Congenital and acquired blepharoptosis

Sakol, Peter J.; Mannor, Geva; Massaro, Bruce M.

doi:10.1097/00055735-199910000-00010

Cited by 53 publications

(32 citation statements)

References 37 publications

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“…[1] Congenital ptosis is generally unilateral (70%), but may be bilateral, and can be isolated or associated with disease of one or more of the extraocular muscles and/or other systemic conditions. [2,3] More severe forms may involve hypoplasia of the levator palpebrae superioris muscle or tendon with a minimal or absent eyelid crease. [4] Treatments of blepharoptosis have been under development for more than 100 years and are still being refined.…”

Section: Introductionmentioning

confidence: 99%

Study of the Outcome of Various Surgical Procedures for Simple Congenital Blepharoptosis

Kabra¹,

Khatri²

2015

jemds

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AIM & OBJECTIVE:The aim of the study is to evaluate the functional and cosmetic outcome and compare the complications of various ptosis surgeries done for simple congenital ptosis at a tertiary care hospital. METHODS: 46 patients with 52 eyelids having undergone ptosis surgery for congenital simple blepharoptosis were included in our study. Patients of all age groups and either sex which post-operatively completed a follow-up period at 1, 3, 6 months were included in the study and grouped under four groups-levator resection, silicon sling, Fascia Lata sling, Fasanella Servat surgery. The postoperative outcome and complications were noted in all cases. RESULTS: Out of 52 eyelids operated for blepharoptosis, 45 cases (86.54%) had good, 5 (9.62%) had fair and 2 (4.35%) had poor post-operative outcome. Though on applying the chi square test there was no significant difference observed in the cosmetic and functional outcome between all the groups but the maximum number of complications was noted in the silicon sling group. CONCLUSION: With the selection of the right surgery depending on amount of ptosis and levator muscle action we could achieve good cosmetic correction and minimal complications in most of our cases.

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Section: Introductionmentioning

confidence: 99%

Study of the Outcome of Various Surgical Procedures for Simple Congenital Blepharoptosis

Kabra¹,

Khatri²

2015

jemds

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“…In more than half of the afflicted cases it is a consequence of a dystrophy or dysgenesis of the levator palpebrae superioris (LPS) (1,2,3). In the majority of patients CBP is an isolated anomaly, and rarely is a part of a congenital syndrome with myogenic or neurogenic origin (4,5,6). CBP often coexists with numerous visual system disorders, which can affect the course of surgical treatment (7,8).…”

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confidence: 99%

Evaluation of the Surgical Treatment for Congenital Blepharoptosis Using Mustarde’s Modified Method

Iljin¹,

Zieliński²,

Lewandowicz³

et al. 2016

Polish Journal of Surgery

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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 2005Between -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. Results. Very good results were obtained in all cases with mild, in 89.5% with moderate, and in 85.7% with severe unilateral CBP after correction by Mustarde's modified method. Lagophthalmos was seen in 6.25%, and undercorrection in 12.5% of cases. conclusions. 1. Mustarde's modified method allows for obtaining very good functional and aesthetic results in CBP patients. 2. Mustarde's modified method is a valuable supplemental surgical technique in CBP, and contributes to a low rate and small range of lagophthalmos.

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“…Patients who wear hard contact lenses or have a history of severe eye infection, cataract surgery, or blunt trauma to the eye may have an increased risk for aponeurotic ptosis. 27 In some patients, aponeurosis defect can occur at a younger age and without a precipitating factor. Another mechanism can have a function in developing aponeurosis damage in these patients.…”

Section: Discussionmentioning

confidence: 99%