Limits...
Total levator aponeurosis resection for primary congenital ptosis with very poor levator function.

Al-Mujaini A, Wali UK - Oman J Ophthalmol (2010)

Bottom Line: A retrospective, noncomparative single-institutional study was designed.End result is improvement of the eyelid elevation.Total levator aponeurosis resection is easy and effective tool in elevating the eyelid in patients with very poor levator function secondary to primary congenital ptosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, College of Medicine and Health Science, Sultan Qaboos University, Muscat, Sultanate Oman.

ABSTRACT

Aim: This study was designed to evaluate the effectiveness of total levator aponeurosis resection in patients with very poor levator function secondary to primary congenital ptosis.

Design: A retrospective, noncomparative single-institutional study was designed.

Participants: Seven patients with very poor levator function secondary to primary congenital ptosis operated between May 2008 and May 2010 by one surgeon (AM).

Materials and methods: A retrospective study of seven patients with congenital ptosis evaluating eyelid elevation following total levator aponeurosis resection. End result is improvement of the eyelid elevation.

Conclusion: Total levator aponeurosis resection is easy and effective tool in elevating the eyelid in patients with very poor levator function secondary to primary congenital ptosis.

No MeSH data available.


Related in: MedlinePlus

Preoperative findings of the left eye showing; over-elevation of the eyebrow, absence of lid crease, margin reflex distance of -1, and very poor levator function
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2992158&req=5

Figure 0001: Preoperative findings of the left eye showing; over-elevation of the eyebrow, absence of lid crease, margin reflex distance of -1, and very poor levator function

Mentions: In this retrospective, interventional, single-institutional study seven patients having unilateral primary congenital ptosis with very poor levator function (<5 mm) were enrolled to determine the effectiveness of total levator aponeurosis resection in elevating the eyelid position. All patients were admitted through eye clinic at the university hospital over 2 years from May 2008 to May 2010. The patients were identified from the electronic medical record (EMR). A complete medical history was obtained. All patients underwent testing for the best-corrected visual acuity. No amblyopia was detected in any of them. Detailed ocular examination was carried out for extraocular movements, pupillary reaction, corneal sensation, exposure keratopathy, lagophthalmos, Bell’s phenomenon, and synkinesis such as the presence of Marcus Gunn Jaw-winking ptosis. Physical evaluation included recording of vertical fissure height, margin reflex distance, upper lid crease position, and assessing levator function [Figures 1 and 2]. It also included checking head position, chin elevation, brow position, and brow action in attempted upgaze. All the patients had detailed systemic evaluation to rule out secondary cause of the ptosis.


Total levator aponeurosis resection for primary congenital ptosis with very poor levator function.

Al-Mujaini A, Wali UK - Oman J Ophthalmol (2010)

Preoperative findings of the left eye showing; over-elevation of the eyebrow, absence of lid crease, margin reflex distance of -1, and very poor levator function
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992158&req=5

Figure 0001: Preoperative findings of the left eye showing; over-elevation of the eyebrow, absence of lid crease, margin reflex distance of -1, and very poor levator function
Mentions: In this retrospective, interventional, single-institutional study seven patients having unilateral primary congenital ptosis with very poor levator function (<5 mm) were enrolled to determine the effectiveness of total levator aponeurosis resection in elevating the eyelid position. All patients were admitted through eye clinic at the university hospital over 2 years from May 2008 to May 2010. The patients were identified from the electronic medical record (EMR). A complete medical history was obtained. All patients underwent testing for the best-corrected visual acuity. No amblyopia was detected in any of them. Detailed ocular examination was carried out for extraocular movements, pupillary reaction, corneal sensation, exposure keratopathy, lagophthalmos, Bell’s phenomenon, and synkinesis such as the presence of Marcus Gunn Jaw-winking ptosis. Physical evaluation included recording of vertical fissure height, margin reflex distance, upper lid crease position, and assessing levator function [Figures 1 and 2]. It also included checking head position, chin elevation, brow position, and brow action in attempted upgaze. All the patients had detailed systemic evaluation to rule out secondary cause of the ptosis.

Bottom Line: A retrospective, noncomparative single-institutional study was designed.End result is improvement of the eyelid elevation.Total levator aponeurosis resection is easy and effective tool in elevating the eyelid in patients with very poor levator function secondary to primary congenital ptosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, College of Medicine and Health Science, Sultan Qaboos University, Muscat, Sultanate Oman.

ABSTRACT

Aim: This study was designed to evaluate the effectiveness of total levator aponeurosis resection in patients with very poor levator function secondary to primary congenital ptosis.

Design: A retrospective, noncomparative single-institutional study was designed.

Participants: Seven patients with very poor levator function secondary to primary congenital ptosis operated between May 2008 and May 2010 by one surgeon (AM).

Materials and methods: A retrospective study of seven patients with congenital ptosis evaluating eyelid elevation following total levator aponeurosis resection. End result is improvement of the eyelid elevation.

Conclusion: Total levator aponeurosis resection is easy and effective tool in elevating the eyelid in patients with very poor levator function secondary to primary congenital ptosis.

No MeSH data available.


Related in: MedlinePlus