The Epidemiology and Clinical Features of Blepharoptosis in Taiwanese Population

Lee, Chia-Chen; Feng, I‐Jung; Lai, Hsin-Ti; Huang, Shu-Hung; Kuo, Yur‐Ren; Lai, Chung-Sheng

doi:10.1007/s00266-019-01344-2

Cited by 6 publications

(6 citation statements)

References 29 publications

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“…Participants with blepharoptosis had a higher risk of any cataract and nuclear subtype after adjusting for confounding factors. Among the participants, 46.0% had cataract and 15.8% had blepharoptosis, which was similar to previous epidemiologic studies in Asia 11 , 16 – 18 . Most subgroups did not show any significant interactions with cataract and blepharoptosis except for obesity.…”

Section: Discussionsupporting

confidence: 89%

Association between age-related cataract and blepharoptosis in Korean adults: a population-based study

Jung

et al. 2022

Sci Rep

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Cataract and blepharoptosis are both commonly encountered ophthalmic problems in older adults. Since they share similar risk factors, it is plausible that there may be an association between the two conditions. We examined data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2010–2012 to determine if there is an association between age-related cataract and blepharoptosis. Multivariable adjusted logistic regression analysis was conducted to examine the odds ratio (OR) and 95% confidence interval (CI) for association of each specific type of cataract with presence of blepharoptosis. Of the 10,387 eligible participants, 4782 (46.0%) had cataract and 1419 (15.8%) had blepharoptosis. There were more participants with blepharoptosis in the cataract group, compared with those in the no cataract group. After adjusting for potential confounders, participants with blepharoptosis had a higher risk of total cataract (OR: 1.557, 95% CI 1.201–2.019) and nuclear subtype cataract (OR: 1.305, 95% CI 1.050–1.620). Blepharoptosis was associated with significantly higher odds of cataract in obese participants when compared with non-obese participants (p for interaction = 0.0236). Our study revealed a positive association between age-related cataract and blepharoptosis; it suggests that thorough ophthalmic assessment is needed when assessing patients who are planning cataract or blepharoptosis surgery.

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Section: Discussionsupporting

confidence: 89%

Association between age-related cataract and blepharoptosis in Korean adults: a population-based study

Jung

et al. 2022

Sci Rep

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“…0.8396). 5 The left eye was the most affected in our series because a punch is usually blown with the right hand. Unilateral ptosis was defined as an asymmetry of the palpebral fissure <1 mm (the distance between the upper and lower eyelid in vertical alignment) between two upper eyelids.…”

Section: Resultsmentioning

confidence: 86%

“…Bilateral ptosis was defined as a MRD < 2.0 mm of both eyes. 5 Causes of ptosis based on onset are divided into congenital and acquired. The results in this study are in agreement with the study conducted by Lee CC et al, who obtained that a total of 872 (44.15%) ptotic eyelids were congenital by the time of onset, and 1103 (55.85%) ptotic eyelids had an acquired etiology (p 0.0001).…”

Section: Resultsmentioning

confidence: 99%

“…onset as congenital or acquired. Ptosis can be further categorized according to its cause: (1) myogenic, (2) aponeurotic, (3) neurogenic, (4) mechanical, or (5) traumatic. The most common type of congenital ptosis is myogenic, resulting from an underdeveloped levator palpebra superioris muscle; The most common type of acquired ptosis is aponeurosis and is caused by stretching or disinsertion of the levator aponeurosis.…”

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confidence: 99%

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Clinical Characteristics of Post-surgical Ptosis Patients at Dr. Mohammad Hoesin General Hospital Palembang

Amrina

Erna

Iskandar

2022

sjo

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Introduction: Blepharoptosis is drooping of the upper eyelid in a primary position, causing the narrowing of the palpebral fissure. This condition can partially or completely cover the visual axis. Establishing the diagnosis of ptosis requires a comprehensive eye examination, including history taking, physical examination, and examination of the eyelids in ptosis patients. The majority of patients with ptosis require surgery, and clinical characteristics play an important role in classifying the type of ptosis and then formulating a detailed treatment plan strategy so that a better outcome is obtained. Methods: A descriptive retrospective study was conducted from medical records of post-surgical ptosis patients at Dr. Mohammad Hoesin Hospital Palembang from January 2016 to December 2021. The data taken included age, gender, the onset of occurrence, laterality, type of ptosis based on the onset, vertical palpebral fissure (FPV), horizontal palpebral fissure (FPH), margin-reflex distance (MRD), margin limbal distance (MLD), lid lag, bell's phenomenon levator muscle function, type of ptosis surgery and postoperative condition. This study aims to determine the clinical characteristics of patients with ptosis at Dr. Mohammad Hoesin Hospital Palembang. Results: Of the 57 ptosis patients in this study, the majority of patients were male, as many as 32 patients (56.1%) with the age category >40 years, as many as 24 patients (42.1%) with unilateral lateral ptosis as many as 50 patients (87.7%) with the more frequent comparison was the left eye in 29 patients (58%). Acquired ptosis was the most common cause in this study in as many as 46 patients (80.7%), and the most common mechanism of acquired ptosis was neurogenic (33.3%). The majority of patients had no previous surgical history of 41 patients (71.9%), moderate levator function of as many as 42 (73.7%), and frontal suspension surgery technique with synthetic materials as many as 17 (34%) patients. the mean FPV was 5.08±2.627 with a median of 5.00 (0-11), FPH 25.94±1.726 with a median of 26.00 (20-29), MRD 0.246±1.78 with a median of 0.00 (-4 -5), MLD 4.789±2.801 with a median of 5.00 (-4-11) and LA 7.16±4.083 with a median of 7.00 (0-14). Ptosis patients had negative lid lag in 47 patients (82.5%) and positive bell's phenomenon in 49 patients (86%). The postoperative condition of ptosis patients was satisfactory where there was no recurrence and reoperation of ptosis, postoperative complications as many as 1 (1.8%) patients experienced overcorrection, 6 (10.5%) patients experienced lagophthalmos, and 2 (3.5%) patients had an outcome. asymmetric. Conclusion: Clinical characteristics of ptosis patients can determine the diagnosis and treatment that will be given to the patient.

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“…Some of which must be investigated thoroughly to identify the possible systemic cause and to prevent any lifethreatening complication. 1 Generally Ptosis is divided into three diagnostic categories which include congenital, acquired and pseudo ptosis. Myogenic and Neurogenic are important causes of acquired ptosis.…”

Section: Introductionmentioning

confidence: 99%

Demographic Characteristics and Causes of Acquired Non-senile Ptosis: Experience at a Tertiary Oculoplastic Center

Idris¹,

Yaqoob²,

Khan³

et al. 2021

pak J Ophthalmol

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Purpose: To determine the demographic characteristics and causes of acquired, non-senile ptosis in patients presenting to an oculoplastic clinic of a tertiary care centre. Study Design: Observational case series. Place and Duration of Study: Lady Reading Hospital, from January 2016 to December 2017. Methods: Twenty eight patients were fulfilling the inclusion criteria were recruited in the study. Detailed history with complete examination and investigations like electromyography, acetylcholine receptor antibody test and CT/MRI brain were performed when required. Cause of each ptosis was determined and the relative proportions were calculated. Results: There were 28 cases with acquired, non-senile ptosis. Fifty seven percent were males while females were 42.9%. Patients were divided into four age groups. Most of the patients were in age group of 42–62 years. Eyelid/orbit tumor and Chronic progressive external ophthalmoplegia (CPEO) was seen in 3.6% and 7.1% patients of < 20 years of age respectively. Myasthenia gravis and thyroid related pseudoptosis was common in patients of 21-41 years. In patients with age 42-62 years, Pseudoptosis due to thyroid disorder was the commonest. In patients with age more than 63 years, 3rd nerve palsy, eyelid/orbital mass and Myasthenia gravis was seen. Third nerve palsy and Pseudoptosis secondary to thyroid and eyelid/orbit mass were more common in males while Myasthenia gravis was more common in females. CPEO was equally seen in both genders with p = 0.575. Conclusion: Thyroid related eyelid pseudoptosis of the contralateral eye was the commonest cause in this case series. Key Words: Blepharoptosis, Third nerve palsy, Myasthenia gravis.

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The Epidemiology and Clinical Features of Blepharoptosis in Taiwanese Population

Cited by 6 publications

References 29 publications

Association between age-related cataract and blepharoptosis in Korean adults: a population-based study

Association between age-related cataract and blepharoptosis in Korean adults: a population-based study

Clinical Characteristics of Post-surgical Ptosis Patients at Dr. Mohammad Hoesin General Hospital Palembang

Demographic Characteristics and Causes of Acquired Non-senile Ptosis: Experience at a Tertiary Oculoplastic Center

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