Aponeurotic Ptosis Surgery

Standardized Suture Placement for Mini-invasive Ptosis Surgery

“…In addition, with this procedure, as with other external ptosis procedures, there is no pretesting with phenylephrine required, less need for bandage contact lens postoperatively, and more safety for patients with dry eye and patients with a sensitivity to dissolving suture material. There is also less potential disruption of tear-producing structures, which is a debatable possibility with internal ptosis repair 5. Another benefit of the external approach is that overcorrection is easily addressed in the early postoperative period with an in-office adjustment, although postoperative adjustment following internal ptosis repair has also been described 20.…”

Standardized Suture Placement for Mini-invasive Ptosis Surgery

“…In addition, with this procedure, as with other external ptosis procedures, there is no pretesting with phenylephrine required, less need for bandage contact lens postoperatively, and more safety for patients with dry eye and patients with a sensitivity to dissolving suture material. There is also less potential disruption of tear-producing structures, which is a debatable possibility with internal ptosis repair 5. Another benefit of the external approach is that overcorrection is easily addressed in the early postoperative period with an in-office adjustment, although postoperative adjustment following internal ptosis repair has also been described 20.…”

Relationship between the phenylephrine test and eyelid droop after aponeurotic repair with the use of an epinephrine-containing local anaesthetic

“…A previous study recommended 1 mm of overcorrection during intraoperative adjustment when aponeurotic repair was performed using lidocaine with epinephrine. 16 However, the ΔMRD-1 was significantly different between the groups (Group A, 0.68 mm; Group B, 0.17 mm) in the present study. The application of 1 mm of overcorrection therefore carries a risk of creating an overcorrected upper eyelid position after aponeurotic repair in patients with a negative response to the phenylephrine test.…”

Ptosis induced by topical steroid eye drops

“…And in aponeurotic ptosis cases, the eyelid fold position was always higher in the affected eye. [ 15 ] In the present study, the levator function was 8 mm in both patients, indicating slight levator muscle weakness. In addition, the eyelid fold position of the right eye was higher than that that of the left one.…”

Standardized Suture Placement for Mini-invasive Ptosis Surgery

“…In addition, with this procedure, as with other external ptosis procedures, there is no pretesting with phenylephrine required, less need for bandage contact lens postoperatively, and more safety for patients with dry eye and patients with a sensitivity to dissolving suture material. There is also less potential disruption of tear-producing structures, which is a debatable possibility with internal ptosis repair 5. Another benefit of the external approach is that overcorrection is easily addressed in the early postoperative period with an in-office adjustment, although postoperative adjustment following internal ptosis repair has also been described 20.…”

Relationship between the phenylephrine test and eyelid droop after aponeurotic repair with the use of an epinephrine-containing local anaesthetic

“…A previous study recommended 1 mm of overcorrection during intraoperative adjustment when aponeurotic repair was performed using lidocaine with epinephrine. 16 However, the ΔMRD-1 was significantly different between the groups (Group A, 0.68 mm; Group B, 0.17 mm) in the present study. The application of 1 mm of overcorrection therefore carries a risk of creating an overcorrected upper eyelid position after aponeurotic repair in patients with a negative response to the phenylephrine test.…”

Ptosis induced by topical steroid eye drops

“…And in aponeurotic ptosis cases, the eyelid fold position was always higher in the affected eye. [ 15 ] In the present study, the levator function was 8 mm in both patients, indicating slight levator muscle weakness. In addition, the eyelid fold position of the right eye was higher than that that of the left one.…”

Standardized Suture Placement for Mini-invasive Ptosis Surgery

“…In addition, with this procedure, as with other external ptosis procedures, there is no pretesting with phenylephrine required, less need for bandage contact lens postoperatively, and more safety for patients with dry eye and patients with a sensitivity to dissolving suture material. There is also less potential disruption of tear-producing structures, which is a debatable possibility with internal ptosis repair 5. Another benefit of the external approach is that overcorrection is easily addressed in the early postoperative period with an in-office adjustment, although postoperative adjustment following internal ptosis repair has also been described 20.…”

Relationship between the phenylephrine test and eyelid droop after aponeurotic repair with the use of an epinephrine-containing local anaesthetic

“…A previous study recommended 1 mm of overcorrection during intraoperative adjustment when aponeurotic repair was performed using lidocaine with epinephrine. 16 However, the ΔMRD-1 was significantly different between the groups (Group A, 0.68 mm; Group B, 0.17 mm) in the present study. The application of 1 mm of overcorrection therefore carries a risk of creating an overcorrected upper eyelid position after aponeurotic repair in patients with a negative response to the phenylephrine test.…”

Ptosis induced by topical steroid eye drops

“…And in aponeurotic ptosis cases, the eyelid fold position was always higher in the affected eye. [ 15 ] In the present study, the levator function was 8 mm in both patients, indicating slight levator muscle weakness. In addition, the eyelid fold position of the right eye was higher than that that of the left one.…”