A new physical finding in floppy eyelid syndrome

Langford, John D.; Linberg, John V.

doi:10.1016/s0161-6420(98)91960-1

Cited by 57 publications

(20 citation statements)

References 15 publications

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“…[1][2][3][4][5][6][7] However, the degree of LP in normal populations and its association factors have not yet been investigated, particularly in Asians, even though LP is one of the most important factors to be considered in blepharoplasty or correction of ptosis.…”

Section: Discussionmentioning

confidence: 99%

“…LP has a reported association with floppy eyelid syndrome, long-standing ocular leprosy, bilateral acoustic neuroma, and latanoprost-induced LP. [1][2][3][4][5][6][7] These reports suggest that LP is largely based on anatomic changes within the upper eyelids. The upper eyelid is separated into anterior lamella and posterior lamella, and eyelash bulbs are located between the Riolan muscle and the pretarsal orbicularis oculi muscle.…”

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confidence: 99%

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Lash Ptosis and Associated Factors in Asians

Lee¹,

Lee²,

Lee³

et al. 2010

Annals of Plastic Surgery

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Lash ptosis (LP) is one of the important factors to be considered in blepharoplasty or correction of ptosis, but LP is an often overlooked symptom. We evaluate normal variations in the degree of LP to analyze the relationship between LP and its associated factors in Asians. One-hundred and sixty patients without ptosis and 16 patients with acquired ptosis were included in this study. We measured the degree of LP, marginal reflex distance 1, levator function, and presence or absence of a double fold. A significant difference was observed in LP rating between the nonptosis and acquired ptosis groups (P = 0.00), along with a significant correlation between LP rating and marginal reflex distance 1 (r = -0.272, P < 0.01), levator function (r = -0.170, P < 0.01), and absence or presence of double fold (r = -0.233, P < 0.01). Our results may be beneficial in the design of a basic plan for Asian patients with LP at the time of upper eyelid surgery, such as blepharoplasty or correction of ptosis.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Lash Ptosis and Associated Factors in Asians

Lee¹,

Lee²,

Lee³

et al. 2010

Annals of Plastic Surgery

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“…1 The patients usually have a soft, rubbery tarsus that can be self-folded, being associated with other ocular findings including: punctuate epithelial keratopathy, endothelial keratopathy, chronic conjunctivitis, keratoconus, dermatochalasis, blepharochalasis, blepharoptosis, eyelash ptosis, blepharitis, tear dysfunction, lower eyelid laxity, and lower eyelid ectropion. [1][2][3][4][5][6][7][8][9][10] Systemic associations such as obstructive sleep apnea, hyperglycinemia, mental retardation, hypertension, and diabetes mellitus have also been described in relation to this condition. 8,[11][12][13] Because of the underlying eyelid laxity, the solution requires some form of eyelid tightening if conservative measures such as shields, lubricants, weight loss, and/or treatment of obstructive sleep apnea fail to provide relief.…”

mentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10] Systemic associations such as obstructive sleep apnea, hyperglycinemia, mental retardation, hypertension, and diabetes mellitus have also been described in relation to this condition. 8,[11][12][13] Because of the underlying eyelid laxity, the solution requires some form of eyelid tightening if conservative measures such as shields, lubricants, weight loss, and/or treatment of obstructive sleep apnea fail to provide relief. 1,5,[13][14][15] Previously described surgical treatments include a pentagonal upper eyelid wedge resection beginning at the lateral third of the eyelid, lateral tarsorrhaphy, modified back-tapered wedge resection with advancement flap, Bick procedure, lateral tarsal strip with/without periosteal flap for lateral canthal fixation, in association with lower eyelid correction in certain cases.…”

mentioning

confidence: 99%

Medial Upper Eyelid Shortening to Correct Medial Eyelid Laxity in Floppy Eyelid Syndrome: A New Surgical Approach

Valenzuela

Sullivan

2005

Ophthalmic Plastic & Reconstructive Surgery

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“…Culbertson and Ostler first described an enigmatic eyelid disorder, floppy eyelid syndrome (FES), in 1981 . FES typically presents in middle‐aged obese men with unilateral or bilateral chronic papillary conjunctivitis, marked upper eyelid and canthal tendon tissue laxity, spontaneous nocturnal upper tarsal plate eversion and mucous discharge worse on waking . There is a strong association with obstructive sleep apnoea (OSA) …”

Section: Introductionmentioning

confidence: 99%

Floppy eyelid syndrome “plasty” procedure: Employment of a periosteal transposition flap for surgery of floppy eyelid syndrome

Waldie

Francis

Coroneo

et al. 2019

Clinical Exper Ophthalmology

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Importance Floppy eyelid syndrome “plasty” (FESplasty) is a surgical technique that addresses underlying superior tarsal plate and lateral canthal instability in floppy eyelid syndrome (FES) and aims to restore normal anatomical and physiological function to the upper eyelid. Background To describe the use of FESplasty in the surgical management of FES, and to report outcomes in an initial patient cohort. Design Retrospective study. Participants Seven patients (nine eyelids) with FES undergoing FESplasty. Methods A single surgeon (G.W.) performed all procedures. FESplasty utilizes a periosteal flap based at the inferolateral orbital rim, and applied to the anterior surface of the upper tarsal plate. It is combined with a titrated shortening procedure of the upper eyelid. Patient demographics, comorbidities and ocular symptoms and signs were recorded preoperatively. Pre‐ and postoperative upper eyelid distractibility were graded and documented. Main Outcome Measures Postoperative improvement in upper eyelid distractibility and symptomatology, operative complications and FES recurrence. Results FES symptoms and upper eyelid laxity improved at last follow‐up (average 24 weeks) in all patients, with no FES recurrences after a maximum follow‐up of 36 weeks. One patient, in whom FESplasty exacerbated his pre‐existing aponeurotic ptosis, required definitive ptosis surgery subsequently. There was one case of postoperative wound infection. Obstructive sleep apnoea was present in four of the seven patients. The remaining three patients were awaiting assessment. Conclusions and Relevance FESplasty is likely to confer long‐term effective stabilization of the lateral canthal tendon, lateral commissure and superior tarsal plate. Anatomical and functional results appeared to have been successfully achieved.

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A new physical finding in floppy eyelid syndrome

Cited by 57 publications

References 15 publications

Lash Ptosis and Associated Factors in Asians

Lash Ptosis and Associated Factors in Asians

Medial Upper Eyelid Shortening to Correct Medial Eyelid Laxity in Floppy Eyelid Syndrome: A New Surgical Approach

Floppy eyelid syndrome “plasty” procedure: Employment of a periosteal transposition flap for surgery of floppy eyelid syndrome

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