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.

Purpose. To evaluate the efficacy and safety of polybutylate-coated braided polyester (Ethibond* 5-0) suture for levator aponeurosis suturing to the anterior tarsal surface in involutional blepharoptosis repair surgery. Methods. Ten consecutive patients (16 eyes) with acquired blepharoptosis which resulted from levator aponeurosis dehiscence with good levator function had gone through surgery a...

The authors describe a one-step anterior approach levator resection technique with intraoperative adjustable sutures. Forty-four ptotic eyes were divided into five groups, and the results of this technique were evaluated for each of these five types of ptosis. Our results show that it is not possible to predict the extent of a levator resection preoperatively from the assessment of the levator ...

OBJECTIVE To evaluate pelvic floor muscle strength before and after vaginal birth. DESIGN Prospective repeated measures study. SETTING Main district hospital. POPULATION Fifty-five women: 25 primiparae and 20 multiparae following vaginal birth, and 10 women following elective caesarean delivery as a control group. METHODS Pelvic muscle strength was evaluated by palpation, perineometry a...

Isolated unilateral congenital ptosis is encountered relatively infrequently in clinical practice. It typically consists of a unilateral droopy eyelid, weak levator palpebrae superioris muscle function, lid lag, and an absent upper lid crease with no other abnormalities on examination. We present a four-and-a-half-year-old girl with isolated and mild unilateral congenital ptosis who unexpectedl...

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...

1 on the anatomy of the levator ani, and especially the puborectalis muscle by use of MRI and CT. The authors state that the levator ani has a transverse portion and a vertical portion and that the puborectalis muscle is a u-shaped muscle outside the vertical portion. Based on those findings, the authors conclude that the puborectalis is not a part of the levator ani muscle. The concept that th...

Posterior approach blepharoptosis surgery, via the transconjunctival route, was probably the first method of surgery employed to shorten the levator palpebrae superioris (LPS) muscle. A review of the literature demonstrates how surgery has evolved since Blaskovics' first described his technique in 1923. We describe our newer method of posterior approach white-line advancement blepharoptosis rep...

A 39-year-old woman was diagnosed with myasthenia gravis when she was 8 years old. Although many treatments - such as cholinesterase inhibitors and steroids - had been given to the patient, her condition did not improve sufficiently. As she demonstrated bilateral 3 mm levator function without any eye movement disturbances, bilateral frontalis sling procedures were performed with an autologous f...