Results of Blepharoptosis Surgery with Early Postoperative Adjustment

Shore, John W.; Bergin, Donald J.; Garrett, Samuel N.

doi:10.1016/s0161-6420(90)32384-9

Cited by 56 publications

(24 citation statements)

References 16 publications

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“…This compares to 2/77 in a series of ptosis correction using Putterman's technique needing further correction 14 and 24/207 for ALR 15 (Table 1). In all, 98% of our eyelids were within 1 mm of the desired height, which compares to 94% for Putterman 16 and 74% with the ALR.…”

Section: Discussionmentioning

confidence: 78%

Open sky Müller's muscle–conjunctiva resection for ptosis surgery

Lake

Mohammad-Ali

Khooshabeh

2003

Eye

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Purpose We describe a surgical technique for ptosis correction in moderate to good levator function involving resection of Mü ller's muscle of the upper eyelid. This is a substantial modification of the technique described by Putterman. We then present our experience of and the results from this method. Methods A subtotal resection of Mü ller's muscle plus underlying conjunctiva is performed under direct visualisation. The muscle stump is reattached to the tarsus and the sutures passed through to the skin crease. In those cases where the phenylephrine test was positive to a level less than the desired lid height, a 1 mm of strip of tarsus is included in the tissue resection. The sutures are removed between 5 days and 3 weeks postoperatively allowing control over lid height and contour. A total of 61 eyes of 48 patients underwent this procedure. Results Of 61 eyelids, 56 undergoing this procedure were within 0.5 mm of the desired end point, giving a success rate of 92%. Of 61 eyelids, 60 were within 1 mm of the desired height. Preoperative phenylephrine 10% was highly predictive of postoperative lid height (58/61). An excellent lid contour was noted in all cases (61/61). Conclusions We present a new approach to ptosis correction using Mü ller's muscle. It has a high success rate and good cosmetic outcome. It is technically straightforward and easy to learn.

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Section: Discussionmentioning

confidence: 78%

Open sky Müller's muscle–conjunctiva resection for ptosis surgery

Lake

Mohammad-Ali

Khooshabeh

2003

Eye

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“…ise aponevrotik pitozisli 116 gözde %93 olarak bildirmiş-lerdir. 14, 15 Ünal ve ark., farklı etiyolojilere sahip 74 pitozisli hastada %85 oranında tam düzelme bildirmiştir. 16 Özay ve ark., levator aponevroz cerrahisi ile aponövrotik pitozis olan olgularda %93 başarılı, %7 tatminkâr; miyojenik pitozis te %75 başarılı, %13 tatminkâr sonuç elde ettiklerini belirtmişler-dir.…”

Section: Discussionunclassified

Evaluation of Surgical Outcomes in Patients with Blepharoptosis

Küsbeci¹,

Yavaş²,

Polat³

2015

Turkiye Klinikleri J Ophthalmol

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lefaropitozis, kozmetik ve fonksiyonel, hatta psikososyal problemler oluşturan bir hastalıktır.1 Günümüzde birçok olgu cerrahi olarak tedavi edilmektedir. Seçilecek cerrahi yöntemin belirlenmesinde bleTurkiye Klinikleri J Ophthalmol 2015;24(1) 29Blefaropitozisli Olgularda Cerrahi Sonuçların Değerlendirilmesi Ö ÖZ ZE ET T A Am ma aç ç: : Blefaropitozis cerrahisi uyguladığımız olguların cerrahi sonuçlarını değerlendirmek-tir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya, Mart 2007-Mayıs 2011 tarihleri arasında kliniğimizde tek ya da çift taraflı blefaropitozis tanısı alan 24 hastanın 33 gözü dâhil edildi. Tüm hastaların tam oftalmolojik muayene yapıldı. Palpebral aralık yüksekliği, kapak kenarı ile pupil ışık reflesi mesafesi, levator fonksiyonları ölçüldü. Yirmi bir (%64) göze levator aponevroz cerrahisi, 12 (%36) göze silikon çubuk ile frontal askı cerrahisi uygulandı. Cerrahi sonrası tam düzelme sağlanan veya 1 mm'nin altında rezidüel pitozisi bulunan olgular başarılı olarak değerlendirildi. B Bu ul lg gu ul la ar r: : Pitozis miktarı ortalama 3,4±0,8 mm idi. Dört (%12) gözde hafif, 16 (%49) gözde orta, 13 (%39) gözde ise ağır pitozis mevcuttu. On dört (%58) olguda konjenital pitozis (10 olgu tek taraflı, iki olgu çift taraflı, iki olgu blefarofimozis sendromu) ve 10 (%42) olguda aponörotik pitozis (dört olgu tek taraflı, beş olgu çift taraflı, bir olgu travmatik ptozis) saptandı. Levator aponevroz cerrahisi uygulanan grupta sonuçlar, 16 (%76) gözde başarılı, dört (%19) gözde tatminkâr, bir (%5) gözde başarısız olarak değerlendirildi. Frontal askı uygulanan grupta ise yedi (%58) gözde başarılı, üç (%25) gözde tatminkâr, iki (%17) gözde ise başarısız idi. S So on nu uç ç: : Blefaropitozis, uygun cerrahi tekniğin tercih edilmesi ile etkin şe-kilde düzeltilebilmektedir.A An na ah ht ta ar r K Ke el li im me el le er r: : Blefaroptozis; göz kapağı hastalıkları; silikon; cerrahi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To evaluate the surgical outcomes in patients with blepharoptosis. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Thirty-three eyelids of 24 patients who had undergone blepharoptosis surgery between

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“…Levator aponeurosis advancement for blepharoptosis has success rates of 70% to 495%. [6][7][8][9][10][11] As these studies all dealt with Caucasians, considering the differences in eyelid anatomy and surgical outcomes according to ethnicity, it is necessary to report the surgical outcomes of levator aponeurosis advancement in Asians. Because of the large orbicularis muscle, preaponeurotic fat, and narrower horizontal fissure, it might be more difficult to elevate the upper eyelid in Asians compared with Caucasians.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10][11] In this procedure, the levator aponeurosis is usually sutured to the tarsus with three-point sutures. 6,[12][13][14][15] However, adjusting and fixing the levator aponeurosis on the tarsus at three different positions is relatively time and labor consuming.…”

Section: Introductionmentioning

confidence: 99%

Comparison of two- and three-point sutures for advancing the levator aponeurosis in Asian eyelids

Kim

Yoon

Jang

2015

Eye

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Purpose To compare the functional and cosmetic outcomes of two-and three-point sutures for advancing the levator aponeurosis in blepharoptosis surgery on Asians.Patients and methods This retrospective study examined 60 Asian patients with blepharoptosis who had undergone advancement of the levator aponeurosis: 34 patients (46 eyelids) had ptosis correction using the two-point suture technique and 26 patients (41 eyelids) had ptosis correction using the three-point suture technique. The postoperative marginal reflex distance (MRD1), lid height difference, and eyelid contour were evaluated. Results Twenty-seven (79.4%) of the 34 patients in the two-point group and 19 (73.1%) of 26 patients in the three-point group had a postoperative MRD1 of 2-4 mm, lids within 0.5 mm of each other, and a satisfactory eyelid contour; this difference was not significant. The rate of reoperation did not differ significantly between the two groups. Conclusion Two-and three-point sutures for advancing the levator aponeurosis were equally effective for correcting blepharoptosis in Asians.

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Results of Blepharoptosis Surgery with Early Postoperative Adjustment

Cited by 56 publications

References 16 publications

Open sky Müller's muscle–conjunctiva resection for ptosis surgery

Open sky Müller's muscle–conjunctiva resection for ptosis surgery

Evaluation of Surgical Outcomes in Patients with Blepharoptosis

Comparison of two- and three-point sutures for advancing the levator aponeurosis in Asian eyelids

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