Blepharoptosis ; parasitology ; Cysticercosis ; complications ; Echinococcosis ; complications ; Humans ; Trichuriasis ; complications

During the past decade the syndorome of blepharoptosis, blepharophimosis, epicanthus inversus and telecanthus(blepharophimosis syndrome)have become recognized as a distinct tetrad based upon clinical and hereditary characteristics. Early surgery is recommended to minimize being teased at school altough the final results surgical correction may be better in older children and in adults. We treated nine patients with epicanthus by Mustarde's quadrilateral flap or Y to V flap Medial canthal tendon is shortened by tucking for telecanthus. Blepharoptosis is corrected by frontalis suspension using preserved dura or preserved fascia lata as a sling material. We experience satisfactory results in nine patients by this technique without serious postoperative complications.
Adult ; Blepharophimosis* ; Blepharoptosis ; Child ; Fascia Lata ; Humans ; Postoperative Complications ; Tendons

BACKGROUND: Numerous methods exist for simultaneous correction of mild blepharoptosis during double eyelid surgery. These methods are generally categorized into either incisional (open) or non-incisional (suture) methods. The incisional method is commonly used for the creation of the double eyelid crease in patients with excessive or thick skin. However, concurrent open ptosis correction is often marred by the lengthy period of intraoperative adjustment, causing more swelling, a longer recovery time, and an increased risk of postoperative complications. METHODS: The authors have devised a new, minimally invasive technique to alleviate mild ptosis during incisional double eyelid surgery. The anterior lamella is approached through the incisional technique for the creation of a double eyelid while the posterior lamella, including Muller's and levator muscles, is approached with the suture method for Muller's plication and ptosis correction. RESULTS: The procedure described was utilized in 28 patients from June 2012 to August 2012. Postoperative asymmetry was noted in one patient who had severe preoperative conjunctival scarring. Otherwise, ptosis was corrected as planned in the rest of the cases and all of the patients were satisfied with their postoperative appearance and experienced no complications. CONCLUSIONS: Our hybrid technique combines the benefits of both the incisional and suture methods, allowing for a predictable and easily reproducible correction of blepharoptosis with an aesthetically pleasing double eyelid.
Blepharoptosis ; Cicatrix ; Conjunctiva ; Eyelids ; Humans ; Muscles ; Postoperative Complications ; Skin ; Sutures

In case of severe blepharoptosis, frontalis muscle suspension with fascia or frontalis transfer has been popular for decades, but these static procedures have some disadvantages such as lagophthalmos, lid lag and remnant ptosis. Twenty-six patients with severe blepharoptosis who underwent frontalis suspension, frontalis transfer, or levator resection at Yonsei University Severance Hospital from 1980 to 1988 were studied. The follow-up period of patients ranged from 10 to 18 years with a mean of 12 years. Surveys and clinical results were obtained, In our review of postoperative complications, lagophthalmos persisted in sleep and even in forced eye closure in most patients 2 to 6 months after operation. But no recurrence was noted. In conclusion, undercorrection of ptosis is more desirable than overcorrection. As well levator resection can be considered in selected cases to prevent complications.
Blepharoptosis* ; Fascia ; Follow-Up Studies* ; Humans ; Postoperative Complications ; Recurrence

We have performed surgical procedure in 456 patients(582 lids) with blepharoptosis. The surgical results were studied retrospectively according to age, sex, etiology, surgical methods, surgical results, and postoperative complications. Of all patients, male accounted for 58.6% and monocular ptosis(72.4%) occurred more often in the right eye(37.5%) than in left eye and binocular ptosis was found in 126 cases(27.6%) and most of ptosis proved to be congenital(92.3%) in origin. The 3~4mm group(63.9%) was the highest in the amount of blepharoptosis and the function of levator was most common in less than 4mm group(69.0%). The surgical results on cosmesls were obtained successfully in 501 lids(86.1%). The postoperative complications were undercorrection(11.7%) that was most frequent, and followed by overcorrection(3.5%), exposure keratitis(3.3%), poor lid contour(2.6%), Infection(1.2%) and others(0.5%).
Blepharoptosis* ; Humans ; Male ; Postoperative Complications ; Retrospective Studies ; Telescopes

PURPOSE: Many researches about various surgical method for blepharoptosis have already been introduced. But researches for complications after blepharoptosis correction is relatively insufficient. So, this study was performed to recognize common complications that arise depending on the severity of blepharoptosis, levator function and surgical method. METHODS: 250 patients who have undergone surgical treatment for blepharoptosis from 1987 to 2006 were analyzed in this study. Patients were categorized according to severity of blepharoptosis, levator function and surgical method that has been used. Complications after blepharoptosis correction were analyzed. RESULT: There occurred complications in 64 patients. The specifics are as following; undercorrection 22, asymmetry 13, overcorrection 12, lagophthalmos 4, abnormal eyelid contour 4, exposure keratitis 3, ectropion 2, inclusion cyst 2, infection 1 and conjunctival prolapse 1. Among above patients, 3 patients had two kinds of complications. 21 patients underwent secondary surgery due to complication. CONCLUSION: Evaluating the outcomes of the secondary surgery, the early correction was better than the late correction. The most of the complications were recovered through conservative and surgical treatments. The most of the complications (47 patients) were undercorrection, asymmetry, overcorrection and took 73.4% of the total complications. As the blepharoptosis became severe or levator function became poorer, the rate of complications became higher. According to the operation methods, most of the complications occurred in levator operation, frontalis transfer and OOM flap.
Blepharoptosis ; Ectropion ; Eyelids ; Humans ; Keratitis ; Postoperative Complications ; Prolapse

Strabismus fixus is very rare and the convergent form is rarely accompanied by blepharoptosis. We successfully treated one patient with high myopia whose convergent strabismus fixus, accompanied by blepharoptosis, became severe after cataract surgery. We report the case with a discussion of its pathology. We performed levator advancement operation, bilateral lateral rectus 11 mm resection, and bilateral medial rectus 8 mm recession. The suture was removed after maintaining temporary traction suture for 6 days. Blepharoptosis was completely corrected by postoperative 2 months. Esodeviation was 15PD, which was not increased compared with immediately after surgery. Satisfactory cosmetic outcome was obtained.
Aged ; Blepharoptosis/complications/*surgery ; Female ; Humans ; Myopia/complications ; Oculomotor Muscles/*surgery ; Ophthalmologic Surgical Procedures/methods ; Strabismus/complications/*surgery ; Treatment Outcome

The author had experienced 67 cases of blepharoptosis to be operated, such as anterior approach (Berke, 33 cases), posterior appoach (Iliff, 24 cases) and frontalis suspension with 2-0 supramid (10 cases) from March 1967 to Dec. 1978. To obtsurgical results in blepharoptosis, it is necessary to select the appropriate operation for each case according to levator function, degree of ptosis and its etiology and the others. In cases of 5 mm or more levator function, the author attempted to resect the levator muscle through Iliff's posterior approach; but in cases of beween 3 mm and 4 mm, levator resection through Berke's anterior approach for indication of ptosis repair was selected. On the other hand, in cases of 2 mm or less levator function, frontalis suspenion was done with 2-0 supramid. "With levator resection decided upon, how much in to be resected levator muscle considering levator function and condition of its aponeurosis in each case. The results were as follows: 1. The sex distribution was in ratio of 3:2 with 36 females and 24 males. 2. In cases of unilateral ptosis, left lid was higher incidence than right lid. 3. The majority of the patients (72% of all cases) was operated between the second and the third decade. 4. The highest incidence of degree of ptosis was 3-4 mm which comprised 61% of all cases. 5. The levator functions were as follows; below 3 mm ... 34.3% (23 cases), between 4 mm and 7 mm ... 44.8% (30 cases). above 8 mm ... 25% (14 cases). 6. The good and fair surgical results were as follows; Iliff's posterior approach ... 58.3% (14 case), Berke's anterior approach ... 75.5% (25 cases), Frontalis suspension ... 29.1% (7 cases). 7. Undercorrection (12 cases, 18%) was the most common type of postoperative complication. In 12 cases of this complication, the author noted 8 cases in Iliff's posterior approach. 8. It was concluded that good surgical indications for blepharoptosis were Iliff's posterior approach with above 8 mm levator function, Berke's anterior aproach with above 3 mm levator function and frontalis suspension with below 3 mm levator function.
Blepharoptosis* ; Female ; Hand ; Humans ; Incidence ; Male ; Nylons ; Postoperative Complications ; Sex Distribution

PURPOSE: To investigate the outcome of frontalis suspension surgery congenital blepharoptosis with poor levator palpebral muscle function using preserved fascia lata with direct tarsal and frontalis fixation method. METHODS: Twelve congenital ptosis patients (fourteen eyes) who underwent frontalis suspension using preserved fascia lata with direct tarsal and frontalis fixation method between July 1999 and June 2002 with the mean follow-up time of 54.8 months (31 months~78 months) included. And the postoperative results were obtained from medical records retrospectively. RESULTS: The desired lid height was achieved in eight out of twelve patients (71.4%) after surgery. In four patients (4 eyes) (28.6%), adjustment was required due to under-correction within one month postoperatively. At a mean follow-up period of 54.8 months, all twelve patients had good final results with no postoperative complications. CONCLUSIONS: Frontalis suspension using preserved fascia lata with direct tarsal and frontalis fixation method provided cosmetically pleasing results with a low rate of ptosis recurrence and complication related to procedures. This method using preserved facia lata could be considered as alternative to the use of autogenous facia lata for the repair of ptosis.
Blepharoptosis ; Fascia Lata* ; Fascia* ; Follow-Up Studies ; Humans ; Medical Records ; Postoperative Complications ; Recurrence ; Retrospective Studies

PURPOSE: To investigate the outcome of frontalis suspension surgery congenital blepharoptosis with poor levator palpebral muscle function using preserved fascia lata with direct tarsal and frontalis fixation method. METHODS: Twelve congenital ptosis patients (fourteen eyes) who underwent frontalis suspension using preserved fascia lata with direct tarsal and frontalis fixation method between July 1999 and June 2002 with the mean follow-up time of 54.8 months (31 months~78 months) included. And the postoperative results were obtained from medical records retrospectively. RESULTS: The desired lid height was achieved in eight out of twelve patients (71.4%) after surgery. In four patients (4 eyes) (28.6%), adjustment was required due to under-correction within one month postoperatively. At a mean follow-up period of 54.8 months, all twelve patients had good final results with no postoperative complications. CONCLUSIONS: Frontalis suspension using preserved fascia lata with direct tarsal and frontalis fixation method provided cosmetically pleasing results with a low rate of ptosis recurrence and complication related to procedures. This method using preserved facia lata could be considered as alternative to the use of autogenous facia lata for the repair of ptosis.
Blepharoptosis ; Fascia Lata* ; Fascia* ; Follow-Up Studies ; Humans ; Medical Records ; Postoperative Complications ; Recurrence ; Retrospective Studies