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

Ghahvehchian, Hossein; Kashkouli, Mohsen Bahmani; Karimi, Nasser

doi:10.1097/iop.0000000000002283

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…We thank Ghahvehchian et al for their interest and comments on our published paper that reports modified technique’s long-term outcomes and potential pathophysiologic mechanisms for severe cicatricial entropion. 1 The authors have raised their concern related to follow-up duration. All cases in our series had a minimum of 6 months of follow-up.…”

Section: To the Editormentioning

confidence: 99%

Reply Re: “Cicatricial Entropion in Chronic Cicatrizing Conjunctivitis: Potential Pathophysiologic Mechanisms and Long-Term Outcomes of a Modified Technique”

Singh,

Basu,

Jakati

2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Section: To the Editormentioning

confidence: 99%

Reply Re: “Cicatricial Entropion in Chronic Cicatrizing Conjunctivitis: Potential Pathophysiologic Mechanisms and Long-Term Outcomes of a Modified Technique”

Singh,

Basu,

Jakati

2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Lower Eyelid Position Changes Following Müller’s Muscle-Conjunctival Resection Blepharoptosis Surgery

Ghahvehchian,

Rafizadeh,

Aghajani

et al. 2024

Aesthetic Surgery Journal

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Background Asymmetry of the lower eyelids and a lower position of the lower eyelid on the ptotic side are common issues in patients with upper lid ptosis. Understanding the relationship between upper lid ptosis correction and lower eyelid position will facilitate better treatment strategies for ptosis. Objectives To assess the lower eyelid position before and after Müller's muscle-conjunctival resection (MMCR) in unilateral myogenic ptosis (MP) and aponeurotic ptosis (AP). Methods This prospective interventional before-and-after study, included adults with blepharoptosis. Measurements were taken before and 6 months after the surgery. Results A total of 47 patients included, with 29 having MP and 18 having AP. The mean ages were 31.55 ± 5.30 years and 50.11 ± 6.45 years, respectively. In MP group, there was a significant association between baseline MRD2 and the severity of ptosis (MRD1) (β= -0.739, p=0.004, multivariate regression analysis). After MMCR, significant decreases were observed in MRD2 for both MP (-0.38 ± 0.48 mm, p<0.001) and AP (-0.39 ± 0.47 mm, p=0.003). The symmetry of MRD2 remained stable at 41.4% in the MP, while it decreased from 44.4% to 16.7% in the AP. The baseline MRD2 was the only factor associated with postoperative MRD2 in the MP. Conclusions Patients with myogenic and aponeurotic ptosis often exhibit a lower position of the lower eyelid, which typically elevates after posterior upper lid ptosis surgery. In myogenic cases, the severity of preoperative lower eyelid position correlates with the severity of upper lid ptosis and predicts postoperative elevation of the lower lid.

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

Abstract: FIG. 1. Left congenital myogenic upper eyelid ptosis with associated lower scleral show or more margin reflex distance 2 (A, C) which improved after levator surgery (B, D).

Cited by 2 publications

References 6 publications

Reply Re: “Cicatricial Entropion in Chronic Cicatrizing Conjunctivitis: Potential Pathophysiologic Mechanisms and Long-Term Outcomes of a Modified Technique”

Reply Re: “Cicatricial Entropion in Chronic Cicatrizing Conjunctivitis: Potential Pathophysiologic Mechanisms and Long-Term Outcomes of a Modified Technique”

Lower Eyelid Position Changes Following Müller’s Muscle-Conjunctival Resection Blepharoptosis Surgery

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