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Ptosis

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121. A seventy year old man with intractable vomiting, Parkinsonism, memory loss and ptosis Full Text available with Trip Pro

A seventy year old man with intractable vomiting, Parkinsonism, memory loss and ptosis 25024564 2014 07 15 2018 11 13 0972-2327 17 2 2014 Apr Annals of Indian Academy of Neurology Ann Indian Acad Neurol A seventy year old man with intractable vomiting, Parkinsonism, memory loss and ptosis. 155-60 10.4103/0972-2327.132614 George Jacob J Department of Neurology, Government Medical College, Kottayam, India. Gourisankar P T PT Hindlabs MRI Scan Centre, Government Medical College, Kottayam, India

2014 Annals of Indian Academy of Neurology

122. Functional centre of the upper eyelid: the optimal point for eyelid lifting in ptosis surgery. (Abstract)

Functional centre of the upper eyelid: the optimal point for eyelid lifting in ptosis surgery. To establish the novel concept of a functional eyelid centre to determine the optimal point for eyelid lifting in ptosis surgery.This was a prospective study of 112 patients with congenital ptosis. The functional eyelid centre was defined as the point where the eyelid contour showed the best appearance when the upper eyelid was lifted manually. In patients who underwent frontalis suspension surgery (...) corresponded to 0.1 mm nasal and 8.2 mm temporal from the mid-pupillary line.The functional eyelid centre was located slightly temporal to the mid-pupillary line. A better eyelid contour in ptosis surgery is produced when eyelid lifting is centred around the functional eyelid centre.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

2014 British Journal of Ophthalmology

123. Congenital Eyelid Ptosis: Onset and Prevalence of Amblyopia, Associations with Systemic Disorders, and Treatment Outcomes. (Abstract)

Congenital Eyelid Ptosis: Onset and Prevalence of Amblyopia, Associations with Systemic Disorders, and Treatment Outcomes. To determine the age at onset of amblyopia, the response to occlusion therapy, and the association with systemic disorders in children with congenital eyelid ptosis.Retrospective chart review of children seen at Seattle Children's Hospital with moderate or severe congenital ptosis. Assessments were longitudinal visual acuity development using objective methods, definition (...) of ptosis severity by eyelid margin to pupillary light reflex distance (margin reflex distance [MRD]), age at amblyopia diagnosis, correlation between amblyopia and MRD, and associated systemic disorders.Eighty-four children with moderate-to-severe congenital ptosis met inclusion criteria; the mean longitudinal follow-up was 49.1 months. Fifteen (18%) of these children had amblyopia, of which 9 had deprivation amblyopia (mean age 17.3 months ± 11.2) and 6 had anisometropic or strabismic amblyopia (mean

2014 Journal of Pediatrics

124. Superior rectus underaction following botulinum toxin injection to induce protective upper eye lid ptosis - a comparative study of two techniques. Full Text available with Trip Pro

Superior rectus underaction following botulinum toxin injection to induce protective upper eye lid ptosis - a comparative study of two techniques. Botulinum toxin A (BTXA) injection to the levator palpebrae superioris muscle to induce a protective ptosis can adversely cause reduced upgaze due to diffusion of BTXA to the superior rectus muscle.To compare the incidence of reduced upgaze in trascutaneous versus transconjunctival administration of BTXA to induce protective ptosis in patients (...) with exposure keratopathy due to facial nerve palsy.All patients included in this study suffered from acute exposure keratopathy and they all required chemodenervation of the levator muscle to induce a protective ptosis. Patients in group A received BTXA (Dysport) transcutaneously though the upper eyelid skin crease. Patients in group B received BTXA (Dysport) into the subconjunctival space at the superior border of the tarsal plate of the upper eyelid transconjunctivally. All subjects were closely

2014 Strabismus

125. Vertical Diplopia and Ptosis from Removal of the Orbital Roof in Pterional Craniotomy. Full Text available with Trip Pro

Vertical Diplopia and Ptosis from Removal of the Orbital Roof in Pterional Craniotomy. To describe a newly recognized clinical syndrome consisting of ptosis, diplopia, vertical gaze limitation, and abduction weakness that can occur after orbital roof removal during orbito-zygomatic-pterional craniotomy.Case series.Eight study patients (7 women), 44 to 80 years of age, with neuro-ophthalmic symptoms after pterional craniotomy.Case description of 8 study patients.Presence of ptosis, diplopia (...) , and gaze limitation.Eight patients had neuro-ophthalmic findings after pterional craniotomy for meningioma removal or aneurysm clipping. The cardinal features were ptosis, limited elevation, and hypotropia. Three patients also had limitation of downgaze and 2 patients had limitation of abduction. Imaging showed loss of the fat layers that normally envelop the superior rectus and levator palpebrae superioris. The muscles appeared attached to the defect in the orbital roof. Ptosis and diplopia developed

2014 Ophthalmology

126. Incidence of Postoperative Ptosis Following Trabeculectomy With Mitomycin C. Full Text available with Trip Pro

Incidence of Postoperative Ptosis Following Trabeculectomy With Mitomycin C. To prospectively investigate the incidence of postoperative ptosis following trabeculectomy by comparing preoperative and postoperative margin reflex distance (MRD), and to analyze the clinical factors associated with ptosis.Patients who underwent trabeculectomy with mitomycin C in unilateral eye between 2010 and 2012 were enrolled. MRD was measured before and 3 and 6 months after trabeculectomy. The MRD (...) is the distance between the light reflex at central cornea and the upper eyelid margin when the patient gazed at a pen light placed 50 cm away straightly. Postoperative ptosis was defined as a decrease in MRD≥2 mm from preoperative level. The correlation among ΔMRD (difference between preoperative and 6 mo postoperative MRD) and clinical factors comprising age, spherical equivalent, preoperative MRD, 6-month postoperative intraocular pressure (IOP), and IOP reduction (difference between preoperative and 6 mo

2014 Journal of Glaucoma

127. Outcomes of posterior-approach 'levatorpexy' in congenital ptosis repair. (Abstract)

Outcomes of posterior-approach 'levatorpexy' in congenital ptosis repair. We describe a minimally invasive technique and report our experience of posterior approach levator plication ('levatorpexy') for congenital ptosis.Retrospective review.Consecutive series of 16 patients.Posterior approach levatorpexy was performed for congenital ptosis under general anaesthesia. This surgical procedure involves exposing the posterior surface of the levator muscle through a transconjunctival approach (...) procedure for correction of congenital ptosis particularly with moderate or better levator function.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

2014 British Journal of Ophthalmology

128. Congenital ptosis. (Abstract)

Congenital ptosis. Congenital blepharoptosis presents within the first year of life either in isolation or as a part of many different ocular or systemic disorders. Surgical repair is challenging, and recurrence necessitating more than one operation is not uncommon. Not all patients with congenital ptosis require surgery, but children with amblyopia due to astigmatic anisometropia or deprivation may benefit from early surgical correction. A variety of surgical procedures to correct congenital (...) ptosis have been described. The choice of procedure depends on a number of patient-specific factors, such as degree of ptosis and levator function, as well as surgeon preference and resource availability. We review the genetics, associated syndromes, and surgical treatments of congenital ptosis. Copyright © 2014 Elsevier Inc. All rights reserved.

2014 Survey of Ophthalmology

129. Strabismus in Childhood Eyelid Ptosis. Full Text available with Trip Pro

Strabismus in Childhood Eyelid Ptosis. To report the prevalence and causes of strabismus in children with eyelid ptosis diagnosed in a well-defined population over a 40-year period.Retrospective, population-based cohort study.We retrospectively reviewed the charts of 107 patients (<19 years) for the prevalence and causes of strabismus in children who were diagnosed with childhood eyelid ptosis as residents of Olmsted County, Minnesota, from January 1, 1965, through December 31, 2004.Strabismus (...) was diagnosed in 20 (18.7%) of the 107 patients with childhood ptosis. Of the 81 patients, 8 (9.9%) were diagnosed with simple congenital ptosis and had strabismus, of which there were 4 (4.9%) cases of exotropia and 4 (4.9%) cases of esotropia. There were no cases of isolated vertical deviation.Strabismus occurred in 1 of 5 children diagnosed with any form of childhood ptosis in this population-based cohort. Strabismus affected approximately 1 of 10 patients diagnosed with simple congenital ptosis

2014 American Journal of Ophthalmology

130. An Individual with Blepharophimosis-Ptosis-Epicanthus Inversus Syndrome (BPES) and Additional Features Expands the Phenotype Associated with Mutations in KAT6B Full Text available with Trip Pro

An Individual with Blepharophimosis-Ptosis-Epicanthus Inversus Syndrome (BPES) and Additional Features Expands the Phenotype Associated with Mutations in KAT6B Blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) is an autosomal dominant disorder caused by mutations in FOXL2. We identified an individual with BPES and additional phenotypic features who did not have a FOXL2 mutation. We used whole exome sequencing to identify a de novo mutation in KAT6B (lysine acetyltransferase 6B

2014 American journal of medical genetics. Part A

131. Does the degree of ptosis predict the degree of psychological morbidity in bariatric patients undergoing reconstruction? (Abstract)

Does the degree of ptosis predict the degree of psychological morbidity in bariatric patients undergoing reconstruction? There is proven therapeutic benefit in bariatric surgery for obese patients. Successful bariatric surgery will result in massive weight loss and ptotic skin, which can cause significant functional and psychological problems. As the incidence of bariatric surgery increases, so will the demand for plastic surgery. Currently, there is no evidence-based indication for massive (...) weight loss body contouring, and therefore there is no standardized provision.A prospective, multicenter, observational study of outcomes in 75 patients undergoing bariatric and plastic surgery procedures at two clinical sites was performed to determine whether the degree of ptosis can be determined by the type (malabsorptive or restrictive) of bariatric surgery and if the extent of disfigurement has an impact on psychological morbidity.Massive weight loss body contouring is not purely aesthetic

2014 Plastic and reconstructive surgery

132. Surgical Treatment of Severe Congenital Ptosis in Patients Younger than Two Years of Age, Using Preserved Fascia Lata. (Abstract)

Surgical Treatment of Severe Congenital Ptosis in Patients Younger than Two Years of Age, Using Preserved Fascia Lata. To investigate the clinical outcome of a frontalis sling using preserved fascia lata in the treatment of vision-obscuring congenital ptosis in patients less than 2 years of age.Retrospective, interventional case series.The study was conducted in an institutional setting and included 82 patients with visual axis-obscuring congenital ptosis. All patients underwent frontalis sling

2014 American Journal of Ophthalmology

133. Pregnancy in a woman with premature ovarian insufficiency associated with blepharophimosis, ptosis, epicanthus inversus syndrome type I. A case report. (Abstract)

Pregnancy in a woman with premature ovarian insufficiency associated with blepharophimosis, ptosis, epicanthus inversus syndrome type I. A case report. Blepharophimosis, ptosis, epicanthus inversus syndrome (BPES) type I is a rare disorder that causes a recognizable pattern of eye abnormalities and is associated with premature ovarian insufficiency. There is no data to guide the treatment of these patients when presenting with infertility.A 30-year-old, nulligravid woman with premature ovarian

2014 Journal of Reproductive Medicine

134. Ptosis, Congenital (Diagnosis)

Ptosis, Congenital (Diagnosis) Congenital Ptosis: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjgxNS1vdmVydmlldw== processing > Congenital Ptosis Updated: Mar 03 (...) , 2017 Author: Donny W Suh, MD, FAAP; Chief Editor: Edsel Ing, MD, MPH, FRCSC Share Email Print Feedback Close Sections Sections Congenital Ptosis Overview Background A drooping eyelid is called ptosis or blepharoptosis. In ptosis, the upper eyelid falls to a position that is lower than normal. Severe ptosis may cover part or all of the pupil and interfere with vision, resulting in . [ , ] Note the images below: Chin-up posture due to congenital ptosis of the left eye. Congenital ptosis of the left

2014 eMedicine.com

135. Ptosis, Adult (Diagnosis)

Ptosis, Adult (Diagnosis) Ptosis (Blepharoptosis) in Adults: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjA4Mi1vdmVydmlldw== processing > Ptosis (Blepharoptosis (...) ) in Adults Updated: Aug 14, 2017 Author: Adam J Cohen, MD; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Ptosis (Blepharoptosis) in Adults Overview Background Ptosis, also referred to as blepharoptosis, is defined as an abnormal low-lying upper eyelid margin with the eye in primary gaze. The normal adult upper lid lies 1.5 mm below the superior corneal limbus and is highest just nasal to the pupil. [ ] See the images below. Left ptosis. Lid crease is absent

2014 eMedicine.com

136. Ptosis, Congenital (Overview)

Ptosis, Congenital (Overview) Congenital Ptosis: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjgxNS1vdmVydmlldw== processing > Congenital Ptosis Updated: Mar 03 (...) , 2017 Author: Donny W Suh, MD, FAAP; Chief Editor: Edsel Ing, MD, MPH, FRCSC Share Email Print Feedback Close Sections Sections Congenital Ptosis Overview Background A drooping eyelid is called ptosis or blepharoptosis. In ptosis, the upper eyelid falls to a position that is lower than normal. Severe ptosis may cover part or all of the pupil and interfere with vision, resulting in . [ , ] Note the images below: Chin-up posture due to congenital ptosis of the left eye. Congenital ptosis of the left

2014 eMedicine.com

137. Ptosis, Adult (Overview)

Ptosis, Adult (Overview) Ptosis (Blepharoptosis) in Adults: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjA4Mi1vdmVydmlldw== processing > Ptosis (Blepharoptosis (...) ) in Adults Updated: Aug 14, 2017 Author: Adam J Cohen, MD; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Ptosis (Blepharoptosis) in Adults Overview Background Ptosis, also referred to as blepharoptosis, is defined as an abnormal low-lying upper eyelid margin with the eye in primary gaze. The normal adult upper lid lies 1.5 mm below the superior corneal limbus and is highest just nasal to the pupil. [ ] See the images below. Left ptosis. Lid crease is absent

2014 eMedicine.com

138. Ptosis, Congenital (Treatment)

Ptosis, Congenital (Treatment) Congenital Ptosis Treatment & Management: Medical Care, Surgical Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjgxNS10cmVhdG1lbnQ= processing > Congenital (...) Ptosis Treatment & Management Updated: Mar 03, 2017 Author: Donny W Suh, MD, FAAP; Chief Editor: Edsel Ing, MD, MPH, FRCSC Share Email Print Feedback Close Sections Sections Congenital Ptosis Treatment Medical Care Mild cases of congenital ptosis can be observed if there are no amblyopia, strabismus, or abnormal head posture. Depending on the severity of the congenital ptosis, patients should be monitored every 3-12 months for signs of amblyopia due to congenital ptosis. External photographs can

2014 eMedicine.com

139. Ptosis, Adult (Treatment)

Ptosis, Adult (Treatment) Ptosis (Blepharoptosis) in Adults Treatment & Management: Medical Care, Surgical Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjA4Mi10cmVhdG1lbnQ= processing (...) > Ptosis (Blepharoptosis) in Adults Treatment & Management Updated: Aug 14, 2017 Author: Adam J Cohen, MD; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Ptosis (Blepharoptosis) in Adults Treatment Medical Care If is diagnosed in a patient with ptosis, treatment should be initiated by a neurologist. Patient with myasthenia gravis. Right lid is more ptotic than the left lid. Same patient as in the previous image, 3 months later. Note how the ptosis has changed

2014 eMedicine.com

140. Ptosis, Congenital (Follow-up)

Ptosis, Congenital (Follow-up) Congenital Ptosis Follow-up: Further Outpatient Care, Complications, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjgxNS1mb2xsb3d1cA== processing > Congenital Ptosis (...) Follow-up Updated: Mar 03, 2017 Author: Donny W Suh, MD, FAAP; Chief Editor: Edsel Ing, MD, MPH, FRCSC Share Email Print Feedback Close Sections Sections Congenital Ptosis Follow-up Further Outpatient Care Patients who underwent surgery for congenital ptosis are initially monitored every 2-4 weeks for signs of exposure keratopathy, infection, granuloma formation, and overcorrection and undercorrection. External photographic documentation can be helpful in monitoring patients. Following the surgery

2014 eMedicine.com

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