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Blepharoptosis

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https://www.readbyqxmd.com/read/27905338/the-utility-of-margin-reflex-distance-in-determining-the-type-of-surgical-intervention-for-congenital-blepharoptosis
#1
Ozlem Ural, Mehmet Cem Mocan, Anıl Dolgun, Ugur Erdener
AIMS: To evaluate the utility of margin-reflex distance (MRD) as an alternative to levator function (LF) in choosing the appropriate surgical procedure for congenital blepharoptosis. SETTINGS AND DESIGN: This was a retrospective, observational study. SUBJECTS AND METHODS: Records of patients with simple (dystrophic) congenital ptosis who were operated and followed for ≥6 months postoperatively and whose outcomes were deemed as successful were evaluated in the study...
October 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27826468/digital-analysis-of-eyelid-features-and-eyebrow-position-following-co2-laser-assisted-blepharoptosis-surgery
#2
Xiaodong Zheng, Hirohiko Kakizaki, Tomoko Goto, Atsushi Shiraishi
BACKGROUND: To compare the margin reflex distance of the upper (MRD-1) and lower (MRD-2) eyelids and the eyebrow height (EBH) in patients with involutional and hard contact lens wear--induced blepharoptosis before and after ptosis surgery. METHODS: Sixty patients with acquired blepharoptosis were studied. Group 1 consisted of 30 patients with involutional ptosis (age, 75.8 ± 6.4 years), and group 2 consisted of 30 patients with hard contact lens wear-induced ptosis (age, 50...
October 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27800464/traumatic-globe-subluxation-and-intracranial-injury-caused-by-bicycle-brake-handle
#3
Ceren Poroy, Cansu Cibik, Bulent Yazici
INTRODUCTION: Penetration of a bicycle brake handle into the orbit is a rare and serious type of trauma. Globe subluxation due to such trauma has not been previously reported. CASE PRESENTATION: A 10-year-old girl presented after falling from a bicycle, which resulted in the handbrake penetrating her right upper eyelid. On examination, the globe was subluxated anteriorly, there was no light perception, and the pupilla was fixed and dilated. Radiologic studies revealed orbitonasal fractures, hemorrhage, emphysema in the orbit and cranium, and rupture of the extraocular muscles...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27773564/evaluation-of-the-eyebrow-position-after-levator-resection
#4
Kenichi Kokubo, Nobutada Katori, Kengo Hayashi, Jun Sugawara, Akiko Fujii, Jiro Maegawa
Although we commonly observe eyebrow drooping during and after blepharoptosis surgery, it may not occur in some cases. After levator resection was performed in 47 patients (84 eyelids) with blepharoptosis, the eyebrow heights at the medial canthus, the center of the pupil, and the lateral canthus were measured using scanned photographs obtained preoperatively and 3 months postoperatively. In the 84 eyelids, after levator resection, the eyebrow position was lowered at the medial canthus in 76 patients (90%), at the center of the pupil in 75 (89%), and at the lateral canthus in 76 (90%)...
October 5, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27757008/predictive-images-of-postoperative-levator-resection-outcome-using-image-processing-software
#5
Yuki Mawatari, Mikiko Fukushima
PURPOSE: This study aims to evaluate the efficacy of processed images to predict postoperative appearance following levator resection. METHODS: Analysis involved 109 eyes from 65 patients with blepharoptosis who underwent advancement of levator aponeurosis and Müller's muscle complex (levator resection). Predictive images were prepared from preoperative photographs using the image processing software (Adobe Photoshop(®)). Images of selected eyes were digitally enlarged in an appropriate manner and shown to patients prior to surgery...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27717339/refractive-error-characteristics-in-patients-with-congenital-blepharoptosis-before-and-after-ptosis-repair-surgery
#6
Ji-Sun Paik, Su-Ah Kim, Shin Hae Park, Suk-Woo Yang
BACKGROUND: We examined the effect of surgical repair on the pattern of refractive errors in Korean patients with congenital blepharoptosis. METHODS: We reviewed the clinical records of 54 patients with congenital blepharoptosis who attended our hospital from 2006 to 2012 and underwent a detailed refractive examination before and after ptosis repair surgery. Among them, 21 of the patients whose refractive data was available for both before and after the surgery were included in order to observe the effect of ptosis repair surgery on refractive error characteristics...
October 8, 2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27688283/orbital-infarction-syndrome-after-multiple-percutaneous-sclerotherapy-sessions-for-facial-low-flow-vascular-malformation-a-case-report-and-literature-review
#7
Weng Sut Sio, Shwu-Huey Lee, I-Chia Liang
Vision loss following sclerotherapy for facial vascular malformations (VMs) is a rare but detrimental complication. Here, we report a case of an 11-year-old boy with acute onset blepharoptosis, ophthalmoplegia, and blindness in his right eye after the 14 th sclerotherapy session (percutaneous intralesional injection of sodium tetradecyl sulfate) for a right facial low-flow VM without orbital involvement. Computed tomography angiography revealed no contrast enhancement in the right ophthalmic artery, superior ophthalmic vein, or extraocular muscles...
August 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27631781/suspensory-materials-for-surgery-of-blepharoptosis-a-systematic-review-of-observational-studies
#8
Elena Pacella, Daniele Mipatrini, Fernanda Pacella, Giulia Amorelli, Andrea Bottone, Gianpaolo Smaldone, Paolo Turchetti, Giuseppe La Torre
BACKGROUND: Frontalis suspension surgery is considered the procedure of choice in cases of blepharoptosis. Among all the materials used in this type of surgery, ophthalmic and plastic surgeons prefer to use autologous Fascia Lata. However, during years, other autogenous and exogenous materials have been introduced. OBJECTIVES: The aim of this study was therefore that of systematically reviewing the functional results and the rate of complications of different synthetic materials, as compared to autogenous Fascia Lata...
2016: PloS One
https://www.readbyqxmd.com/read/27626145/assessment-of-the-abbreviated-national-eye-institute-visual-function-questionnaire-nei-vfq-9-in-blepharoptosis-and-dermatochalasis
#9
César A Briceño, Molly L Fuller, Elizabeth A Bradley, Christine C Nelson
PURPOSE: To evaluate the Abbreviated National Eye Institute Visual Function Questionnaire (NEI VFQ 9), which is shorter than those previously published, as a tool for assessing vision-related quality of life in patients with ptosis and dermatochalasis. METHODS: This is a cohort study of 46 patients who underwent blepharoptosis and/or upper eyelid blepharoplasty surgery by a single surgeon (CN) in 2013 in a public, academic, ambulatory care referral center. Patients included 29 who underwent blepharoplasty, 11 who underwent ptosis surgery, and 6 who underwent combined surgery...
July 2016: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/27604535/secondary-bilateral-orbital-involvement-from-primary-non-hodgkin-lymphoma-of-the-cheek
#10
Shungo Furudoi, Takashi Yoshii, Takahide Komori
We describe a patient with oculomotor nerve palsy due to secondary orbital infiltration from the primary malignant lymphoma of the cheek. The patient was a 78-year-old female who had non-Hodgkin lymphoma (diffuse large B cell lymphoma [DLBCL]) of the cheek. The patient received chemotherapy and local radiation therapy. The combined treatment brought about complete remission. About 6 months after the last treatment the patient began to have left blepharoptosis and impaired vision. Findings from ophthalmological and neurosurgical examinations suggested no intraorbital or intracranial lesions...
2016: Kobe Journal of Medical Sciences
https://www.readbyqxmd.com/read/27561080/the-effect-of-upper-eyelid-blepharoplasty-on-eyelid-and-brow-position
#11
Tanuj Nakra, Sara Modjtahedi, Ivan Vrcek, Ronald Mancini, Stan Saulny, Robert A Goldberg
This article evaluates the effect of upper eyelid blepharoplasty on eyelid margin position and brow height. This study is a retrospective analysis of patients who underwent upper eyelid blepharoplasty without concurrent blepharoptosis repair or brow surgery. The medical records of the participants were retrospectively reviewed and an established image analysis software was used to quantify the upper margin reflex distance (MRD1) as well as brow height using high quality standardized clinical photographs. A total of 19 patients (38 eyelids and brows) met the inclusion criteria...
December 2016: Orbit
https://www.readbyqxmd.com/read/27435377/elevated-taurine-and-glutamate-in-cerebral-juvenile-xanthogranuloma-on-mr-spectroscopy
#12
Ken Matsubara, Harushi Mori, Nozomi Hirai, Kumi Yasukawa, Takafumi Honda, Jun-Ichi Takanashi
MRI in a 2-year-old female presenting afebrile seizures and left blepharoptosis revealed multiple well-marginated round-shaped lesions, isointensity to gray matter on T1- and T2-weighted images with homogenously reduced diffusion and diffuse contrast enhancement. MRS revealed elevation of taurine, choline and glutamate, and reduction of N-acetylaspartate. A brain biopsy confirmed a diagnosis of juvenile xanthogranuloma (JXG). JXG should be considered when MR spectroscopy shows elevated taurine and glutamate, which has only previously been reported in medulloblastomas...
November 2016: Brain & Development
https://www.readbyqxmd.com/read/27429227/efficacy-of-muller-s-muscle-and-conjunctiva-resection-with-or-without-tarsectomy-for-the-treatment-of-severe-involutional-blepharoptosis
#13
Rakesh M Patel, Vinay K Aakalu, Pete Setabutr, Allen M Putterman
PURPOSE: To determine if Muller's muscle and conjunctiva resection with or without tarsectomy is an efficacious procedure for the treatment of severe involutional blepharoptosis. METHODS: A retrospective chart review was performed for all consecutive patients with severe involutional blepharoptosis during a 12-year period treated by a single surgeon (AMP) with a Muller's muscle and conjunctiva resection with or without tarsectomy. The inclusion criteria was good levator function (≥10 mm eyelid excursion), adequate response to phenylephrine (change in eyelid height ≥1...
July 13, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27428837/evaluation-of-the-surgical-treatment-for-congenital-blepharoptosis-using-mustarde-s-modified-method
#14
Aleksandra Iljin, Andrzej Zieliński, Edward Lewandowicz, Bogusław Antoszewski, Tomasz Zieliński
UNLABELLED: The aim of the study was evaluation of the results of surgical treatment of congenital blepharoptosis (CBP) using Mustarde's modified method. MATERIAL AND METHODS: Between 2005-2014 forty eight children with CBP underwent surgical correction of CBP by Mustarde's modified method. Basing on the results of ophthalmic and orthoptic examination, and standard measurements, we estimated postoperative difference in the position and symmetry of the upper eyelids, and postoperative complications in our patients...
May 1, 2016: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/27428622/clinical-outcomes-of-frontalis-sling-using-silicone-rod-with-two-point-brow-incisions-in-blepharoptosis
#15
Youngje Sung, Jong Seo Park, Helen Lew
PURPOSE: To investigate the functional and cosmetic outcomes of the modified frontalis sling operation using silicone rod with two-point brow incisions. METHODS: A retrospective medical record review of 17 patients who underwent frontalis suspension surgery was performed. Functional outcomes were measured using habitual margin reflex distance. Cosmetic outcomes were investigated with contour analysis and a Patient Scar Assessment Questionnaire. RESULTS: At the final visit, good and fair eyelid heights were achieved in 75% of patients in the unilateral group and 61...
July 1, 2016: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27411275/-clinical-observation-of-moderate-to-severe-blepharoptosis-correction-with-arc-shaped-frontalis-aponeurosis-flap
#16
Zhengyong Li, Junliang Wu, Ying Cen, Zhenyu Zhang, Zhixing Chen, Junjie Chen
OBJECTIVE: To evaluate the effectiveness of an arc-shaped frontalis aponeurosis flap for the treatment of moderate to severe blepharoptosis. METHODS: Between January 2011 and December 2014, 80 cases (140 eyes) of moderate to severe blepharoptosis were treated, including 31 males and 49 females with a median age of 16 years (range, 6-45 years). One eye was involved in 20 cases and both eyes in 60 cases. Upper eyelid ptosis degree ranged from 3 to 6 mm (average, 5 mm) when looking at the front horizontally...
April 2016: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/27387207/influence-of-upper-and-temporal-transconjunctival-sclerocorneal-incision-on-marginal-reflex-distance-after-cataract-surgery
#17
Rikiya Tamaki, Masahiko Gosho, Kyoichi Mizumoto, Nahoko Kato, Masahiro Zako
BACKGROUND: Ptosis incidence following cataract surgery is reduced with a recently developed phacoemulsification technique using a small incision. However, it remains uncertain whether an upper transconjunctival sclerocorneal incision can cause minor blepharoptosis. In the present prospective study, patients underwent cataract surgery with either an upper or temporal 2.4-mm transconjunctival sclerocorneal incision. We measured the marginal reflex distance 1 (MRD1) preoperatively and postoperatively, and compared these measurements between the two different incision types...
2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27373136/medium-sized-congenital-melanocytic-nevus-of-the-forehead-glabella-and-temple-%C3%A2-surgical-treatment-and-long-term-follow-up
#18
A Goldman, U Wollina, G Tchernev, A A Chokoeva, T Lotti
Congenital melanocytic nevi can be stigmatising for the patient. Larger nevi bear an increased risk for melanoma development. Large congenital melanocytic nevi may be a symptom of neurocutaneous melanosis. We report on a 5-year-old boy with an extensive hair-bearing facial congenital melanocytic nevus, covering forehead, glabella and temple region associated with unilateral brow and blepharoptosis. The lesion was excised en bloc. The resulting defect had been closed by full thickness skin graft. Healing was unremarkable and long-term follow-up over 13 years demonstrated a satisfying esthetic and functional outcome...
April 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/27366832/five-years-experience-with-tenon-conjunctival-flaps-in-phthisical-eyes
#19
Alicia Galindo-Ferreiro, Patricia Santello Akaishi, Mohammad Al-Aliwi, Eric Niespodzany, Alberto Gálvez-Ruiz, Antonio Augusto Velasco Cruz
BACKGROUND: To evaluate the efficacy of total Tenon-conjunctival flaps (TCFs) for coverage of phthisical eyes with normal corneal sensitivity. METHODS: A retrospective chart review was performed on 142 patients with mild monocular phthisis who underwent the TCF procedure to allow monocular scleral shell fitting at the King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. All patients had normal corneal sensation in their painless phthisical eye and were intolerant to cosmetic scleral shell fitting preoperatively...
July 1, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27337659/pediatric-idiopathic-orbital-inflammation-clinical-features-of-30-cases
#20
Jordan Spindle, Sunny X Tang, Brett Davies, Edward J Wladis, Elena Piozzi, Marco Pellegrini, Sara E Lally, Carol Shields, Roman Shinder
PURPOSE: Pediatric idiopathic orbital inflammation (IOI) is a rare entity with little known about the clinical presentation and natural history. The authors report the demographics, clinical presentations, radiographic and histopathologic characteristics, and treatment outcome of 30 children with IOI. METHODS: Retrospective chart review of 30 patients 18 years and younger diagnosed with IOI and statistical analysis using analysis of variance and Fisher's exact test...
July 2016: Ophthalmic Plastic and Reconstructive Surgery
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