In this study, most patients were immunocompetent individuals. The course of the uveitis was generally uniphasic in nature and of a relatively short duration. There was a high incidence of secondary glaucoma with 15% of all patients requiring surgical intervention. The visual loss in the five patients was not directly related to the uveitis and secondary glaucoma but to other complications associated with HZO.
The majority of contact lens wearers presenting with blepharoptosis gave a history of prolonged use of hard contact lenses. One explanation for this would be the mechanisms of removal of hard contact lenses. This involves pulling the lids laterally at the lateral canthus followed by a harsh blink, which over years can lead to levator aponeurosis dehiscence. Contact lens associated ptosis is an uncommon cause of acquired ptosis across all age groups.
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