Relative Incidence of Blepharoptosis Subtypes in an Oculoplastics Practice at a Tertiary Care Center

Lim, Janet; Hou, Joshua H.; Singa, Ramesh M.; Aakalu, Vinay K.; Setabutr, Pete

doi:10.3109/01676830.2013.788673

Cited by 49 publications

(51 citation statements)

References 8 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Congenital ptosis is the most common type of ptosis with no predilection for any gender or any of the two eyes 17. We, in this study could not find out any statistically significant difference in the incidence or severity of ptosis between males and females.…”

Section: Discussioncontrasting

confidence: 58%

See 1 more Smart Citation

Efficacy of brow suspension with autogenous fascia lata in simple congenital ptosis

et al. 2017

View full text Add to dashboard Cite

Objective:To assess the mean change in interpalpebral fissure height and marginal reflex distance after brow suspension with autogenous fascia lata sling in patients of ptosis.Methods:This was a Quasi experimental study conducted at Department of Ophthalmology, Mayo Hospital, King Edwards Medical University Lahore, from Jan 2013 to June 2016. Included were the patients who had unilateral or bilateral ptosis with poor levator function (< 5 mm). Informed consent was obtained from all patients after explaining about the research project. Patients were admitted in ward and all of them underwent surgery by a single surgical team. The surgical procedure was performed in supine position under general anesthesia in children and uncooperative patients. Patients were followed at week 4, 8, 12 and 24 to observe vertical interpalpebral fissure height and marginal reflex distance.Results:The mean age of the patients was 9.03 ± 5.26 years. The mean Inter palpebral fissure height (IPFH) was 4.40±0.91 mm and mean MRD was 0.50 ± 1.00 mm before surgery while after surgery it was 7.41±0.76 mm and 3.10 ± 1.50 mm respectively at 04 weeks. The mean IPFH and MRD at 24 weeks postoperatively were 8.43±0.98 mm and 3.60 + 1.50 mm respectively. The mean change in IPFH and MRD at 24th week, were 3.90 ± 0.34 mm and 3.50 ± 1.00 mm.Conclusion:Brow suspension with fascia lata sling is safe and effective technique for correction of ptosis with poor levator function.

show abstract

Section: Discussioncontrasting

confidence: 58%

“…When a piece of free autologous fascia is transplanted to the eyelid, it can easily survive. Various comparative studies have shown that using a fascia lata sling is more effective than other materials and the incidence of complications such as infections, extrusion, breakage and granuloma formation is lower than other materials 15-17…”

Section: Introductionmentioning

confidence: 99%

Efficacy of brow suspension with autogenous fascia lata in simple congenital ptosis

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In 1990, Rathbun [12] reported that 69% of ptosis patients possessed an aponeurotic defect, and only 20% of those were congenital. Other studies also reported a low proportion of cases with congenital ptosis: Clauser et al [7] with 28.5% and Lim et al [13] with 10.4%.…”

Section: Discussionmentioning

confidence: 92%

Clinical and Demographic Characteristics of Blepharoptosis in Korea: A 24-year Experience including 2,328 Patients

Lee

Son

Lee

et al. 2018

Korean J Ophthalmol

View full text Add to dashboard Cite

PurposeTo describe the demographics, relative incidence of subtypes, and clinical characteristics of blepharoptosis in Korean patients.MethodsThis is a retrospective, observational case series consisting of 2,328 patients who underwent ptosis surgery from 1991 to 2014 at a tertiary referral hospital in Korea. The patients were classified according to the type of ptosis and the evaluation of clinical characteristics including levator muscle function (LF) and degree of ptosis.ResultsOf the 2,328 patients, 1,815 (78%) had congenital ptosis and 513 (22%) had acquired ptosis. Simple congenital ptosis is the most common type overall (73.7%), and aponeurotic ptosis is the most common acquired type. More than three-quarters of eyes with congenital ptosis were affected in a moderate (34.4%) to severe degree (41.3%), and most of these eyes had fair (33.7%) to poor LF (60.1%). Among eyes with acquired ptosis, approximately three-quarters were affected in a mild (33.3%) to moderate degree (41.0%), with 63.3% of these eyes having good LF. The most widely used surgical technique was frontalis suspension (55.1%), followed by levator resection (29.0%) and aponeurosis repair (14.8%). At 3 years after the first surgery, 15.7% of patients with congenital ptosis and 10.4% of patients with acquired ptosis underwent reoperation.ConclusionsAlthough the prevalence has decreased from previous years, the proportion of cases with congenital ptosis was higher in this study than has been shown in research conducted in the West. The majority of eyes with congenital ptosis was affected to a severe degree and had poor LF, while those with acquired ptosis were affected to a moderate degree and had good LF. More cases with acquired ptosis presented with fair to poor LF, and frontalis suspension surgery was performed more commonly compared to previous studies. The reoperation rate was higher in congenital ptosis compared to acquired ptosis.

show abstract

“…Blepharoptosis is a common eye abnormality, with an incidence rate of about 0.56 %, ranking second among congenital eye diseases (Lim et al, 2013). Its main manifestation is limited upper eyelid elevation and even occlusion amblyopia (El Essawy & Elsada, 2013).…”

Section: Introductionmentioning

confidence: 99%

Frontalis Muscle Flap Suspension Surgery for the Treatment of Blepharoptosis Based on the Anatomical Study of the Frontal Muscle Nerve in the Third of the Eyebrow

et al. 2016

View full text Add to dashboard Cite

Morphol., 34(1):197-204, 2016. SUMMARY:The aim of this study was to investigate the course of the supraorbital nerve and temporal branch of the facial nerve, and to verify the clinical security of cutting the frontalis muscle flap to treat blepharoptosis in one-third of the eyebrow. Twenty cadavers were dissected. The relationship of the supraorbital nerve and the course of the frontotemporal branch of the facial nerve with the head and neck muscles was evaluated. Forty patients underwent clinical frontal muscular flap suspension surgery for the treatment of blepharoptosis. The postoperative curative and complication rates were determined. The courses of the supraorbital nerve and frontotemporal branch of the facial nerve were observed to determine a relatively safe area in one-third of the eyebrow. The average width of the zone was 25.0±3.5 mm. In forty cases, satisfactory results were achieved in correcting blepharoptosis by cutting the frontal muscular flap in the middle of eyebrow within the wide range of 17±2.1 mm. No secondary sensory and motor dysfunctions occurred. One-third of the eyebrow (eyebrow center, within 17±2.1 mm) was a relatively safe area and allowed for the prevention of damage to the temporal branch of the facial nerve inside the supraorbital nerve and supraorbital artery and the outer frontotemporal branch of the facial nerve.

show abstract

Relative Incidence of Blepharoptosis Subtypes in an Oculoplastics Practice at a Tertiary Care Center

Cited by 49 publications

References 8 publications

Efficacy of brow suspension with autogenous fascia lata in simple congenital ptosis

Efficacy of brow suspension with autogenous fascia lata in simple congenital ptosis

Clinical and Demographic Characteristics of Blepharoptosis in Korea: A 24-year Experience including 2,328 Patients

Frontalis Muscle Flap Suspension Surgery for the Treatment of Blepharoptosis Based on the Anatomical Study of the Frontal Muscle Nerve in the Third of the Eyebrow

Contact Info

Product

Resources

About