PURPOSE The authors observed the unusual complication of inverse Bell's phenomenon of two cases following repeated and extensive levator resection surgery for a blepharoptosis and suggest the possible mechanism of the phenomenon. METHODS Case report. RESULTS The first case was a 22-year-old woman who was diagnosed with a congenital ptosis with good levator function and she underwent levator...

BACKGROUND Recovery of Bell`s phenomenon after levator resection is unpredicatable. Delayed recovery can result in vision threatening corneal complications. AIM To study the variability of Bell's phenomenon and time taken for its recovery following levator resection for blepharoptosis and to correlate it with the amount of resection. METHODS A prospective observational study was conducted o...

The levator ani muscle is considered the most important supportive system of the pelvic floor and has been divided into many portions, according to their attachments or physiological functions. Standring et al.1 subdivide the levator ani muscle into the ischiococcygeus, iliococcygeus and pubococcygeus portions. The pubococcygeus muscle is often subdivided into separate parts according to the pe...

Loss of chelipeds in crustaceans results in severe atrophy of the major muscle responsible for lifting the limb, the anterior levator. We decided to test if this loss of mechanical load altered muscle phenotype as measured by SDS-PAGE analysis of levator total protein and actomyosin fractions. Levator muscles of adult crayfish, Procambarus clarkii, with either functional regenerate limbs or lac...

RATIONALE Levator resection has become a routine procedure for patients with severe Marcus Gunn jaw-winking synkinesis (MGJWS). To optimize the surgical outcome, adult patients need to be kept awake, or easily aroused and responsive to verbal commands during the operation. However, levator resection is commonly performed under general anesthesia in pediatric patients. In the present case, we de...

A modified simple technique of sling operation is presented in 15 cases using the levator aponeurosis as the material for the sling as originally devised by Lemagne and Bemcher. The levator is cut behind the superior transverse ligament and the posterior part of the levator is cauterised and allowed to retract into the orbit. The horns are cut from behind forwards, and the levator, which is kep...

Patients with poor levator function require ptosis correction by a sling procedure. A variety of synthetic materials are available for this suspension, but there is a recognized complication rate. Autografts are less prone to infection and extrusion than alloplastic materials. Harvesting temporalis fascia has a number of advantages over the use of fascia lata and outcomes have been effective. A...

Rationale:Ptosis is a rare complication of periocular steroid use. Studies report that local injections of steroids produce ptosis. We describe the first 2 cases of ptosis because of long-term treatment with topical steroid eye drops. Patient concerns: Two cases admitted to our hospital because of ptosis of their right eye after long-term treatment with topical steroid eye drops. Both of them h...