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141. Ptosis, Adult (Follow-up)

Ptosis, Adult (Follow-up) Ptosis (Blepharoptosis) in Adults Follow-up: Further Outpatient Care, Inpatient & Outpatient Medications, Complications 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 (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMjA4Mi1mb2xsb3d1cA== processing > Ptosis (Blepharoptosis) in Adults Follow-up 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 Follow-up Further Outpatient Care If ptosis correction is performed, the patient should be followed closely in the post-operative period. Next: Inpatient & Outpatient Medications After ptosis surgery, a topical antibiotic ointment (with or without a steroid) can

2014 eMedicine.com

142. Blepharoplasty, Ptosis Surgery

Blepharoplasty, Ptosis Surgery Ptosis Blepharoplasty: Background, Problem, 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODM5MDc1LW92ZXJ2aWV3 processing > Ptosis Blepharoplasty Updated: Sep 25, 2017 (...) Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Arlen D Meyers, MD, MBA Share Email Print Feedback Close Sections Sections Ptosis Blepharoplasty Overview Background describes an abnormally low upper eyelid in the relaxed primary position. Ptosis can be classified in several ways. The author classifies it as congenital or acquired and as (1) aponeurotic, (2) myogenic, (3) neurogenic, or (4) mechanical. Ptosis can be subdivided further by levator function into (1) poor (0-5 mm), (2

2014 eMedicine Surgery

143. Rhinoplasty, Tip Ptosis

Rhinoplasty, Tip Ptosis Tip Ptosis Rhinoplasty: Background, Problem, 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODQwNTY1LW92ZXJ2aWV3 processing > Tip Ptosis Rhinoplasty Updated: Jan 22, 2016 (...) Author: Eric J Moore, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA Share Email Print Feedback Close Sections Sections Tip Ptosis Rhinoplasty Overview Background Nasal shape profoundly influences facial appearance because of the central position and anterior projection of the nose on the face. The shape and rotation of the nasal tip are of utmost importance in nasal assessment. Variation in nasal tip asymmetry is the most common complaint of patients requesting rhinoplastic surgery, and the goal

2014 eMedicine Surgery

144. Blepharoplasty, Upper Lid Ptosis Surgery

Blepharoplasty, Upper Lid Ptosis Surgery Upper Lid Ptosis Blepharoplasty: Background, History of the Procedure, Problem 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI4MTg2MS1vdmVydmlldw== processing > Upper (...) Lid Ptosis Blepharoplasty Updated: Jan 11, 2016 Author: Jorge I de la Torre, MD, FACS; Chief Editor: James Neal Long, MD, FACS Share Email Print Feedback Close Sections Sections Upper Lid Ptosis Blepharoplasty Overview Background Upper eyelid ptosis is a drooping of the upper eyelid margin in relation to superior limbus. This problem can have significant functional and aesthetic implications. Because it can be a difficult problem to correct, a variety of procedures have been developed to address

2014 eMedicine Surgery

145. Mechanical testing of lid speculae and relationship to postoperative ptosis Full Text available with Trip Pro

Mechanical testing of lid speculae and relationship to postoperative ptosis Postoperative lid malpositions are known complications of routine intraocular surgery and were previously attributed to the use of a bridle suture or the myotoxic effect of retrobulbar or peribulbar anaesthetics. However, lid malpositions are still seen under topical anaesthesia. Recent studies have implicated the lid speculum as a factor. Patients with narrower vertical palpebral apertures have been shown to develop (...) postoperative ptosis more frequently, but the reason is unknown. This is the first study to determine the forces exerted by lid speculae over a range of palpebral apertures.Mechanical testing was undertaken using a Bose 3200 materials testing machine. Tests were undertaken on four disposable and four reusable speculae. The force used to compress each speculum was compared over a range of displacements. A two-sample t-test was used to compare the stiffness of the two types of speculum.The stiffness

2013 Eye

146. Congenital ptosis associated with combined superior rectus, lateral rectus, and levator palpebrae synkinesis: the first reported case Full Text available with Trip Pro

Congenital ptosis associated with combined superior rectus, lateral rectus, and levator palpebrae synkinesis: the first reported case 23788209 2014 02 06 2018 11 13 1476-5454 27 9 2013 Sep Eye (London, England) Eye (Lond) Congenital ptosis associated with combined superior rectus, lateral rectus, and levator palpebrae synkinesis: the first reported case. 1107-9 10.1038/eye.2013.138 Chalvatzis N T NT 1] Second Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki

2013 Eye

147. The psychological well-being and appearance concerns of patients presenting with ptosis Full Text available with Trip Pro

The psychological well-being and appearance concerns of patients presenting with ptosis Ptosis affects both the function and appearance of the eyes and face, because of drooping of the eyelids. Previous research has focused on functional impairment; however, similar appearance altering eye conditions have been demonstrated to have major impacts on psychosocial functioning.This study examines the psychological well-being and appearance concerns of patients presenting with ptosis recruited from (...) Bristol Eye Hospital using validated questionnaires focusing on demographics and psychosocial factors before surgery.Patients reported higher levels of anxiety, depression, and appearance concern than population norms, with scores comparable to previous research examining the impact of other disfiguring eye conditions. Gender differences were observed, with almost half of females experiencing significant psychosocial issues related to appearance concern about their ptosis compared with 20% of males

2013 Eye

148. Outcomes of ptosis surgery assessed using a patient-reported outcome measure: an exploration of time effects. (Abstract)

Outcomes of ptosis surgery assessed using a patient-reported outcome measure: an exploration of time effects. To explore effects of time following ptosis surgery on patient-reported quality-of-life outcomes.The Glasgow Benefit Inventory (GBI), a validated, postinterventional questionnaire was administered to consecutive adults undergoing ptosis surgery on the operating list of one surgeon over a 30-month period. Patients who were not contactable or unable to provide answers were excluded. Mean (...) or when patients were divided into three groups according to time after surgery. Multivariate logistic regression revealed no significant effect of time since surgery. Trends were seen with regard to age and type of operation, but did not reach significance.Patient-perceived benefit following ptosis surgery shows stability with time, as assessed using the GBI. Future studies could explore correlations with age and type of surgery.

2013 British Journal of Ophthalmology

149. Evaluation of Levator Function for Efficacy of Minimally Invasive and Standard Techniques for Involutional Ptosis. (Abstract)

Evaluation of Levator Function for Efficacy of Minimally Invasive and Standard Techniques for Involutional Ptosis. To evaluate clinical and anatomic outcomes of surgery for involutional ptosis using standard-length or small incisions in relation to preoperative levator function.Retrospective study.Sixty-three patients diagnosed with involutional ptosis who underwent surgical correction using a small or standard-length incision between November 2010 and December 2011 were reviewed; a single (...) surgeon performed surgery using a small incision (8 to 10 mm) in 22 patients and a standard-length incision (20 to 22 mm) in 34 patients. All patients underwent standard preoperative ptosis evaluation with margin-to-reflex distance 1 and 2 measurements and levator function assessment. Patients were divided into 2 groups according to levator function (moderate: 5 to 10 mm; and good: >10 mm). Surgical success was evaluated based on the British Oculoplastic Surgery Society criteria.Of 83 upper eyelids

2013 American Journal of Ophthalmology

150. Amblyopia in Childhood Eyelid Ptosis. Full Text available with Trip Pro

Amblyopia in Childhood Eyelid Ptosis. To report the prevalence and causes of amblyopia among children with 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 younger than 19 years for the prevalence and causes of amblyopia who were diagnosed with childhood ptosis and were residents of Olmsted County, Minnesota, from January 1, 1965, through December 31, 2004.Amblyopia (...) was diagnosed in 16 (14.9%) of the 107 patients with childhood ptosis. Fourteen (14.6%) of 96 patients diagnosed with a congenital form of ptosis demonstrated amblyopia. Twelve (14.8%) of the 81 patients diagnosed with simple congenital ptosis had amblyopia, 7 (8.6%) cases of which solely were the result of eyelid occlusion of the visual axis. The causes of amblyopia in the remaining 5 patients were significant refractive error in 3 patients and strabismus in 2 patients.Amblyopia occurred in 1 in 7 children

2013 American Journal of Ophthalmology

151. Teaching NeuroImages: Awakening ptosis (unilateral hypnopompic eyelid palsy). Full Text available with Trip Pro

Teaching NeuroImages: Awakening ptosis (unilateral hypnopompic eyelid palsy). 23999568 2013 11 22 2013 09 03 1526-632X 81 10 2013 Sep 03 Neurology Neurology Teaching NeuroImages: awakening ptosis (unilateral hypnopompic eyelid palsy). e71-2 10.1212/WNL.0b013e3182a351e7 Della Marca Giacomo G From the Institute of Neurology, Catholic University, Rome, Italy. dellamarca@rm.unicatt.it Losurdo Anna A Cordone Susanna S Pilato Fabio F Profice Paolo P Testani Elisa E Di Lazzaro Vincenzo V eng Case

2013 Neurology

152. Posterior conjunctival plication to correct secondary ptosis after eyelid retraction repair in Graves disease. (Abstract)

Posterior conjunctival plication to correct secondary ptosis after eyelid retraction repair in Graves disease. To describe the results of posterior conjunctival plication for the treatment of secondary eyelid ptosis after eyelid retraction repair in Graves disease.Case series. All patients were evaluated preoperatively by routine eye examination and eyelid measurements including Margin Reflex Distance 1 and levator function. Two eyes of 2 patients who presented with ptosis following eyelid (...) retraction repair were corrected with posterior conjunctival plication.Posterior conjunctival plication for secondary ptosis following eyelid retraction repair was successful in 2 eyelids of 2 patients with Graves disease. Follow up period ranged from 6-10 months over which no sign of recurrent ptosis was observed.Posterior conjunctival plication is an effective surgical technique for the correction of secondary ptosis following eyelid retraction repair in patients with Graves disease.Copyright © 2013

2013 American Journal of Otolaryngology

153. Clinical, Radiological and Genetic Features in Blepharophimosis, Ptosis and Epicanthus Inversus Syndrome in the Indian population. Full Text available with Trip Pro

Clinical, Radiological and Genetic Features in Blepharophimosis, Ptosis and Epicanthus Inversus Syndrome in the Indian population. To study the clinical, radiologic, and genetic features in Indian Blepharophimosis, ptosis, and epicanthus inversus syndrome (BPES) patients.A total of 33 clinically well characterized BPES cases who presented between 2009 to 2011 were recruited. Clinical evaluation consisted of ophthalmic and orthoptic examination. For orbital indices, computed tomography (CT) scan

2013 Investigative Ophthalmology & Visual Science

154. Treatment of unilateral congenital ptosis: putting the debate to rest. (Abstract)

Treatment of unilateral congenital ptosis: putting the debate to rest. Frontalis suspension for the surgical correction of poor levator function congenital ptosis has been a matter of debate in the last decade, but recently progress has been made. This study highlights the relevant keystones regarding sling material, surgical steps, and approach that can improve functional and esthetic results, while minimizing risk to the eye.The incidence and demographics of ptosis in children have been (...) reported by two recent studies confirming that unilateral, poor levator function congenital ptosis is the most common form, the left eye is most commonly affected, and frontalis suspension is the most commonly performed technique. Significant progress has been made concerning the sling material and the surgical technique of frontalis suspension. Although different surgical designs for sling suspension have proven to have no effect on the final result, a recent study has shown the importance of direct

2013 Current Opinion in Ophthalmology

155. Eyebrow Ptosis After Blowout Fracture Indicates Impairment of Trigeminal Proprioceptive Evocation That Induces Reflex Contraction of the Frontalis Muscle Full Text available with Trip Pro

Eyebrow Ptosis After Blowout Fracture Indicates Impairment of Trigeminal Proprioceptive Evocation That Induces Reflex Contraction of the Frontalis Muscle The mixed levator and frontalis muscles lack the interior muscle spindles normally required to induce involuntary contraction of their slow-twitch fibers. To involuntarily move the eyelid and eyebrow, voluntary contraction of the levator nonskeletal fast-twitch muscle fibers stretches the mechanoreceptors in Müller's muscle to evoke trigeminal (...) were significantly larger than on the noninjured side in primary gaze.Since 60° upward gaze did not recover the eyebrow ptosis observed in primary gaze in blowout fracture patients, such ptosis indicated impairment of trigeminal proprioceptive evocation and the presence of a hydraulic mechanism that may require ophthalmic examination.

2013 Eplasty

156. Frontal suspension for congenital ptosis using an expanded polytetrafluoroethylene (Gore-Tex®) sheet: one-year follow-up Full Text available with Trip Pro

Frontal suspension for congenital ptosis using an expanded polytetrafluoroethylene (Gore-Tex®) sheet: one-year follow-up The frontalis suspension technique is the surgical method of choice in patients with ptosis and a levator function of 4 mm or less. Several types of materials have been used, including Gore-Tex(®), which has been used successfully as a frontalis sling material since 1986. Recently, a Gore-Tex sheet (wider than a sling or strip) suspension was reported. This paper reports (...) the results of 27 eyes from 20 patients with congenital ptosis treated using the frontalis suspension technique with the newly developed Gore-Tex Most Versatile Patch (MVP) sheet.All patients underwent surgery between April 2007 and September 2011 and were followed up for at least one year. The average follow-up duration was 18 months, with a range of 12-36 months. The average patient age was 45 (5-85) years, and the group included 11 males and nine females. Thirteen cases demonstrated ptosis in one eye

2013 Clinical ophthalmology (Auckland, N.Z.)

157. Open-sky isolated subtotal Muller's muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome Full Text available with Trip Pro

Open-sky isolated subtotal Muller's muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome To evaluate short- and long-term success rates on isolated subtotal Muller resection in over 300 cases of ptosis over a 10-year period.Clinical records were retrospectively evaluated for aetiology and severity of ptosis, levator function, response to phenylephrine, pre- and postoperative margin reflex distance of the upper lid (MRD1), postoperative lid contour (...) is safe and effective for the repair of the majority of ptosis with moderate-to-good levator function. It results in a more predictable height, which is maintained over time, less frequent contour abnormalities, and lower re-operation rates compared with anterior levator advancement.

2013 Eye

158. Muller's muscle-conjunctival resection for upper eyelid ptosis: correlation between amount of resected tissue and outcome. Full Text available with Trip Pro

Muller's muscle-conjunctival resection for upper eyelid ptosis: correlation between amount of resected tissue and outcome. To explore the relationship between the amount of resected Müller's muscle-conjunctiva (MMCR) and clinical outcome in patients undergoing upper eyelid ptosis surgery.49 patients underwent 87 MMCR surgeries. The total areas of the specimen and of MM were measured in pixels.The average percentage of muscle tissue in relation to total excised tissue was 21%. Intraoperative MMC

2013 British Journal of Ophthalmology

159. Comparison of Nylon Monofilament Suture and Polytetrafluoroethylene Sheet for Frontalis Suspension Surgery in Eyes with Congenital Ptosis. (Abstract)

Comparison of Nylon Monofilament Suture and Polytetrafluoroethylene Sheet for Frontalis Suspension Surgery in Eyes with Congenital Ptosis. To compare nylon monofilament suture with polytetrafluoroethylene sheet for frontalis suspension surgery to treat eyes with congenital ptosis.Retrospective, nonrandomized, comparative, interventional case series.We reviewed the medical records of 49 patients who had undergone 79 eyelid frontalis suspension surgeries to treat congenital ptosis. All (...) of the patients were younger than 16 years and had congenital ptosis with poor levator muscle function. They were treated with frontalis suspension surgery with either a nylon suture or a polytetrafluoroethylene sheet and were followed up for at least 1 year. A single rhomboid loop sling was used for the nylon suture surgery. For the polytetrafluoroethylene sheet, an incision was made in the eyelid crease, and one end of the sheet was fixed to the tarsus and the other was fixed to the frontalis muscle

2013 American Journal of Ophthalmology

160. Revisiting the Free Nipple Graft: An Opportunity for Nipple Sparing Mastectomy in Women with Breast Ptosis. Full Text available with Trip Pro

Revisiting the Free Nipple Graft: An Opportunity for Nipple Sparing Mastectomy in Women with Breast Ptosis. Nipple areolar complex (NAC) sparing mastectomy improves the cosmetic outcome of patients with breast cancer. However, women with significant breast ptosis are not candidates for this technique due toexcessive skin flap length and ensuing risk of NAC ischemia.1 (-) 3 We report a novel technique using free nipple graft during skin sparing mastectomy for patients with significant ptosis (...) while concurrently maintaining oncologic integrity.Case series.Community and tertiary care hospital practices.Women with breast cancer desiring NAC preservation who are otherwise candidates for nipple sparing mastectomy, but with significant breast ptosis that precludes NAC viability. All women underwent immediate, autologous breast reconstruction.Bilateral and unilateral free nipple grafts were harvested, placed on ice during skin sparing mastectomy and free flap reconstruction, grafted

2013 Annals of Surgical Oncology

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