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Blepharoptosis

Ptosis


Presentation

  • The present study introduces a new frontalis suspension procedure in which the required size (length and width) of the fascia lata and length of lateral thigh incision is much smaller.[ncbi.nlm.nih.gov]
Fishing
  • Iris-pupil complex relation to the palpebral opening was classified into 5 eye types, namely, standard (n 961), scleral (n 266), sinking (n 151), retracted (n 3), and fish (n 3).[ncbi.nlm.nih.gov]
High Fever
  • A 51-year-old woman was hospitalized with a high fever, occipital pain, blepharoptosis, and trismus.[ncbi.nlm.nih.gov]
Dyspnea
  • Chlorphenamine and hydrocortisone were administered with fast resolution of dyspnea and slight improvement of ptosis. Complete resolution with no sequelae occurred in one hour.[ncbi.nlm.nih.gov]
Trismus
  • A 51-year-old woman was hospitalized with a high fever, occipital pain, blepharoptosis, and trismus.[ncbi.nlm.nih.gov]
Vascular Disease
  • Acquired Horner syndrome may result after trauma, neoplastic insult, or even vascular disease.[en.wikipedia.org]
Torticollis
  • The authors propose that symptomatic ocular torticollis is an indication for ptosis repair.[ncbi.nlm.nih.gov]
Back Pain
  • In the adult patient, it caused debilitating back pain that required orthopedic evaluation but was completely relieved with ptosis repair surgery.[ncbi.nlm.nih.gov]

Workup

  • Patients presenting with acute ptosis should be questioned about a recent history of flu-like syndrome, and if workup is negative with this history, the clinicians should suspect this rare condition.[ncbi.nlm.nih.gov]
  • […] exposure keratopathy, normal levator function, poor frontalis function Setup Special equipment: Wright needle Silicone sling with sleeve (Frontalis Suspension Set, Beaver-Visitec, Waltham, MA) 5-0 prolene suture with small spatulated needle Preoperative Workup[csurgeries.com]
  • Workup Laboratory Studies If myasthenia gravis is suspected in a patient with ptosis, perform a serum assay for acetylcholine receptor antibodies and antistriated muscle antibody.[emedicine.medscape.com]
Polyps
  • Gardner's syndrome (GS) is an autosomal dominant form of polyposis characterized by the presence of multiple polyps in the colon together with osseous tumors and soft-tissue tumors, such as epidermoid cysts and lipomas.[ncbi.nlm.nih.gov]

Treatment

  • All of the patients underwent surgical treatment and bleomycin injection from January 2010 to January 2014.[ncbi.nlm.nih.gov]

Prognosis

  • […] diagnostic criteria of VATER association, have been considered significant for clarifying the nature of VATER association and for establishing guidelines for the treatment of infants with VATER association because they are supposed to be determinants of prognosis[ncbi.nlm.nih.gov]
  • Diagnosis and Prognosis: An ophthalmologist would be the most likely to diagnose this disorder. The nearsightedness can be corrected with lenses and the dislocated lenses can be removed surgically. Lifespan is apparently normal.[disorders.eyes.arizona.edu]
  • Prognosis The repair of congenital ptosis can produce excellent functional and cosmetic results. With careful observation and treatment, amblyopia can be treated successfully.[emedicine.medscape.com]

Etiology

  • Etiologies included trauma in 21 (46.7%), congenital in 16 (35.6%), and other causes in 8 (17.7%) cases.[ncbi.nlm.nih.gov]

Epidemiology

  • Author information 1 Jalboneun Seoul Eye Clinic, Hwaseoung, Korea. 2 Department of Epidemiology Graduate School of Public Health, Seoul National University, Seoul, Korea. 3 Department of Epidemiology and Welch Center for Prevention, Epidemiology, and[ncbi.nlm.nih.gov]
  • Some forms of congenital ptosis may represent a form of congenital cranial dysinnervation disorder. [3] Epidemiology Frequency United States The frequency of congenital ptosis in the United States has not been officially reported.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Identification of the underlying pathophysiologic mechanism is paramount to institute proper treatment. Pathophysiology Ptosis is the result of dysfunctioning of one or both upper eyelid elevator muscles.[emedicine.com]
  • Waragai, M, Shinotoh, H, Kaneko, M, Hattori, T 1996 Difficulty in eye opening following left hemispheric infarction—causative lesion and pathophysiology of abnormalities of the eye and eyelids movements.[doi.org]

Prevention

  • Atraumatic and gentle handling are essential to prevent OCR. The preoperative globe-pressing test may be an index of the OCR in reflex-prone patients.[ncbi.nlm.nih.gov]
  • The orbital septum should be grasped and pulled straight up to prevent inadvertent damage to deeper structures. The septum should be opened for the length of the wound to expose the preaponeurotic fat pad.[reviewofophthalmology.com]
  • Complications of ptosis repair: prevention and management. Commentary: perspective of a risk manager: 12 steps of a successful surgical encounter. The history of ptosis surgery. Eyelid anatomy and physiology with reference to blephoraptosis.[terkko.helsinki.fi]
  • Double eyelid line should not be distanced from the eyelid edge by more than 7 mm in order to prevent an unnatural, exaggerated appearance.[scielo.conicyt.cl]

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