Management of Progressive Myopathic Blepharoptosis With Daily Application of Octyl-2-Cyanoacrylate Liquid Bandage

Osaki, Midori Hentona; Belfort, Rubens; Osaki, Tammy H.; Sant’Anna, Ana Estela; Haraguchi, Daniel Keizo de Medeiros

doi:10.1097/iop.0b013e3181ac4fd3

Cited by 13 publications

(5 citation statements)

References 15 publications

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“…Likewise, the majority of supranuclear neurogenic ptosis that occurred secondary to cerebrovascular accident improved within 2-3 days of onset [49] . Specific types of ptosis may benefit from observation with the aid of certain prosthetic devices [82,83] . Glasses can be made inexpensively with wire attachments known as "crutches" that can be positioned to elevate the upper eyelid and delay surgery in poor surgical candidates [84] .…”

Section: Observationmentioning

confidence: 99%

More than meets the eye: a comprehensive review of blepharoptosis

Floyd¹,

Kim²

2021

PAR

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Section: Observationmentioning

confidence: 99%

More than meets the eye: a comprehensive review of blepharoptosis

Floyd¹,

Kim²

2021

PAR

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“…Octyl cyanoacrylate was applied to the upper eyelid for progressive myophathic blepharoptosis in 10 consecutive patients to increase the depth of the upper lid crease. 88 The placement of hyperdry amniotic membrane patches using octyl cyanoacrylate for the treatment of corneal perforations or glaucoma bleb leaks was reported to be successful in 5 patients. 89…”

Section: Ophthalmologic Surgerymentioning

confidence: 99%

State-of-the-Art Review: Hemostats, Sealants, and Adhesives II: Update As Well As How and When to Use the Components of the Surgical Toolbox

Spotnitz

Burks

2010

Clin Appl Thromb Hemost

145

212

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The goal of this submission is to describe how and when to best use hemostats, sealants, and adhesives as well as to compare their characteristics and to update the surgical toolbox with respect to any new products approved by the Food and Drug Administration (FDA) as of this date (November 2009). The materials will be presented in 3 major groups each containing specific categories: (1) hemostats; mechanical, active, flowable, and fibrin sealant, (2) sealants; fibrin sealant, polyethylene glycol polymer, and albumin and glutaraldehyde, (3) adhesives; cyanoacrylate, albumin and glutaraldehyde, and fibrin sealant. The categories will be used for comparisons based on safety, efficacy, usability, and cost. Recommendations with respect to how and when to best use these materials will be presented. A review of the recent literature is also provided with respect to the most recent uses of these materials in specific surgical specialties.

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“…The surgical technique must be meticulous, especially if fron-Tarsal switch using an anterior approach to correct severe ptosis talis suspension or extensive resection of the levator muscle is performed, due to the risk of postoperative complications such as lagophthalmos and keratitis secondary to corneal exposure [6,7].…”

Section: Introductionmentioning

confidence: 99%

Tarsal switch using an anterior approach to correct severe ptosis

et al. 2018

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BackgroundTo present the outcomes of the tarsal switch procedure using an anterior approach to correct severe ptosis with poor levator muscle function (<4 mm) with absent or poor Bell’s phenomenon.MethodsThis retrospective case series included 11 patients with severe neurogenic or acquired myogenic palpebral ptosis. All patients underwent the tarsal switch procedure through an anterior approach from 2012 to 2015. Margin reflex distance (MRD1 and MRD2) and the palpebral fissure were evaluated preoperatively and postoperatively. Data were compared using the Wilcoxon signed-rank test. P-values <0.05 were considered to indicate statistical significance.ResultsSurgery was performed on 18 eyelids (11 patients). The median age at surgery was 57 years (range, 29-86 years). Four patients had unilateral ptosis and seven had bilateral ptosis. Nine patients had myogenic ptosis and two had neurogenic ptosis. Postoperatively, the chin-up position improved in all patients. The MRD1 increased statistically significantly, from 0 mm preoperatively to 1.0 mm postoperatively (P=0.001). The MRD2 decreased statistically significantly, from 4.5 mm preoperatively to 3.0 mm postoperatively (P=0.001). The palpebral fissure did not change (4.0 mm preoperatively to 4.0 mm postoperatively) (P=0.13).ConclusionsThe tarsal switch procedure through an anterior approach is an effective alternative for correcting severe ptosis, especially neurogenic or acquired myogenic ptosis. This procedure can be performed with minimal risk of ocular surface exposure and provides stable outcomes.

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Management of Progressive Myopathic Blepharoptosis With Daily Application of Octyl-2-Cyanoacrylate Liquid Bandage

Abstract: Octyl-2-cyanoacrylate liquid bandage is an alternative method that is simple, safe, and effective in the management of severe blepharoptosis. Moreover, it can be used in patients without systemic conditions or those who are unwilling to undergo a surgical procedure.

Cited by 13 publications

References 15 publications

More than meets the eye: a comprehensive review of blepharoptosis

More than meets the eye: a comprehensive review of blepharoptosis

State-of-the-Art Review: Hemostats, Sealants, and Adhesives II: Update As Well As How and When to Use the Components of the Surgical Toolbox

Tarsal switch using an anterior approach to correct severe ptosis

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