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    1 OF 17

    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

    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

    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

    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

    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 Feb 15. 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.
    Background 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 2016 Dec 9. Epub 2016 Dec 9.
    *Oculoplastic Surgery, Inc., Salt Lake City, Utah; †Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California; ‡Tufts University, Medford, Massachusetts; §Division of Oculoplastic Surgery, Department of Ophthalmology, University of Michigan Medical School, Ann Arbor, Michigan; ‖Beverly Hills Ophthalmic Plastic and Reconstructive Surgery, Beverly Hills, California; and ¶Division of Oculoplastic Surgery, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, U.S.A.
    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

    Effects of Muller's muscle-conjunctival resection for ptosis on ocular surface scores and dry eye symptoms.
    Orbit 2017 Feb 8;36(1):1-5. Epub 2016 Nov 8.
    a Department of Ophthalmology , Grupo Hospitalar Conceição and Hospital de Clínicas de Porto Alegre (HCPA) , Porto Alegre , RS , Brazil.
    This article evaluates the effects of Muller's muscle-conjunctival resection (MMCR) on ocular surface scores and dry eye symptoms. Forty-six patients were enrolled in the study. Eighteen underwent bilateral upper eyelid skin excision with MMCR and 28 underwent bilateral upper eyelid skin-only excision (control group). Read More

    Oculoplastic considerations in patients with glaucoma.
    Surv Ophthalmol 2016 Nov - Dec;61(6):718-725. Epub 2016 Apr 2.
    Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK. Electronic address:
    The incidence of glaucoma worldwide is increasing. Often, these patients may also be referred to oculoplastic surgeons for either age-related problems or issues secondary to medical or surgical glaucoma treatment. Eyelid malpositions (ptosis or lid retraction) may occur after glaucoma filtration surgery or the use of prostaglandin analogues. Read More

    Tarsal Glandular Hyperplasia in Pachydermoperiostosis and Implications for Ptosis Correction.
    Ophthal Plast Reconstr Surg 2017 Jul/Aug;33(4):e92-e94
    *Division of Oculoplastic and Orbit, Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery; and †Department of Pathology, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
    Pachydermoperiostosis is a rare genetic disease that causes major bone and skin changes. Severe ptosis is a prominent finding in this peculiar condition. We report here 2 patients with typical features of pachydermoperiostosis. Read More

    Outcomes of Two Surgical Techniques Using Silicone Rod for Frontalis Sling Suspension to Treat Severe Ptosis.
    J Pediatr Ophthalmol Strabismus 2017 Jan 26;54(1):52-58. Epub 2016 Oct 26.
    Purpose: To compare outcomes of two techniques of frontalis silicone sling surgery.

    Methods: This retrospective, nonrandomized chart review was performed on patients undergoing frontalis sling surgery between 2008 and 2011. Silicone rods were sutured to the tarsal plate through an eyelid crease incision (open method) or stab incisions (closed method). Read More

    Evaluation of the eyebrow position after levator resection.
    J Plast Reconstr Aesthet Surg 2017 Jan 5;70(1):85-90. Epub 2016 Oct 5.
    Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama-shi, Kanagawa 236-0004, Japan.
    Although we commonly observe eyebrow drooping during and after blepharoptosis surgery, it may not occur in some cases. After levator resection was performed in 47 patients (84 eyelids) with blepharoptosis, the eyebrow heights at the medial canthus, the center of the pupil, and the lateral canthus were measured using scanned photographs obtained preoperatively and 3 months postoperatively. In the 84 eyelids, after levator resection, the eyebrow position was lowered at the medial canthus in 76 patients (90%), at the center of the pupil in 75 (89%), and at the lateral canthus in 76 (90%). Read More

    [Clinical and pathological features and surgical treatment of eyelid/conjunctival amyloidosis].
    Zhonghua Yan Ke Za Zhi 2016 Oct;52(10):775-779
    Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab., Beijing 100730, China.
    Objective: To study the clinical and pathological features and surgical outcome of eyelid/conjunctival amyloidosis. Methods: It was a retrospective case series study. The clinical and pathological records of 11 patients who were diagnosed as eyelid/conjunctival amyloidosis and had surgical treatment between February 2007 and October 2015 at Beijing Tongren Hospital were analyzed. Read More

    Secondary Blepharoplasty: Correction of the High Fold.
    Aesthetic Plast Surg 2016 Dec 14;40(6):914-920. Epub 2016 Oct 14.
    Division of Dermatology, Ramathibodi Laser Center, Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
    Background: Blepharoplasty is a common aesthetic surgery performed worldwide. In Asians, too high eyelid folds after blepharoplasty cause an unsatisfactory aesthetic outcome that is difficult to correct. In this article, the authors propose surgical techniques to correct the high eyelid fold after blepharoplasty. Read More

    Granuloma after sling surgery: an attempt to answer the 'why' and 'what to do next'.
    Int Ophthalmol 2017 Aug 27;37(4):973-977. Epub 2016 Sep 27.
    Department of Ophthalmology, V.M.M.C and Safdarjung Hospital, Room No. 430 of Eye OPD, 4th floor of OPD building, Ansari Nagar, Ring Road, New Delhi, 110029, India.
    Purpose: To review cases of granuloma formation after sling surgery with a view to find out possible aetiological factors and propose a further plan of management MATERIALS AND METHODS: A retrospective analysis of 120 eyes of 108 patients who underwent frontalis sling surgery with silicone rod from Jan 2008 to Dec 2015 was conducted. All patients with severe ptosis and poor levator function who underwent frontalis sling surgery with silicone rod were included in the study irrespective of the cause of ptosis and method of passing the sling. A complete ophthalmic and ptosis examination was done. Read More

    Effects of upper lid blepharoplasty on visual quality in patients with lash ptosis and dermatochalasis.
    Int J Ophthalmol 2016 18;9(9):1320-4. Epub 2016 Sep 18.
    Department of Ophthalmology, Dong-A University College of Medicine, Busan 602-715, Korea.
    Aim: To assess the effects of upper lid blepharoplasty on visual quality.

    Methods: Seventy-three eyelids of 39 patients were subjected to upper lid blepharoplasty. Pre- and post-operative contrast sensitivity, visual acuity, vertical palpebral aperture and the degree of lash ptosis were measured. Read More

    Assessment of the Abbreviated National Eye Institute Visual Function Questionnaire (NEI VFQ 9) in blepharoptosis and dermatochalasis.
    Arq Bras Oftalmol 2016 Jul-Aug;79(4):226-8
    Department of Ophthalmology, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
    Purpose: To evaluate the Abbreviated National Eye Institute Visual Function Questionnaire (NEI VFQ 9), which is shorter than those previously published, as a tool for assessing vision-related quality of life in patients with ptosis and dermatochalasis.

    Methods: This is a cohort study of 46 patients who underwent blepharoptosis and/or upper eyelid blepharoplasty surgery by a single surgeon (CN) in 2013 in a public, academic, ambulatory care referral center. Patients included 29 who underwent blepharoplasty, 11 who underwent ptosis surgery, and 6 who underwent combined surgery. Read More

    Maximal levator resection in unilateral congenital ptosis with poor levator function.
    Br J Ophthalmol 2017 Jun 6;101(6):740-746. Epub 2016 Sep 6.
    Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
    Background/aims: Surgical treatments for the correction of congenital ptosis with poor levator function, including frontalis suspension or maximal levator resection, remain controversial. We evaluated the postoperative surgical and cosmetic outcomes after maximal levator resection for unilateral congenital ptosis with poor levator function.

    Methods: A retrospective, interventional case series was performed. Read More

    Review on surgical management of ptosis and the use of phenylephrine: A national survey of British Oculoplastic Surgery Society (BOPSS) UK Consultants.
    Orbit 2016 Dec 6;35(6):339-342. Epub 2016 Sep 6.
    a Oxford Eye Hospital , John Radcliffe NHS Trust , Oxford , United Kingdom.
    We assess current practice using topical phenylephrine by British Oculoplastic Surgery Society (BOPSS) consultants in the surgical management of ptosis. All UK consultant BOPSS members were invited to participate in a web-based survey, consisting of 8 questions relating to the surgical management of adult primary involutional ptosis with normal levator function and the use of phenylephrine in the management of ptosis. 53 BOPSS consultants (43%) completed the survey, of which 76% perform anterior approach levator advancement as first-line surgery. Read More

    The effect of upper eyelid blepharoplasty on eyelid and brow position.
    Orbit 2016 Dec 25;35(6):324-327. Epub 2016 Aug 25.
    e Jules Stein Eye Institute and Department of Ophthalmology, Division of Orbital and Ophthalmic Plastic Surgery , David Geffen School of Medicine, University of California-Los Angeles , Los Angeles , California , USA.
    This article evaluates the effect of upper eyelid blepharoplasty on eyelid margin position and brow height. This study is a retrospective analysis of patients who underwent upper eyelid blepharoplasty without concurrent blepharoptosis repair or brow surgery. The medical records of the participants were retrospectively reviewed and an established image analysis software was used to quantify the upper margin reflex distance (MRD1) as well as brow height using high quality standardized clinical photographs. Read More

    Levator resection with suspensory ligament of the superior fornix suspension for correction of pediatric congenital ptosis with poor levator function.
    Eye (Lond) 2016 Nov 12;30(11):1490-1495. Epub 2016 Aug 12.
    Eye Institute and Eye Center of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Vision Science, Xiamen, Fujian, China.
    PurposeTo evaluate the surgical outcome of levator resection with suspensory ligament of the superior fornix (SLSF) suspension in severe congenital ptosis with poor levator function (LF).Patients and methodsThe medical records of 25 patients who underwent levator resection with SLSF suspension between March 2011 and January 2013 were retrospectively reviewed. All of the patients had severe congenital ptosis (>4 mm) and poor LF (<4 mm). Read More

    Biomechanics of the Levator Aponeurosis.
    Ophthal Plast Reconstr Surg 2017 Jul/Aug;33(4):251-255
    *Allure Laser and Medispa, Kirkland, Washington, and †Incyte Diagnostics, Bellevue, Washington, U.S.A.
    Purpose: To investigate biomechanical properties of the levator aponeurosis.

    Methods: Patients undergoing external levator resection for primary or revision correction of acquired ptosis were analyzed as primary and revision groups. Immediately postoperatively, the resected segments of the levator aponeurosis were stressed by adding sequential masses to the tissue. Read More

    Aponeurosis of the levator palpebrae superioris in Chinese subjects: A live gross anatomy and cadaveric histological study.
    Medicine (Baltimore) 2016 Aug;95(31):e4469
    aSouthern Medical University bDepartment of Plastic Surgery, Guangzhou General Hospital of Guangzhou Military Command of PLA cAesthetic Plastic Surgery, Hospital of the San Yet-Sun Medical University, Guangzhou dLOMEYE Medical Beauty Clinic, Beijing, China.
    An accurate understanding of the anatomy of the levator palpebrae superioris aponeurosis (LPSA) is critical for successful blepharoplasty of aponeurotic ptosis. We investigated the macroscopic and microscopic anatomy of the LPSA.This prospective live gross anatomy study enrolled 200 adult Chinese patients with bilateral mild ptosis undergoing elective blepharoplasty. Read More

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