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    1 OF 18

    The Effect of Upper Aging Blepharoplasty on Upper and Lower Eyelid Position.
    J Craniofac Surg 2018 Feb 7. Epub 2018 Feb 7.
    Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
    Purpose: Change in eyelid position after upper blepharoplasty is an important factor that can affect postoperative patient satisfaction. However, no one has investigated eyelid changes during follow-up for upper eyelid surgery. Thus, the purpose of this study was to investigate position changes in the upper and lower eyelids during the follow-up period after upper blepharoplasty in Korean. Read More

    Ptosis induced by topical steroid eye drops: Two cases reports.
    Medicine (Baltimore) 2017 Dec;96(51):e9288
    Eye Center, 2nd Affiliated Hospital of Medical College, Zhejiang University, Hangzhou, Zhejiang, China.
    Rationale: Ptosis is a rare complication of periocular steroid use. Studies report that local injections of steroids produce ptosis. We describe the first 2 cases of ptosis because of long-term treatment with topical steroid eye drops. Read More

    External Levator Advancement versus Müller Muscle-Conjunctival Resection for Aponeurotic Blepharoptosis: A Randomized Clinical Trial.
    Plast Reconstr Surg 2018 Feb;141(2):213e-219e
    Bangkok, Thailand From the Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society.
    Background: The purpose of this study was to compare the efficacy of external levator advancement and Müller muscle-conjunctival resection in aponeurotic blepharoptosis repair.

    Methods: Mild to moderate blepharoptosis patients with good levator function and a positive phenylephrine test were randomized to upper blepharoplasty with either external levator advancement or Müller muscle-conjunctival resection. The primary outcome was marginal reflex distance 1 at 1 month after surgery. Read More

    Floppy Eyelid Syndrome: An Unfamiliar Entity for Plastic Surgeons.
    Ann Plast Surg 2018 Feb;80(2S Suppl 1):S40-S47
    Background: Floppy eyelid syndrome (FES) is typically characterized by chronic eye irritation and an increased laxity of the upper eyelid that can be easily everted by applying minimal upward traction. However, it is a clinical entity that is less known to most plastic surgeons. Blepharoptosis is one of the most common features, which links to FES, for which a thorough differential diagnosis has become important in directing proper medical treatment. Read More

    Predictors of Success Following Muller's Muscle-Conjunctival Resection.
    Ophthal Plast Reconstr Surg 2018 Jan 12. Epub 2018 Jan 12.
    Division of Orbital and Ophthalmic Plastic Surgery, Doheny Eye Center, University of California, Los Angeles, California, U.S.A.
    Purpose: This study aims to describe Muller's muscle-conjunctival resection surgery in terms of outcomes and potential factors that may predict final positions.

    Methods: This cross-sectional cohort study included patients undergoing Muller's muscle-conjunctival resection surgery for involutional ptosis over a 15-year period. Success was defined in 2 ways: 1) final marginal reflex distance 1 (MRD1) ≥2. Read More

    The Aesthetic Analyzing of Midface Ratio After Folding Aponeurosis of Levator Palpebrae Superioris Muscle in the Ptosis Correction.
    J Craniofac Surg 2017 Dec 6. Epub 2017 Dec 6.
    *Department of Plastic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou City†Department of Plastic Surgery, Foshan Sanshui District People's Hospital, Foshan City, China.
    Background: Some fordless-eyelid patients with moderate upper lid ptosis characterize in a higher eyebrow position which leads to an increased midfacial ratio. Apart from performing blepharoplasty to create dynamic folds, additional procedures such as folding aponeurosis of levator palpebrae superioris muscle were effective to revise the enlarged ratio of midface through lowering eyebrow, which gains good aesthetic results. However, the specific changes in the proportion of facial aesthetics and the importance of these change were serious lack in the literature as far as the authors know. Read More

    Anteriorization of the Normally Acting Inferior Oblique Muscles to Treat Dissociated Vertical Deviation Associated With Juvenile Glaucoma.
    J Pediatr Ophthalmol Strabismus 2017 Oct 9;54:e63-e66. Epub 2017 Oct 9.
    A case of dissociated vertical deviation, ptosis, and juvenile glaucoma is described. J deformity anteriorization of the normally acting inferior oblique muscles was chosen to preserve the superior fornix for glaucoma surgeries by avoiding superior rectus recession and to prevent narrowing of the palpebral fissure by avoiding an inferior rectus tuck. [J Pediatr Ophthalmol Strabismus. Read More

    The Value of the Frontalis Suspension Procedure as a Repeat Intervention in Congenital Blepharoptosis.
    J Pediatr Ophthalmol Strabismus 2017 Sep;54(5):320-323
    Purpose: To evaluate the therapeutic benefits of frontalis suspension as a repeat intervention in congenital blepharoptosis.

    Methods: Pediatric patients diagnosed as having congenital ptosis who had at least 2 years of postoperative follow-up were included in this retrospective study. A successful outcome was defined as a postoperative margin-reflex distance of 3 mm or greater. Read More

    Periorbital facial rejuvenation; applied anatomy and pre-operative assessment.
    J Curr Ophthalmol 2017 Sep 25;29(3):154-168. Epub 2017 Apr 25.
    Eye Research Center, Oculo-Facial Plastic Surgery, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
    Purpose: Since different subspecialties are currently performing a variety of upper facial rejuvenation procedures, and the level of knowledge on the ocular and periocular anatomy and physiology is different, this review aims to highlight the most important preoperative examinations and tests with special attention to the eye and periocular adnexal structures for general ophthalmologist and specialties other than oculo-facial surgeons in order to inform them about the fine and important points that should be considered before surgery to have both cosmetic and functional improvement.

    Methods: English literature review was performed using PubMed with the different keywords of "periorbital rejuvenation", "blepharoptosis", "eyebrow ptosis", "blepharoplasty", "eyelid examination", "facial assessment", and "lifting". Initial screening was performed by the senior author to include the most pertinent articles. Read More

    Sentinel Artery in Double Eyelid Blepharoplasty: Identification, Prevention, Management.
    J Craniofac Surg 2017 Sep;28(6):1435-1436
    Department of Plastic and Reconstructive Surgery, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.
    In double eyelid blepharoplasty, unexpected bleeding may cause intraoperative hematoma, swelling, and temporary ptosis, which could cause asymmetry and prolong recovery time. In 1725 patients (3450 eyes), double eyelid blepharoplasties were performed on Chinese patients from January 2014 to July 2016 by our senior author. In 36 eyes, the authors identified a variant artery, which the authors named the "sentinel artery," located in the inferolateral superficial orbital septum. Read More

    Correction of sunken upper eyelid with orbital fat transposition flap and dermofat graft.
    J Plast Reconstr Aesthet Surg 2017 Dec 24;70(12):1768-1775. Epub 2017 May 24.
    Dept. of Plastic and Reconstructive Surgery, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, South Korea. Electronic address:
    Background: Sunken upper eyelid is a commonly found deformity among Asians, mostly due to the aging process and excessive orbital fat removal during oriental blepharoplasty procedures. This deformity is frequently accompanied by multiple, poorly defined upper eyelid folds and blepharoptosis. To date, autologous fat graft has been the treatment of choice for this group of patients. Read More

    Comparison of Revision Rates of Anterior- and Posterior-Approach Ptosis Surgery: A Retrospective Review of 1519 Cases.
    Ophthal Plast Reconstr Surg 2017 Jun 2. Epub 2017 Jun 2.
    *TOC Eye and Face, Austin, Texas, †Ophthalmic Plastic and Reconstructive Surgery, Ophthalmology Service, Department of Surgery, Walter Reed National Military Medical Center Bethesda, Bethesda, Maryland, and ‡Department of Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, U.S.A.
    Purpose: To compare revision rates for ptosis surgery between posterior-approach and anterior-approach ptosis repair techniques.

    Methods: This is the retrospective, consecutive cohort study. All patients undergoing ptosis surgery at a high-volume oculofacial plastic surgery practice over a 4-year period. Read More

    Measuring satisfaction with appearance: Validation of the FACE-Q scales for double-eyelid blepharoplasty with minor incision in young Asians- retrospective study of 200 cases.
    J Plast Reconstr Aesthet Surg 2017 08 20;70(8):1129-1135. Epub 2017 May 20.
    The First Hospital Affiliated to the People's Literative Army Hospital, 51#, Fucheng Road, Haidian District, Beijing, 100048, China.
    Background: Double eye-lid surgery is one of the most popular performed aesthetic procedures in young Asians. Reliable measurement of patient reported outcomes is crucial for facial aesthetics. The FACE-Q is a new patient-reported outcome tool (PRO) composed of numerous independently functioning scales and checklists designed to measure outcomes. Read More

    Asymmetry of Preoperative Incision Design Markings for Upper Blepharoplasty.
    J Craniofac Surg 2017 Jul;28(5):e419-e422
    *Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon †Department of Ophthalmology, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Kim's Eye Hospital, Seoul, Korea.
    Purpose: To compare preoperative incision design markings between both eyelids in upper blepharoplasty.

    Methods: This retrospective study examined 22 patients who underwent bilateral upper blepharoplasty surgery resulting from senile dermatochalasis and/or blepharoptosis. The initial preoperative incision design markings were drawn with the patient sitting upright. Read More

    Spontaneous Blinking Kinematics in Patients Who Have Undergone Autogeneous Fascia Frontalis Suspension.
    Curr Eye Res 2017 Sep 30;42(9):1248-1253. Epub 2017 May 30.
    a Department of Ophthalmology , Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo , São Paulo , Brazil.
    Purpose: To measure spontaneous blink metrics and brow motion in patients with congenital ptosis operated with frontalis slings with autogenous fascia lata.

    Methods: An infrared three-dimensional video motion analyzer was employed to simultaneously measure brow motion and spontaneous blinks of 17 patients with congenital ptosis who underwent frontalis sling with autogenous fascia lata and a control group of equal number of healthy subjects. A customized software identified and quantified the amplitude and maximum velocity spontaneous blinks eyelid and brown motion during a 5-minute observation of a commercial movie. Read More

    Combined Surgery for Simultaneous Treatment of Congenital Ptosis and Coexisting Strabismus.
    J Pediatr Ophthalmol Strabismus 2017 Sep 17;54(5):288-294. Epub 2017 May 17.
    Purpose: To evaluate the clinical outcomes of single-stage surgery for treatment of patients with congenital ptosis and coexisting strabismus.

    Methods: A retrospective analysis was performed on 10 patients (17 eyes) with congenital ptosis and coexisting strabismus. Patients were treated with levator resection or frontalis suspension for ptosis and ocular muscle surgery for strabismus, performed as a single-stage procedure. Read More

    Minimally invasive brow lifting techniques.
    Curr Opin Ophthalmol 2017 Sep;28(5):539-543
    aDepartment of Ophthalmology bDepartment of Ophthalmology and Otolaryngology, University of Minnesota, Minneapolis, Minnesota, USA.
    Purpose Of Review: Aesthetic concerns about upper eyelid and brow position are very common in ophthalmic practice. Management of brow descent and devolumization requires an approach customized to each patient taking into consideration preoperative examination and patient desires. This article will review several minimally invasive techniques that can be used to address the needs of patients with mild-to-moderate brow ptosis. Read More

    Role of Algorithm-Based Levator Aponeurectomy in Small-Incision External Ptosis Surgery for Involutional Ptosis.
    JAMA Facial Plast Surg 2017 Dec;19(6):490-495
    Allure Laser Center and Medispa, Kirkland, Washington.
    Importance: External surgical treatment of involutional ptosis with normal levator function is challenging owing to lack of an established algorithm. Developing an algorithm-based technique could improve postoperative results while limiting intraoperative inefficiencies.

    Objective: To investigate the postoperative success of an algorithmic external levator aponeurosis resection technique for aponeurotic ptosis with good levator function. Read More

    Glaucoma Drainage Device Erosion Following Ptosis Surgery.
    J Glaucoma 2017 Sep;26(9):e200-e201
    *School of Medicine †Department of Ophthalmology, Queen's University ‡Department of Ophthalmology, Hotel Dieu Hospital §Kingston General Hospital, Kingston ∥Institute for Clinical Evaluative Sciences, Kingston, ON, Canada.
    Purpose: To highlight the potential risk of glaucoma drainage device erosion following ptosis surgery.

    Methods: Case report.

    Results: A 71-year-old man underwent uncomplicated superotemporal Ahmed glaucoma valve implantation in the left eye in 2008. Read More

    Tangent screen perimetry in the evaluation of visual field defects associated with ptosis and dermatochalasis.
    PLoS One 2017 29;12(3):e0174607. Epub 2017 Mar 29.
    Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, United States of America.
    Purpose: To determine if tangent visual fields gathered during assessment of superior visual field deficits caused by blepharoptosis and dermatochalasis offer good correlation to clinical exam in a time and cost efficient manner.

    Methods: Prospective, observational case series. Subjects included all patients referred to a single surgeon (CCN) who underwent surgical correction of blepharoptosis and/or dermatochalasis. Read More

    Enhanced Fasanella-Servat Procedure for the Graded Repair of Blepharoptosis.
    Ophthal Plast Reconstr Surg 2017 Nov/Dec;33(6):474-476
    *Ophthalmic Plastic and Reconstructive, and Orbital Surgery Division, Department of Ophthalmology, New York Presbyterian Hospital, Columbia University Medical Center, New York, New York, U.S.A.; and †Ocular Plastics Unit, Department of Ophthalmology, Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia.
    Purpose: To describe in detail a technique for a modified Fasanella-Servat procedure that provides a simplified method for graded Mueller muscle excision with minimal and controlled tarsal excision.

    Methods: A retrospective study of 71 patients (102 eyelids) who underwent the modified Fasanella-Servat procedure is reported. Measurements include the preoperative, post-phenylephrine, and postoperative margin-to-reflex distance-1, and postoperative upper eyelid height symmetry as determined by the absolute difference between right- and left-sided margin-to-reflex distance-1. Read More

    Quantitative efficacy of external and internal browpexy performed in conjunction with blepharoplasty.
    Orbit 2017 Apr 7;36(2):102-109. Epub 2017 Mar 7.
    a Department of Ophthalmology and Visual Neurosciences , University of Minnesota , Minneapolis , Minnesota , USA.
    Browpexy surgery is a minimally invasive surgical adjunct to upper blepharoplasty. The traditional internal (IB) approach is well documented, while the newer external (EB) variant has only recently been described. To date, there is little quantitative data to evaluate the efficacy of either procedure, and no data to compare results between the two. Read More

    Upper Eyelid Blepharoplasty: Evaluation, Treatment, and Complication Minimization.
    Semin Plast Surg 2017 Feb;31(1):51-57
    Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, UC San Diego School of Medicine, La Jolla, California; Division of Plastic Surgery, Department of Surgery, UC San Diego School of Medicine, La Jolla, California.
    Upper eyelid blepharoplasty is one of the most common procedures performed worldwide for both functional and cosmetic indications. There is a high rate of patient satisfaction; however, in this era of social media, patient expectations are higher than ever. Today's digitally savvy patients expect perfect outcomes with no complications and rapid recovery. Read More

    Association of Upper Eyelid Ptosis Repair and Blepharoplasty With Headache-Related Quality of Life.
    JAMA Facial Plast Surg 2017 Jul;19(4):293-297
    Oculoplastic Division, Department of Ophthalmology, Yeditepe University Medical School, Istanbul, Turkey.
    Importance: Headache can be a functional indication for ptosis repair and blepharoplasty.

    Objective: To evaluate the changes in headache-related quality of life in patients who underwent upper eyelid ptosis repair or blepharoplasty.

    Design, Setting, And Participants: A prospective cohort study was conducted among 108 patients who underwent standard upper eyelid blepharoplasty and 44 patients who underwent ptosis repair (levator resection, Müller muscle resection, or frontalis suspension) for obscuration of the superior visual field at an ophthalmology clinic's oculoplastic department from September 1, 2014, to September 1, 2015. Read More

    Transpalpebral Corrugator Resection: 25-Year Experience, Refinements and Additional Indications.
    Aesthetic Plast Surg 2017 Apr 23;41(2):339-345. Epub 2017 Feb 23.
    , 29017 Cedar Road, Cleveland, OH, 44124, USA.
    The senior author introduced the transpalpebral approach for the first time during the ASPS meeting in 1993. He has made some refinements in the technique and has developed newer indications for this procedure. These refinements, indications and the related new video are the subject of this report. Read More

    [Blepharophimosis-ptosis-epicanthus inversus syndrome].
    Cesk Slov Oftalmol Fall 2016;72(5):187-190
    Purpose: To report the ocular phenotype of blepharophimosis-ptosis-epicanthus inversus syndrome (BPES).

    Methods: Ophthalmological examination of a 36 year-old proband and detailed family history evaluation, including assessment of available facial photographs of affected relatives, was performed.

    Results: There were four affected males and one female in three generations. Read More

    Two different techniques for frontalis suspension using Gore-Tex to treat severe congenital ptosis.
    Graefes Arch Clin Exp Ophthalmol 2017 Apr 21;255(4):831-835. Epub 2017 Feb 21.
    Ophthalmology department, Faculty of Medicine, Menoufia University, Shebin El Kom, Menoufia, Egypt.
    Purpose: Severe congenital ptosis is commonly associated with poor levator function. This study compares the functional and cosmetic outcomes of open versus closed frontalis sling using Gore-Tex in the treatment of such conditions.

    Methods: Randomized interventional comparative case series of 20 eyes of 13 patients with severe congenital ptosis with levator excursion < 4 mm. Read More

    Functional benefits and patient satisfaction with upper blepharoplasty - evaluated by objective and subjective outcome measures.
    Acta Ophthalmol 2017 Dec 15;95(8):820-825. Epub 2017 Feb 15.
    Department of Ophthalmology, Thy-Mors Hospital, Thisted, Denmark.
    Purpose: To investigate the functional benefits and patient satisfaction with upper blepharoplasty in patients meeting the Danish visitation guidelines for upper blepharoplasty from the Danish Health and Medicines Authority (Sundhedsstyrelsen).

    Methods: Before and 3 months after upper blepharoplasty, the following investigations were made: (i) a standard eye examination, (ii) photographic documentation with a normal camera and the infrared camera of a Spectralis Optical Coherence Tomograph and (iii) measurements of the upper visual fields using the blepharoptosis test of Octopus 900. Along with the pre- and postoperative examinations, the patients completed a questionnaire concerning the functional and psychosocial impact of their eyelids. Read More

    [Technique of Suspension Surgery Using Palmaris Longus Tendon for Correction of Severe Blepharoptosis].
    Klin Monbl Augenheilkd 2017 Jan 30;234(1):46-52. Epub 2017 Jan 30.
    Plastische, Rekonstruktive und Handchirurgie, Privatordination, Wien, Österreich.
    In cases of blepharoptosis, the upper eyelid either cannot or can only be elevated insufficiently. The aetiology may be myogenic, aponeurotic, neurogenic, mechanical, or traumatic. The most common cause of congenital ptosis is myogenic, due to the improper development of the levator muscle. Read More

    Outcomes of levator advancement and Müller muscle-conjunctiva resection for the repair of upper eyelid ptosis.
    Orbit 2017 Feb 27;36(1):39-42. Epub 2017 Jan 27.
    a Department of Ophthalmology , National University Hospital, National University Health System , Singapore.
    Both the Müller muscle-conjunctiva resection (MMCR) and levator advancement (LA) procedures can be used to manage ptosis in patients with good levator function. The aim of this article is to evaluate the efficacy and cosmetic outcomes of the two procedures. The clinical records of 29 consecutive eyelids of 26 patients undergoing MMCR and 30 eyelids of 23 patients undergoing LA were analysed. Read More

    Evaluation of Long-term Outcomes of Correction of Severe Blepharoptosis with Advancement of External Levator Muscle Complex: Descriptive Statistical Analysis of the Results.
    In Vivo 2017 01;31(1):111-115
    Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.
    Aim: Evaluation of long-term results after aponeurotic blepharoptosis correction with external levator muscle complex advancement.

    Patients And Methods: We carried out a retrospective study with medical record review of 20 patients (40 eyes) affected by bilateral aponeurotic moderate and severe ptosis who underwent primary surgery between January 2010 and December 2013. Criteria for outcome evaluations included 3-year postoperative follow-up of upper margin reflex index (uMRD) and symmetry. Read More

    Factors Associated With Surgical Outcomes in Congenital Ptosis: A 10-Year Study of 319 Cases.
    Am J Ophthalmol 2017 Mar 28;175:173-182. Epub 2016 Dec 28.
    Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, and the College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:
    Purpose: To evaluate the 10-year results of surgery for congenital ptosis and identify factors associated with excellent outcomes and recurrence.

    Design: Retrospective, interventional case series.

    Methods: A retrospective analysis was conducted of 319 patients who underwent surgical correction at a tertiary medical center for congenital ptosis. Read More

    Objective Outcome Measurement After Upper Blepharoplasty: An Analysis of Different Operative Techniques.
    Aesthetic Plast Surg 2017 Feb 30;41(1):64-72. Epub 2016 Dec 30.
    Department of Plastic and Reconstructive Surgery, College of Medicine, Daegu Catholic University Medical Center, 33, Duryugongwon-Ro 17-Gil, Nam-Gu, Daegu, Korea.
    Background: Upper blepharoplasty is indicated in Asians for double-eyelid fold creation, periorbital rejuvenation, and functional visual field improvement. This article introduces a technical classification for blepharoplasty methods and investigates approaches to evaluate its outcomes.

    Methods: Of 535 patients undergoing aesthetic upper blepharoplasty in our institution in 1998-2011, 136 patients who were well followed up were retrospectively reviewed and categorized into four groups according to the techniques employed. Read More

    Contour Symmetry of the Upper Eyelid Following Bilateral Conjunctival-Müller's Muscle Resection.
    Aesthet Surg J 2017 03;37(3):269-275
    Department of Ophthalmology , Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo , São Paulo , Brazil.
    Background: Conjunctiva-Müller muscle resection (CMMR) is a simple, effective, and predictable procedure for internal treatment of ptosis.

    Objectives: The authors determined contour symmetry of the upper eyelid following bilateral CMMR.

    Methods: Thirty control participants (ie, without ptosis) and 44 patients with acquired bilateral blepharoptosis who underwent CMMR were evaluated in a prospective study. Read More

    The Brow Fat Pad Suspension Suture: Safety Profile and Clinical Observations.
    Ophthal Plast Reconstr Surg 2018 Jan/Feb;34(1):7-12
    Oculoplastic Surgery, Inc., Salt Lake City, Utah.
    Purpose: To evaluate the safety, subjectively assess outcome, and emphasize surgical pearls and critical clinical observations of upper blepharoplasty performed in conjunction with the brow fat pad suspension suture procedure, previously referred to as a "browpexy variant" or "brassiere suture procedure."

    Methods: A retrospective 4-year analysis of patients who underwent the brow fat pad suspension suture with upper blepharoplasty was performed. Adjunctive procedures (brow lift and ptosis repair) were categorized. Read More

    Simbu Ptosis: An Outreach Approach to Myogenic Ptosis in Eastern Highlands of Papua New Guinea-Experience and Results From a High-Volume Oculoplastic Surgical Camp.
    Ophthal Plast Reconstr Surg 2017 Mar/Apr;33(2):139-143
    *Edward J. Hines VA Medical Center, Chicago, Illinois; †Department of Ophthalmology, Loyola University School of Medicine, Maywood, Illinois; ‡Department of Ophthalmology, University of Utah, Moran Eye Center, Salt Lake City, Utah; §Tilganga Institute of Ophthalmology, Kathmandu, Nepal; ‖Department of Radiology, University of Utah, Salt Lake City, Utah; and ¶Great Lakes Eye Care, Saint Joseph, Michigan, U.S.A.
    Purpose: To present the results of a high-volume oculoplastic surgical outreach in a remote region of Simbu Province in the Eastern Highlands of Papua New Guinea. The authors describe the clinical features and evaluation and treatment of a novel ptosis syndrome found in this area.

    Design: A team of 4 international ophthalmologists and 3 local doctors and 3 local nurses involved in a high-volume field intervention for all patients presenting with a bilateral ptosis to Mingende Rural Hospital. Read More

    A combined one-stage surgical approach of orbital tumor debulking, lid reconstruction, and ptosis repair in children with orbitotemporal neurofibromatosis.
    J Plast Reconstr Aesthet Surg 2017 Mar 11;70(3):336-340. Epub 2016 Nov 11.
    Department of Ophthalmology, Tel Aviv Medical Center, Tel Aviv, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Background And Aim: To describe a series of children with neurofibromatosis type 1 (NF1) and a plexiform neurofibroma of the orbit with ptosis who underwent a combined one-stage surgery for tumor debulking, lid reconstruction, and ptosis repair.

    Methods: A retrospective review of 6 cases of combined one-step surgeries for orbital plexiform neurofibroma with ptosis.

    Results: The study included 6 children (4 boys, mean age 3. Read More

    The utility of margin-reflex distance in determining the type of surgical intervention for congenital blepharoptosis.
    Indian J Ophthalmol 2016 Oct;64(10):752-755
    Department of Ophthalmology, Hacettepe University School of Medicine, Ankara, Turkey.
    Aims: To evaluate the utility of margin-reflex distance (MRD) as an alternative to levator function (LF) in choosing the appropriate surgical procedure for congenital blepharoptosis.

    Settings And Design: This was a retrospective, observational study.

    Subjects And Methods: Records of patients with simple (dystrophic) congenital ptosis who were operated and followed for ≥6 months postoperatively and whose outcomes were deemed as successful were evaluated in the study. Read More

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