It has been suggested that Müller muscle conjunctival resection might not be a good procedure for the treatment of blepharoptosis in patients with less than optimal levator function. This case series includes four eyelids (three patients) that had fair preoperative levator function (4 to 8 mm) and good response to phenylephrine. The mean preoperative levator function was 6.25 mm and the mean am...

PURPOSE To quantify the fat in the levator muscle of patients with congenital ptosis, as related to clinical and epidemiological aspects of this disease. METHODS Twenty-two levator muscle samples of the superior eyelid from patients with congenital ptosis were morphometrically evaluated with aim of establishing a relationship between the fat quantity and age, sex, ptosis degree and levator mu...

AIM To investigate the predictive value of levator function in the outcomes of surgeries using the anterior levator resection technique in patients with aponeurotic blepharoptosis. METHODS A retrospective analysis of 69 eyes of 65 patients who underwent anterior levator resection between 2005 and 2011 in the ophthalmology department of a tertiary care center was performed. Levator function wa...

PURPOSE To assess outcomes of levator resection for the surgical correction of congenital and acquired upper lid ptosis in patients with fair to good levator function and evaluation of the relationship between demographic data and success of this operation. METHODS In a retrospective study, medical records of patients with blepharoptosis who had undergone levator resection over a 10-year peri...

The regenerating levator ani muscle of the rat is known to retain its sensitivity to the effects of testosterone. To determine whether hormonal sensitivity of the regenerating muscle is purely myogenic or requires some interaction with the pudendal nerve or the local humoral environment, levator ani muscles were freely grafted in place of the soleus or extensor digitorum longus muscles in norma...

OBJECTIVE To assess the mean change in interpalpebral fissure height and marginal reflex distance after brow suspension with autogenous fascia lata sling in patients of ptosis. METHODS This was a Quasi experimental study conducted at Department of Ophthalmology, Mayo Hospital, King Edwards Medical University Lahore, from Jan 2013 to June 2016. Included were the patients who had unilateral or ...

Figure 1. Preoperative photograph demonstrating severe ptosis on the right lid with levator function less than 5 mm (measured by blocking the action of the frontalis muscle). The patient is contracting his right frontalis muscle to keep his right eyelid open. Normal levator function is 11 mm.

PURPOSE To evaluate the functional and cosmetic results after frontalis sling repair for unilateral ptosis associated with either poor levator function or synkinesis. METHODS Preoperative and postoperative photographs and records of 127 patients who underwent unilateral frontalis sling ptosis repair were retrospectively reviewed. An eyelid crease incision was used in all cases, with suturing ...

BACKGROUND Ptosis is an abnormally low position of the upper eyelid. Congenital ptosis should be corrected in early years of childhood. The aim of this study was to assess the efficacy and complications of frontalis suspension using silicon tube for simple congenital blepharoptosis with poor levator function. METHODS A prospective study was performed on 33 children who underwent frontalis sus...

Introduction: An abnormally drooping upper eyelid in comparison with the normal position primary gaze refers to ptosis. Levator resection should be procedure of choice patients moderate severe ptosis and a good levator function. Methods: In this retrospective study, we analysed surgical outcomes after large maximal function Bell’s phenomenon. All had function; therefore, was choice. We performe...