performing rhinoplasty using filler injections, which improve facial wrinkles or soft tissues, is relatively inexpensive. However, intravascular filler injections can cause severe complications, such as skin necrosis and visual loss. We describe a case of blepharoptosis and skin necrosis caused by augmentation rhinoplasty and we discuss the patient's clinical progress. We describe the case of a 25-year-old female patient who experienced severe pain, blepharoptosis, and decreased visual acuity immediately after receiving a filler injection...
July 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28713059/congenital-ptosis-repair-with-a-frontalis-silicon-sling-comparison-between-fox-s-single-pentagon-technique-and-a-modified-crawford-double-triangle-technique
#9
Anuj Mehta, Prerna Garg, Mayuresh Naik, Anju Kumari
PURPOSE: To compare the results of two different frontalis sling surgery techniques with silicon rod for ptosis: Fox's single pentagon technique and a modification of Crawford's double triangle technique. METHODS: In a randomized clinical trial, 52 eyes of 50 patients with severe ptosis and poor levator function (≤4 mm) were randomly assigned to the Fox group or the modified Crawford group. Cosmetic outcome, functional success, and lagophthalmos were compared...
July 13, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28619482/correction-of-sunken-upper-eyelid-with-orbital-fat-transposition-flap-and-dermofat-graft
#10
Won Lee, Soon-Beom Kwon, Se-Kwang Oh, Eun-Jung Yang
BACKGROUND: Sunken upper eyelid is a commonly found deformity among Asians, mostly due to the aging process and excessive orbital fat removal during oriental blepharoplasty procedures. This deformity is frequently accompanied by multiple, poorly defined upper eyelid folds and blepharoptosis. To date, autologous fat graft has been the treatment of choice for this group of patients. However, accurate placement of the graft in the orbital fat is quite challenging, and it can result in contour irregularities when injected into the preseptal plane...
May 24, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28584563/the-relationship-of-amount-of-resection-and-time-for-recovery-of-bell-s-phenomenon-after-levator-resection-in-congenital-ptosis
#11
Ruchi Goel, Divya Kishore, Smriti Nagpal, Sparshi Jain, Tushar Agarwal
BACKGROUND: Recovery of Bell`s phenomenon after levator resection is unpredicatable. Delayed recovery can result in vision threatening corneal complications. AIM: To study the variability of Bell's phenomenon and time taken for its recovery following levator resection for blepharoptosis and to correlate it with the amount of resection. METHODS: A prospective observational study was conducted on 32 eyes of 32 patients diagnosed as unilateral simple congenital blepharoptosis who underwent levator resection at a tertiary care center between July 2013 and May 2015...
2017: Open Ophthalmology Journal
https://www.readbyqxmd.com/read/28579035/measuring-satisfaction-with-appearance-validation-of-the-face-q-scales-for-double-eyelid-blepharoplasty-with-minor-incision-in-young-asians-retrospective-study-of-200-cases
#12
Baoguo Chen, Huifeng Song
BACKGROUND: Double eye-lid surgery is one of the most popular performed aesthetic procedures in young Asians. Reliable measurement of patient reported outcomes is crucial for facial aesthetics. The FACE-Q is a new patient-reported outcome tool (PRO) composed of numerous independently functioning scales and checklists designed to measure outcomes. Here we described FACE-Q scales for double eye-lid surgery with minor incision in young Asians. METHODS: 200 patients (400 eyes) aged from 21 to 30 years-old were recruited from 2012 to 2014...
May 20, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28570401/asymmetry-of-preoperative-incision-design-markings-for-upper-blepharoplasty
#13
Myeong Yeon Yi, Hye Sun Choi, Jae Woo Jang, Sung Joo Kim, Sun Young Jang
PURPOSE: To compare preoperative incision design markings between both eyelids in upper blepharoplasty. METHODS: This retrospective study examined 22 patients who underwent bilateral upper blepharoplasty surgery resulting from senile dermatochalasis and/or blepharoptosis. The initial preoperative incision design markings were drawn with the patient sitting upright. Then, with the patient in a supine position, preoperative design photographs were taken. The authors measured medial canthal excision angle, maximal lid excision height, maximal lid excision width, peak point angle, and peak point distance and compared measurements between both upper eyelids designs using Image J software...
May 31, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28540694/wernicke-s-encephalopathy-in-exclusive-breastfed-infants
#14
Javeed Iqbal Bhat, Qazi Iqbal Ahmed, Ambreen Ali Ahangar, Bashir Ahmed Charoo, Mushtaq Ahmad Sheikh, Wajid Ali Syed
BACKGROUND: Kashmir has a population that largely consumes polished rice which is deficient in thiamine. Furthermore, lactating women in this region are prone to severe thiamine deficiency because of their traditional food avoidance practices. Infantile beriberi is common in exclusively breastfed infants of thiamine deficient mothers in Kashmir. METHODS: This was a one year prospective hospital-based study. We included 50 exclusively breastfed infants in our study...
May 24, 2017: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/28529498/eyelid-retraction-in-isolated-unilateral-congenital-blepharoptosis
#15
Michael S Salman, Ian H Clark
Isolated unilateral congenital ptosis is encountered relatively infrequently in clinical practice. It typically consists of a unilateral droopy eyelid, weak levator palpebrae superioris muscle function, lid lag, and an absent upper lid crease with no other abnormalities on examination. We present a four-and-a-half-year-old girl with isolated and mild unilateral congenital ptosis who unexpectedly demonstrated a static upper eyelid on downgaze in conjunction with a well-formed upper lid skin crease. We attribute this uncommon sign in congenital ptosis to stiffness and presumed fibrosis of the levator muscle...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28526464/-transient-horner-s-syndrome-after-single-shot-paravertebral-block
#16
Birzat Emre Gölboyu, Mürsel Ekinci, Pınar Karaca Baysal, Ayşe Nur Yeksan, Erkan Cem Çelik, Zeynep Bilgi, Murat Aksun
BACKGROUND: Thoracic paravertebral block can provide analgesia for unilateral chest surgery and is associated with a low complication rate. Horner syndrome also referred to as oculosympathetic paresis, is a classic neurologic constellation of ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis resulting from disruption of the sympathetic pathway supplying the head, eye, and neck. CASE REPORT: We present a patient with an ipsilateral transient Horner syndrome after ultrasound guided single shot of 15mL 0...
May 17, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28487798/orbital-t-cell-lymphoma-with-discrete-enlargements-of-all-extraocular-muscles-bilaterally-in-patient-with-moon-face-countenance
#17
Hideaki Kawakami, Kiyofumi Mochizuki, Hideko Goto, Naoki Watanabe, Takuji Tanaka
Purpose. To report our findings in a case of orbital T-cell lymphoma in which all of the extraocular muscles (EOMs) were bilaterally and discretely enlarged and the patient had a moon face countenance. Case. A 59-year-old woman presented with visual disturbances in her left eye, hyperemia in both eyes, and a moon face countenance. Examinations showed limited upward gaze in the right eye, blepharoptosis, hypertropia, and limited downward and rightward gaze in the left eye. Slit-lamp examination showed only chemosis and hyperemia of both eyes...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/28355310/tangent-screen-perimetry-in-the-evaluation-of-visual-field-defects-associated-with-ptosis-and-dermatochalasis
#18
Molly L Fuller, César A Briceño, Christine C Nelson, Elizabeth A Bradley
PURPOSE: To determine if tangent visual fields gathered during assessment of superior visual field deficits caused by blepharoptosis and dermatochalasis offer good correlation to clinical exam in a time and cost efficient manner. METHODS: Prospective, observational case series. Subjects included all patients referred to a single surgeon (CCN) who underwent surgical correction of blepharoptosis and/or dermatochalasis. Preoperatively and postoperatively, upper margin-to-reflex distances were assessed...
2017: PloS One
https://www.readbyqxmd.com/read/28350692/enhanced-fasanella-servat-procedure-for-the-graded-repair-of-blepharoptosis
#19
Victoria S North, Ashley A Campbell, Alison B Callahan, Geoff Wilcsek, Michael Kazim
PURPOSE: To describe in detail a technique for a modified Fasanella-Servat procedure that provides a simplified method for graded Mueller muscle excision with minimal and controlled tarsal excision. METHODS: A retrospective study of 71 patients (102 eyelids) who underwent the modified Fasanella-Servat procedure is reported. Measurements include the preoperative, post-phenylephrine, and postoperative margin-to-reflex distance-1, and postoperative upper eyelid height symmetry as determined by the absolute difference between right- and left-sided margin-to-reflex distance-1...
March 27, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28350678/ocular-morbidity-in-the-correction-of-orbital-hypertelorism-and-dystopia-a-15-year-experience
#20
COMPARATIVE STUDY
Graeme E Glass, Kate A V Hon, Kemmy Schweibert, Richard Bowman, Barry M Jones, David J Dunaway, Jonathan A Britto
BACKGROUND: Complex surgery for appearance change is controversial. Correction of orbital hypertelorism risks diplopia and loss of stereopsis for aesthetic gain. The risk-to-benefit ratio remains ill-defined. The aim of this study was to define specific ocular morbidity following orbital translocation. METHODS: The authors compared stable preoperative and postoperative orthoptic indices (i.e., angle of strabismus, ocular motility, and acuity) for 23 consecutive patients who underwent orbital translocation between 2000 and 2015 and noted the requirement for corrective surgery...
April 2017: Plastic and Reconstructive Surgery
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