Postoperative levator function change in patients with unilateral myogenic versus aponeurotic blepharoptosis

Tricks and Tips: Creating Illusion of Equal Eyes With Lateral Canthoplasties in the Treatment of Over- and Undercorrected Ptosis Procedures

“…3 In FBS, threats to vision are caused by variable replacement of normal muscle by tendinous-like constrictive fibrose tissue that causes blepharophimosis, blepharoptosis, and strabismus. 4 In our experience, blepharoptosis is best addressed using a static sling to the frontalis, which may have extensive fibrose replacement. 5 Secondary changes to the craniofacial skeleton are seen, but other ocular pathologies have not been observed.…”

“…This omission was an oversight of our literature search. Review of these articles cited [1][2][3][4][5][6] in his Letter to the Editor raise several important questions.We would like to summarize the most salient points as they pertain to our data and draw comparisons where possible. One of the major findings in our study was that, in unilateral congenital ptosis, the ptotic side was more likely to have a smaller MRD2.…”

“…This omission was an oversight of our literature search. Review of these articles cited [1][2][3][4][5][6] in his Letter to the Editor raise several important questions.…”

Re: “Facial Asymmetry in Children With Unilateral Congenital Ptosis”

“…1 Our group, in fact, performed a prospective, in-person pre-and postoperative assessment of all the eyelid parameters in patients with unilateral myogenic (58 patients) and aponeurotic (20 patients) ptosis. [2][3][4] Preoperative MRD2 ratio of ptotic/nonptotic was ≥1 in 98.1% of myogenic and 100% of aponeurotic ptosis. Mean MRD2 then significantly decreased (less inferior scleral show) by 0.5 mm in both groups after the levator surgery.…”

Reply Re: “Facial Asymmetry in Children With Unilateral Congenital Ptosis”

“…This omission was an oversight of our literature search. Review of these articles cited [1][2][3][4][5][6] in his Letter to the Editor raise several important questions.We would like to summarize the most salient points as they pertain to our data and draw comparisons where possible. One of the major findings in our study was that, in unilateral congenital ptosis, the ptotic side was more likely to have a smaller MRD2.…”