Aim?To investigate the predictive value of levator function in the outcomes of surgeries using the anterior levator resection technique in patients with aponeurotic blepharoptosis. Methods?A retrospective analysis of 69 eyes of 65 patients who underwent anterior levator resection between 2005 and 2011 in the ophthalmology department of a tertiary care center was performed. Levator function was assessed as perfect (10 to 15?mm; group 1), good (9 to 10?mm; group 2), and moderate (5 to 8?mm; group 3). Postoperative success rates were analyzed with respect to preoperative levator function. Results?The patient group consisted of 36 females (55.4%) and 29 males (44.6%) with a mean age of 57.2 (range: 16 to 71) years and average duration of follow-up of 13.7 (range: 6 to 36) months. The rates of success in the first, second, and third groups were 84.6%, 84%, and 71%, respectively. The success rate was found to be significantly lower in the third group (p?0.05). The overall success rate, which was 78.3%, improved to 87% after revision surgery. Conclusion?In patients with aponeurotic blepharoptosis with relatively better preoperative levator function, the anterior levator resection technique seems to yield more successful surgical outcomes. Preoperative assessment of levator function may help in the selection of appropriate treatment modality in these patients.
Methods: A total of 100 eyes of 78 patients who were diagnosed with blepharospasm were evaluated during a retrospective, randomized, parallel group study. The severity of spasm, eyelid closing force, and functional visual status scores were used as quantitative measures of the change in clinical status. Side effects (ptosis, dry eye, ocular foreign body sensation, headache, eyelid edema, pain, and ocular irritation) were collected using a systematic questionnaire.
OBJECTIVE: An investigation of incidences of nasal septal deviation (NSD) and its effect on surgical success in patients with congenital nasolacrimal dacryostenosis (CNLDO).METHODS: A retrospective review was made of the medical records of patients who presented to the ophthalmology clinic due to epiphora, were diagnosed with CNLDO and underwent probing. The diagnosis was established by history, clinical examination, and fluorescein disappearance test (FDT)1. Patients with FDT grade 2 and 3 underwent surgery. Success was defined as postoperative FDT grade 0–1. The patients were assessed in terms of gestational week, birth weight, type of delivery, nasal endoscopic examination findings (presence of NSD), time of surgery, treatments received, recurrence and complications.RESULTS: The study comprised 72 eyes of 58 patients who were diagnosed with CNLDO and underwent surgical treatment. Of the patients, 44 (75.86%) had unilateral, and 14 (24.14%) had bilateral CNLDO; 41 (56.94%) were female and 31 (43.06%) were male. The mean gestational age at birth was 38.01 weeks (32–41 weeks), the mean birth weight was 3321.25 (2020–4500 g), the number of cases delivered by cesarean section was 40 (55.56%), and 32 (44.44%) were vaginal deliveries. There were 13 (18.06%) patients with detected NSD after endonasal examination and 59 (81.94%) patients with normal endonasal examination in the Otorhinolaryngology (ORL) department. The time of surgery was 10 –34 months (mean: 19.06 months, SD: 5.73), the length of follow-up was 6–16 months (mean: 9.90 months, SD: 2.58). The rate of probing success was 80.6% (58 eyes), and there was recurrence in 19.4% (14 eyes).The success rate of the probing did not statistically significantly differ by gender (p=0.323), the mean birth week (p=0.123), the mean birth weight (p=0.186), the involved eye (p=0.891), the type of delivery (p=0.891), the mean length of follow-up (months) (p=0.701), the mean month of surgery (p=0.607), and the side of NSD (p=0.853). The incidence of NSD was statistically significantly higher in the group in which the probing failed, than in the group in which the probing was successful (p=0.004).CONCLUSION: NSD was identified in 18% of the patients who were diagnosed with CNLDO and underwent surgery. The incidence of NSD was significantly higher in the group where the probing procedure failed. Pre-treatment nasal endoscopy is important for the treatment planning and prognosis of CNLDO patients.
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