Use of an Orbital Septum Flap for Correcting Severe Blepharoptosis

Kasai, Shogo; Shimizu, Yusuke; Ohara, Hirotoshi; Kiuchi, Tomoki; Ihara, Jun; Kishi, Kazuo

doi:10.1007/s00266-020-02087-1

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…However, frequent instillation of eye drops and application of ointment impairs patients' vision and their ability to go about daily life and work, and alternative management options are needed. Switching to more elastic materials, more reliable surgical procedures, or portable eyelid-assisted closure methods has all been suggested 3,11–16 . Lagophthalmos still occurs, but eyelid safe closure time is shortened with these methods.…”

Section: Discussionmentioning

confidence: 99%

“…Switching to more elastic materials, more reliable surgical procedures, or portable eyelid-assisted closure methods has all been suggested. 3,[11][12][13][14][15][16] Lagophthalmos still occurs, but eyelid safe closure time is shortened with these methods. Lowering the correction height of the palpebral fissure out of fear of lagophthalmos results in extreme patient dissatisfaction.…”

Section: Discussionmentioning

confidence: 99%

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Tape Tarsorrhaphy in the Management of Lagophthalmos Caused by Severe Congenital Blepharoptosis Procedures

Sun,

Hao,

Cao

et al. 2024

Ann Plast Surg

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Background Lagophthalmos, a common complication after blepharoptosis correction, has plagued oculoplastic surgeons. The goal of this study was to investigate the effect of tape eyelid closure on reducing the occurrence of lagophthalmos after blepharoptosis correction. Methods From April 2020 to June 2021, a total of 112 patients with severe congenital ptosis received corrective surgery at the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University. Of these, 48 underwent frontalis muscle advancement technique and 64 underwent conjoint fascial sheath suspension. Preoperative data collected included demographics, levator function, Bell's phenomenon, and marginal reflex distance 1 (MRD1). Postoperative data included surgery type, MRD1, eyelid closure function, aesthetic outcomes (including eyelid contour, eyelid symmetry, and eyelid crease), keratitis, and other complications. Results Frontalis muscle advancement technique group: the median of safe eye closure time was 7.3 months (positive Bell's phenomenon; interquartile range [IQR], 3.8–10.8 months) and 13.9 months (poor Bell's phenomenon; IQR, 11.6–16.1 months). There was a significant improvement between the preoperative and postoperative MRD1 (−1.52 ± 0.82 vs 3.85 ± 0.58 mm, P < 0.05). Conjoint fascial sheath suspension group: the median of safe eye closure time was 5.7 months (positive Bell's phenomenon; IQR, 2.9–8.5 months) and 12.4 months (poor Bell's phenomenon; IQR, 8.1–16.7 months). There was a significant improvement between the preoperative and postoperative MRD1 (−1.02 ± 0.91 vs 4.15 ± 1.03 mm, P < 0.05). All patients/guardians were satisfied with the aesthetic outcomes. Conclusions Tape tarsorrhaphy is a safe, easy-to-learn method for treating lagophthalmos with a good aesthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tape Tarsorrhaphy in the Management of Lagophthalmos Caused by Severe Congenital Blepharoptosis Procedures

Sun,

Hao,

Cao

et al. 2024

Ann Plast Surg

View full text Add to dashboard Cite

show abstract

“…Level of evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the We sincerely thank Zhang and Wang for their interest in our article ''Use of an Orbital Septum Flap for Correcting Severe Blepharoptosis'' [1] and for bringing further attention to this important and complex topic. They raise several important points.…”

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confidence: 99%