British Oculoplastic Surgery Society (BOPSS) National Ptosis Survey

Scoppettuolo, Elizabetta; Chadha, Vikas; Bunce, Catey; Olver, Jane; Wright, Mark

doi:10.1136/bjo.2007.132746

Cited by 62 publications

(35 citation statements)

References 14 publications

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“…11,12 The average time needed to operate for each eyelid was 31.1 min, which was comparable with the average time of 26.3 min reported by Frueh et al 13 using the small incision, minimal dissection anterior approach procedure. In contrast, the same author reported an average time of 56.6 min for traditional lid crease incision approach.…”

Section: Discussionsupporting

confidence: 72%

Minimal incision posterior approach levator plication for aponeurotic ptosis

Chan

2015

Eye

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Section: Discussionsupporting

confidence: 72%

Minimal incision posterior approach levator plication for aponeurotic ptosis

Chan

2015

Eye

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“…More recently, a BOPSS national survey reported that only 57% of patients undergoing primary aponeurotic surgery in the United Kingdom had a successful outcome with 65% of patients completely satisfied with the results. 1 There is only one comparative study of anterior levator advancement vs MMCR for the correction of involutional ptosis, which reported a 22% lower revision rate for MMCR vs anterior levator advancement and a statistically better cosmetic outcome. 15 This is consistent with other reports of Muller's muscle resection, which suggest a generally higher success rate (85-98%) compared with that for anterior approach levator advancement.…”

Section: Resultsmentioning

confidence: 99%

“…Levator aponeurosis surgery was first advocated by Jones et al 14 for the treatment of involutional ptosis, and since then, reported success rates in the literature have varied, ranging from 57 to over 90%. [1][2][3][4] In a large series of anterior levator advancement, McCulley et al 2 found that 77% of eyelids were symmetrical to within 1 mm of the fellow eye, with 8.8% of eyelids requiring re-operation. More recently, a BOPSS national survey reported that only 57% of patients undergoing primary aponeurotic surgery in the United Kingdom had a successful outcome with 65% of patients completely satisfied with the results.…”

Section: Resultsmentioning

confidence: 99%

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Open-sky isolated subtotal Muller’s muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome

Peter

Khooshabeh

2013

Eye

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Purpose To evaluate short-and long-term success rates on isolated subtotal Muller resection in over 300 cases of ptosis over a 10-year period. Methods Clinical records were retrospectively evaluated for aetiology and severity of ptosis, levator function, response to phenylephrine, pre-and postoperative margin reflex distance of the upper lid (MRD1), postoperative lid contour and symmetry, complications and follow-up duration. Main outcome measures: change in MRD1 and eyelid contour. Surgical success: postoperative MRD1 Z2 and r4.5 mm, symmetry to within 1.0 mm and satisfactory contour. All patients were also sent patient satisfaction questionnaires, and invited to attend for a longer-term assessment of their surgical outcome. Results In total, 92 and 95% of 309 eyelids met all three criteria for success after an average follow-up of 4 and 47 months, respectively. Mean improvement in MRD1 was 2.56 mm. In all, 97% had postoperative MRD1 of Z2 and r4.5 mm and over 99% had an excellent contour. Altogether, 95 and 89% were within 1.0 and 0.5 mm symmetry of the fellow eye, respectively. In total, 51% of eyelids continued to rise, 17% maintained the same initial postoperative height, and 32% dropped by 1 mm or less. In all, 92% felt that their initial postoperative eyelid height had been maintained. Only 2% required repeat surgery and minor complications occurred in 4%. Conclusions Isolated subtotal Muller's resection is safe and effective for the repair of the majority of ptosis with moderate-togood levator function. It results in a more predictable height, which is maintained over time, less frequent contour abnormalities, and lower re-operation rates compared with anterior levator advancement.

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“…Ocular hypotelorism was defined as a reduced ICD and OCD, and ocular hypertelorism as an increased distance of the ICD and OCD (Feingold & Bossert 1974). The distance from the upper eyelid margin to the corneal reflex distance (UMRD) was measured to establish the presence of ptosis, defined as an UMRD £ 2 mm, or if there was a ‡2 mm asymmetry between the two eyes (Scoppettuolo et al 2008) and also if the PFW was below reference values (Greenberg & Prein 2002). All these measurements were classified as abnormal if the values were <2 SD.…”

Section: Methodsmentioning

confidence: 99%

Ocular manifestations and visual functions in patients with Fanconi anaemia

Törnquist

Martin

Winiarski

et al. 2013

Acta Ophthalmologica

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ABSTRACT.Purpose: Fanconi anaemia (FA) is a multisystemic disorder with ocular implications. This study aims to describe visual function, ocular characteristics and visual processing skills in patients with FA after haematopoietic stem cell transplantation. Methods: Ten patients with FA, ages 8-17 years, underwent ophthalmological examinations, corneal, periocular and fundus photography, visual evoked potentials (VEPs), visual fields and ocular motor and visual processing information tests. Results: Best-corrected decimal visual acuity was ‡0.65 in all 20 eyes. Microcornea was present in 18 of 18 eyes, short axial lengths in six of six eyes, steep corneal curvatures in four of six eyes, ptosis in 14 of 16 eyes, short palpebral fissures in 15 of 16 eyes and hypotelorism in three of seven patients. Optic disc areas were smaller in patients with FA compared to controls (p = 0.0003 right, p = 0.0003 left eye). Visual fields were abnormal in 4 of 18 eyes, while VEP was abnormal in 1 of 20 eyes. Eight patients had ocular motor dysfunction, while nine of 10 patients showed delay in visual processing skills. Conclusion: Patients with FA can present with microcornea, microphthalmia, ptosis, steep corneal curvatures, small optic discs, ptosis and delay in visual processing skills. Detailed ophthalmological and visual processing skills assessments and developmental investigations are important to detect impairments and facilitate appropriate support.

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British Oculoplastic Surgery Society (BOPSS) National Ptosis Survey

Cited by 62 publications

References 14 publications

Minimal incision posterior approach levator plication for aponeurotic ptosis

Minimal incision posterior approach levator plication for aponeurotic ptosis

Open-sky isolated subtotal Muller’s muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome

Ocular manifestations and visual functions in patients with Fanconi anaemia

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