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Single stage surgery for Blepharophimosis syndrome.

Bhattacharjee K, Bhattacharjee H, Kuri G, Shah ZT, Deori N - Indian J Ophthalmol (2012 May-Jun)

Bottom Line: There was a statistically significant decrease of astigmatism following ptosis correction (P<0.05), improvement of telecanthus (P<0.0001) in terms of IICD (inner intercanthal distance), and HPFL (horizontal palpebral fissure length) (P=0.019) along with improvement of the superior visual field.There was also a significant postoperative improvement of ptosis (P< 0.01), as measured by IPFH (vertical interpalpebral fissure height).All the patients had a stable functional and cosmetic result after a mean follow-up period of 3 years.

View Article: PubMed Central - PubMed

Affiliation: Department of Orbit, Ophthalmic Plastic and Reconstructive Surgery, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.

ABSTRACT

Purpose: The purpose of this study was to report the functional and cosmetic outcome of single stage surgical procedure for correction of the classic components of Blepharophimosis syndrome.

Materials and methods: We report a retrospective case file review of 11 patients with Blepharophimosis syndrome operated between July 2004 and April 2008. Each patient had undergone the correction of epicanthus inversus, telecanthus, palpebral phimosis, and bilateral ptosis as a single-stage surgical procedure. Patients were examined and photographed before and after surgery. The mean follow-up was 3 years (range 2-6 years).

Results: A total of 11 patients (8 males, 3 females) with a mean age of 9 years (range 6--22 years) were reviewed. The surgical outcome was assessed both functionally and cosmetically. The mean preoperative visual acuity was 0.729 ± 0.316 SD and the mean postoperative visual acuity was 0.856 ± 0.277 SD (P <0.0428). There was a statistically significant decrease of astigmatism following ptosis correction (P<0.05), improvement of telecanthus (P<0.0001) in terms of IICD (inner intercanthal distance), and HPFL (horizontal palpebral fissure length) (P=0.019) along with improvement of the superior visual field. The mean preoperative and postoperative IICD was 3±0.33 SD and 2.418 ± 0.189 SD, respectively. There was also a significant postoperative improvement of ptosis (P< 0.01), as measured by IPFH (vertical interpalpebral fissure height). All the patients had a stable functional and cosmetic result after a mean follow-up period of 3 years.

Conclusion: Single-stage surgical correction of the classic anomalies of Blepharophimosis syndrome provides stable and successful long-term results.

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Photograph of Blepharophimosis syndrome, preoperative, case 8
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Figure 8: Photograph of Blepharophimosis syndrome, preoperative, case 8

Mentions: In the setting of cosmesis, success was defined as reduction of telecanthus (IICD), ptosis (IPFH), and palpebral phimosis (HPFL) measured preoperatively and 3 months postoperatively. Cosmetic correction of epicanthus inversus was observed by appearance of postoperative prominent caruncles. Although there was cosmetically acceptable correction of all the four classic anomalies postoperatively, telecanthus correction showed a statistically significant improvement (P<0.0001) with a mean preoperative IICD of 3.00±0.33 SD (cm) and postoperative IICD of 2.418 ± 0.189 SD (cm) [Figures 6, 7a,b, 8, and 9]. There has been a significant improvement of ptosis in terms of IPFH. The mean preoperative IPFH was 5.27 mm and postoperative being 9.5 mm (P<0.01). There has been adequate correction of palpebral phimosis with a preoperative mean HPFL of 16.8 mm and postoperative HPFL of 25.85 mm with a difference of 9.05 (P= 0.0019).


Single stage surgery for Blepharophimosis syndrome.

Bhattacharjee K, Bhattacharjee H, Kuri G, Shah ZT, Deori N - Indian J Ophthalmol (2012 May-Jun)

Photograph of Blepharophimosis syndrome, preoperative, case 8
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3361814&req=5

Figure 8: Photograph of Blepharophimosis syndrome, preoperative, case 8
Mentions: In the setting of cosmesis, success was defined as reduction of telecanthus (IICD), ptosis (IPFH), and palpebral phimosis (HPFL) measured preoperatively and 3 months postoperatively. Cosmetic correction of epicanthus inversus was observed by appearance of postoperative prominent caruncles. Although there was cosmetically acceptable correction of all the four classic anomalies postoperatively, telecanthus correction showed a statistically significant improvement (P<0.0001) with a mean preoperative IICD of 3.00±0.33 SD (cm) and postoperative IICD of 2.418 ± 0.189 SD (cm) [Figures 6, 7a,b, 8, and 9]. There has been a significant improvement of ptosis in terms of IPFH. The mean preoperative IPFH was 5.27 mm and postoperative being 9.5 mm (P<0.01). There has been adequate correction of palpebral phimosis with a preoperative mean HPFL of 16.8 mm and postoperative HPFL of 25.85 mm with a difference of 9.05 (P= 0.0019).

Bottom Line: There was a statistically significant decrease of astigmatism following ptosis correction (P<0.05), improvement of telecanthus (P<0.0001) in terms of IICD (inner intercanthal distance), and HPFL (horizontal palpebral fissure length) (P=0.019) along with improvement of the superior visual field.There was also a significant postoperative improvement of ptosis (P< 0.01), as measured by IPFH (vertical interpalpebral fissure height).All the patients had a stable functional and cosmetic result after a mean follow-up period of 3 years.

View Article: PubMed Central - PubMed

Affiliation: Department of Orbit, Ophthalmic Plastic and Reconstructive Surgery, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.

ABSTRACT

Purpose: The purpose of this study was to report the functional and cosmetic outcome of single stage surgical procedure for correction of the classic components of Blepharophimosis syndrome.

Materials and methods: We report a retrospective case file review of 11 patients with Blepharophimosis syndrome operated between July 2004 and April 2008. Each patient had undergone the correction of epicanthus inversus, telecanthus, palpebral phimosis, and bilateral ptosis as a single-stage surgical procedure. Patients were examined and photographed before and after surgery. The mean follow-up was 3 years (range 2-6 years).

Results: A total of 11 patients (8 males, 3 females) with a mean age of 9 years (range 6--22 years) were reviewed. The surgical outcome was assessed both functionally and cosmetically. The mean preoperative visual acuity was 0.729 ± 0.316 SD and the mean postoperative visual acuity was 0.856 ± 0.277 SD (P <0.0428). There was a statistically significant decrease of astigmatism following ptosis correction (P<0.05), improvement of telecanthus (P<0.0001) in terms of IICD (inner intercanthal distance), and HPFL (horizontal palpebral fissure length) (P=0.019) along with improvement of the superior visual field. The mean preoperative and postoperative IICD was 3±0.33 SD and 2.418 ± 0.189 SD, respectively. There was also a significant postoperative improvement of ptosis (P< 0.01), as measured by IPFH (vertical interpalpebral fissure height). All the patients had a stable functional and cosmetic result after a mean follow-up period of 3 years.

Conclusion: Single-stage surgical correction of the classic anomalies of Blepharophimosis syndrome provides stable and successful long-term results.

Show MeSH
Related in: MedlinePlus