Transposição da rima palpebral em ptose miogênica mitocondrial

Lucci, Lúcia Míriam Dumont; Fonseca, Nilson Lopes da; Sugano, Débora Mayumi; Silvério, Juliana

doi:10.1590/s0004-27492009000200005

Cited by 8 publications

(8 citation statements)

References 24 publications

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“…We harvested the tarsoconjunctival graft from the upper lid using an anterior approach, as recommended in the literature [ 5 , 15 ]. However, the graft can also be harvested through a posterior approach, with successful outcomes [ 12 , 13 ].…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

Tarsal switch using an anterior approach to correct severe ptosis

et al. 2018

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“…Ptose palpebral é uma alteração anatômica caracterizada pelo posicionamento da pálpebra superior abaixo de sua posição normal, que está localizada cerca de 2 mm abaixo do limbo superior na posição primária do olhar, (Lucci L. M. D. et al, 2009). É uma afecção palpebral bastante frequente, podendo gerar problema estético e também funcional, à medida que produz restrição do campo visual superior ou oclusão do eixo visual, levando a posição viciosa de cabeça e pescoço, (Carregal T. B. et al, 2012).…”

Section: Materiais E Métodosunclassified

Consequências da restrição do campo visual superior

Silva

Silva³

et al. 2019

BJD

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“…tosis is an anatomical disorder characterized by the positioning of the upper eyelid (UE) below its normal position, usually located about 2 mm below the upper limb in the primary eye position (1) .…”

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confidence: 99%

“…Acquired ptosis is classified according to its pathophysiology in aponeurotic, neurogenic, myogenic, traumatic and mechanical. Myogenic ptosis is relatively rare and manifests as a severe eyelid ptosis with reduced or absent function of the levator of the UE, decreased extrinsic ocular motility and strength of the muscles of the face, including the eyes orbicular muscle and the shoulder girdle in 20% of cases (1) .…”

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Miogenic ptosis in oculopharyngeal muscular dystrophy

Macedo¹,

Araújo²,

Leão³

et al. 2016

Revista Brasileira De Oftalmologia

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Relato de caso de distrofia muscular oculofaríngea, doença genética de herança autossômica dominante e uma das causas de ptose miogênica adquirida. A paciente apresentou quadro de ptose palpebral bilateral e disfagia, achados clínicos típicos da doença, foi submetida a tratamento cirúrgico da ptose, com bom resultado estético e funcional. Descritores: Blefaroptose/cirurgia; Distrofia muscular oculofaríngea; Disfagia; Músculos oculomotores/fisiopatologia; Relato de casos

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Transposição da rima palpebral em ptose miogênica mitocondrial

Cited by 8 publications

References 24 publications

Tarsal switch using an anterior approach to correct severe ptosis

Tarsal switch using an anterior approach to correct severe ptosis

Consequências da restrição do campo visual superior

Miogenic ptosis in oculopharyngeal muscular dystrophy

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