Presentation
The dermatochalasia was present before surgery but is more significant afterward. Patient also has brow ptosis. [emedicine.medscape.com]
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]
Surgery (ASOPRS) Fall Scientific Symposium, San Francisco, California - Digital presentation, Oct 10-11, 2019 American Academy of Optometry Academy Conference 2019, Orlando, Florida - Poster presentation, Oct 24, 4:30-6:30 pm and Vision Theater presentation [fiercepharma.com]
Musculoskeletal
- Myopathy
Oculopharyngodistal myopathy is an extremely rare disease characterised by slowly progressive blepharoptosis, facial and bulbar muscle weakness and distal leg myopathy. [ncbi.nlm.nih.gov]
pseudo-ptosis, Meige's syndrome, MITOCHONDRIAL MYOPATHY, PTOSIS, APRAXIA, PALSY View graph of relations [rug.nl]
Myogenic blepharoptosis includes myasthenia gravis and a number of rare myopathies. Chronic progressive external ophthalmoplegia term refers to a group of systemic disease caused by mutations in the DNA of mitochondria. [bendomd.com]
The findings are most consistent with myogenic ptosis in a generalized mitochondrial myopathy syndrome. [academic.oup.com]
- Torticollis
The authors propose that symptomatic ocular torticollis is an indication for ptosis repair. [ncbi.nlm.nih.gov]
Although ptosis is not considered a progressive condition, children with ptosis have a higher incidence of amblyopia (14-23%) and other developmental visual disorders such as myopia, astigmatism, anisometropia, torticollis, and strabismus.(10) Ptosis [scielo.br]
Eyes
- Strabismus
Selected patients with blepharoptosis and exotropia with aberrant regeneration of the oculomotor nerve can achieve acceptable cosmesis by simple strabismus surgery. [jhu.pure.elsevier.com]
Amblyopia, astigmatism, and strabismus were not improved after treatment. All of the patients had excellent aesthetic improvement and corrected blepharoptosis. [ncbi.nlm.nih.gov]
Strabismus. 2015. 23 (1):33-5. [Medline]. Decock CE, De Baere EE, Bauters W, Shah AD, Delaey C, Forsyth R, et al. [emedicine.com]
- Bilateral Proptosis
Subsequently, bilateral upper eyelid retraction was noted (Figure 1c). Figure 2 (a) Bilateral proptosis with enlarged extraocular muscles prior to orbital decompression. Apical compression of the optic nerve (axial CT scan). [nature.com]
Neurologic
- Hyperactivity
Attention deficit hyperactivity disorder and borderline personality disorder. Progress in Neuro- Psychopharmacology & Biological Psychiatry, 29, 865-877. [kenniscentrum-kjp.nl]
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]
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]
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.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]
Author information Affiliations Jalboneun Seoul Eye Clinic, Hwaseoung, Korea M H Kim Department of Epidemiology Graduate School of Public Health, Seoul National University, Seoul, Korea M H Kim Department of Epidemiology and Welch Center for Prevention [nature.com]
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.com]
Pathophysiology
In conclusion, the levator resection is a commonly used procedure that addresses the pathophysiology of most types of ptosis except for the myogenic type. [openophthalmologyjournal.com]
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]
Prevention
How can I prevent ptosis? You can’t really prevent ptosis but you might be able to stop droopy eyelids getting any worse if you get them treated early. One way to do this is to ensure you have an eye test every two years. [specsavers.ie]
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]
Note that facial nerve paralysis prevents screwing of the eye. Promoted articles (advertising) [radiopaedia.org]
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]
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]