Ptosis: Evaluation and management

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Ptosis evaluation and management.

Drooping of the upper eyelids is one of the most common complaints in oculoplastic practice. Other related complaints include difficulty seeing due to the attendant visual field obstruction and prefrontal headaches due to chronic use of the frontalis muscle in an attempt to lift the eyelids [1]. This anatomic and morphologic state is termed ptosis, from the Greek ‘‘to fall.’’ Ptosis causes a si...

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Evaluation and management of unilateral ptosis and avoiding contralateral ptosis.

Treating unilateral ptosis can be challenging and a proper preoperative evaluation may help prevent unexpected outcomes on the contralateral lid. Preoperative evaluation should include testing for Hering's law, which remains useful in understanding the phenomenon of induced contralateral eyelid retraction in the context of ptosis. Approximately 10% to 20% of patients with unilateral ptosis have...

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Clinical presentation and management of congenital ptosis

Congenital ptosis is a rare condition characterized by lower positioning of the upper eyelid that is present at birth and is a clinical condition that is persistent if not treated. It may be unilateral or bilateral and may be associated with other ocular disorders or systemic conditions, including Marcus Gunn, Horner, and Duane syndromes. It is a benign condition but causes functional, cosmetic...

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Management of ipsilateral ptosis with hypotropia.

Thirty-one patients presented for surgical correction of unilateral hypotropia of the globe and blepharoptosis. The hypotropia and pseudoptosis were corrected by Knapp procedures. The Bell's phenomenon was thereby improved, allowing safe correction of the true ptosis, generally by an anterior levator resection whose magnitude depended on measured levator function.

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Management of myogenic ptosis in chronic progressive external ophtalmoplegia

Introduction Patients with mitochondrial myopathies, of which chronic progressive external ophthalmoplegia (CPEO) is the most common, can present with ptosis and proximal limb weakness.1 Ptosis associated with CPEO can provide challenging management problems. This form of ptosis may have poor levator function. Additional features must be considered in determining the surgical treatment. For exa...

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ژورنال

عنوان ژورنال: Kerala Journal of Ophthalmology

سال: 2019

ISSN: 0976-6677

DOI: 10.4103/kjo.kjo_2_19