PURPOSE To examine inferior displacement of the lower eyelid during eye closing in intraoperative quantification of blepharoptosis surgery. METHODS A series of lower eyelid movements during eye closing in intraoperative quantification of blepharoptosis surgery were examined in 30 eyelids of 15 patients (6 males and 9 females; mean age 70.0 years; range 43-81 years) with bilateral aponeurotic ...

BACKGROUND Double eyelid blepharoplasty is one of the most popular facial cosmetic surgeries performed in patients with Asian eyelids. Although most patients choose to undergo blepharoplasty for cosmetic purposes, rather than functional reasons, these patients frequently present with concomitant mild-to-moderate blepharoptosis. OBJECTIVES Performing nonincisional double eyelid surgery without...

PURPOSE To investigate, for the first time, the psychosocial implications of blepharoptosis and dermatochalasis. METHODS Two hundred ten individuals rated whole-face photographs of a series of patients on the basis of 11 different personal characteristics: intelligence, throat, friendliness, health, trustworthiness, hard work, mental illness, financial success, attractiveness, alcoholism, and...

PURPOSE To assess the health-related quality of life in blepharoptosis patients and the impact after surgical management on their quality of life. METHODS Twenty-one patients with congenital or acquired blepharoptosis completed a questionnaire which was adapted from the Visual Function Questionnaire (VFQ), before and after surgical management. RESULTS Mean preoperative score was 74 and mean...

The use of a Mersilene mesh sling in brow suspension ptosis surgery is presented. Seventeen cases of severe blepharoptosis have been treated by means of this sling with favourable results. Materials used in brow suspension procedures are categorised and discussed, and it is concluded that the Mersilene sling is an alternative to those currently available for the management of severe blepharopto...

PURPOSE To evaluate the efficacy of excision of avascular bleb and advancement of adjacent conjunctiva (EBAC) for treatment of hypotony after trabeculectomy with mitomycin C (MMC). METHODS Fifteen patients (17 eyes) who received EBAC for correction of hypotony between September 1996 and October 2008 were reviewed retrospectively. The main outcomes were intraocular pressure (IOP) and postopera...

PURPOSE This study aims to evaluate the efficacy of processed images to predict postoperative appearance following levator resection. METHODS Analysis involved 109 eyes from 65 patients with blepharoptosis who underwent advancement of levator aponeurosis and Müller's muscle complex (levator resection). Predictive images were prepared from preoperative photographs using the image processing so...

Transcutaneous blepharoptosis surgery with simultaneous advancement of the levator aponeurosis and Müller's muscle (levator resection) is a popular surgery which is considered effective for all types of blepharoptosis except for the myogenic type. Repair of ptosis cases with good levator function yields excellent results. A good outcome can be also obtained in cases with poor levator function, ...

Editorial Oculoplastic Blepharoptosis repair is considered one of the fundamental procedures in ophthalmic plastic and reconstructive surgery. Although the basic concept in ptosis surgery is elevating the dropped upper eyelid, there are various surgical approaches to achieve this goal. Targeting the levator palpebrae superioris (LPS) muscle, Müller's muscle or the frontalis muscle (in sling sur...