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Blepharoptosis

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https://www.readbyqxmd.com/read/29652008/efficacy-of-autogenous-fascia-lata-and-silicone-aurosling-in-correction-of-congenital-blepharoptosis-by-frontalis-suspension
#1
S M Balaji
Purpose: The purpose of this study is to assess the outcomes of frontalis sling using fascia lata and silicone aurosling for congenital unilateral ptosis patients with poor levator function. Material and Methods: Retrospective study of archival cases from 22 patients from author's center. All the patients with unilateral ptosis with poor levator function were included excluding those having poor Bell's phenomenon and associated pathology like jaw winking, 3rd nerve misdirection, squint, impaired corneal sensitivity, and neoplastic lesions...
March 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29651864/exogenous-skeletal-muscle-satellite-cells-promote-the-repair-of-levator-palpebrae-superioris-mechanical-damage-in-rat
#2
Lin Ye, Yuanyuan Yao, Hui Guo, Yun Peng
AIM OF THE STUDY: Blepharoptosis is a drooping of the upper eyelid, usually due to dysfunction of the levator palpebrae superioris (LPS). Recently, skeletal muscle satellite cells (SSCs) have been reported to promote the repair of damaged skeletal muscle. This study aims to investigate the potential contribution of exogenous SSCs to the regeneration of mechanically damaged LPS. MATERIALS AND METHODS: Thirty-two rats were randomly divided into four groups, including control group, SSCs-treated group, SSCs-treated injury group and non-treated injury group...
April 13, 2018: Connective Tissue Research
https://www.readbyqxmd.com/read/29582258/strabismus-surgery-for-diplopia-in-chronic-progressive-external-ophthalmoplegia
#3
Klio I Chatzistefanou, Dimitrios Brouzas, Ioannis Asproudis, Efthimia Tsina, Konstantinos D Droutsas, Chryssanthi Koutsandrea
BACKGROUND: To report midterm outcomes of strabismus strategy for management of diplopia in chronic progressive external ophthalmoplegia and specific surgical planning rationale. DESIGN: Retrospective interventional case series. RESULTS: Two patients, a 26-year-old male and a 36-year-old female, diagnosed with chronic progressive external ophthalmoplegia presented with blepharoptosis and intermittent diplopia. Ocular motility examination was significant for bilateral profound impairment of adduction with relative preservation of abduction, infraduction and elevation...
March 26, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29498564/3d-printing-for-low-cost-rapid-prototyping-of-eyelid-crutches
#4
Michael G Sun, Duangmontree Rojdamrongratana, Mark I Rosenblatt, Vinay K Aakalu, Charles Q Yu
Blepharoptosis or ptosis is a common and potentially debilitating clinical problem. Long-term surgical treatment for ptosis caused by progressive myopathies can be challenging due to potential recurrence and complications associated with facial muscle weakness. When surgical treatment is no longer effective, an eyelid crutch can be used as an alternative intervention. This report demonstrates how 3D printing was used to rapidly design, prototype, and manufacture new custom-fit eyelid crutches at a low cost.
March 2, 2018: Orbit
https://www.readbyqxmd.com/read/29480260/endoscope-assisted-harvest-of-autogenous-fascia-lata-in-frontalis-suspension-surgery-a-minimally-invasive-approach-revisited
#5
Abhijit Naik, Anamika Patel, Nandini Bothra, Lapam Panda, Milind N Naik, Suryasnata Rath
Purpose: To report endoscope-assisted fascia lata harvest (EAFH) as a minimally-invasive technique for correction of severe blepharoptosis. Methods: This was a retrospective case series between January 2013 and April 2017. Medical records of all consecutive patients who underwent frontalis suspension by EAFH in the study period were reviewed and outcome was analyzed. Results: Fourteen patients (10 males) were included in the study. Mean age of the group was 18...
March 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29369985/external-levator-advancement-versus-m%C3%A3-ller-muscle-conjunctival-resection-for-aponeurotic-blepharoptosis-a-randomized-clinical-trial
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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...
March 2018: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29315143/predictive-techniques-for-neurotoxin-outcomes
#12
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
#13
LETTER
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
#14
EDITORIAL
Julian D Perry
No abstract text is available yet for this article.
March 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29259900/anterior-lamellar-recession-for-management-of-upper-eyelid-cicatricial-entropion-and-associated-eyelid-abnormalities
#15
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
#16
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
#17
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
#18
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
#19
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)...
December 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
#20
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
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