purpose : to identify any factors that may predict successful levator resection in blepharoptosis correction methods : the hospital records of 52 consecutive patients undergoing anterior levator resection for unilateral congenital blepharoptosis were reviewed. successful result was defined a lid level within 1 mm of the fellow eye 1 year after surgery. we studied the effect of levator function,...

purpose: to evaluate the outcomes of ptosis surgery in patients with weak levator function using orbicularis oculi and frontalis muscles. methods: this prospective interventional case series study was conducted over 3 years on patients with ptosis and weak levator function (less than 4mm). in all cases, orbicularis oculi and frontalis muscles were used directly to correct the ptosis. success wa...

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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, ...

purpose : to compare the cosmetic and functional results of frontalis sling procedure using silicone rod with polytetrafluoroethylene (ptose-up) in congenital ptosis with poor levator function (lf) methods : in a prospective randomized study, 90 eyes of 66 patients with congenital ptosis that underwent frontalis suspension surgery [31 patients (18 unilateral, 13 bilateral cases) using a silicon...

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 evaluate the results of levator resection in patients with myopathic ptosis. METHODS The medical records of consecutive patients who underwent levator resection surgery performed for myopathic ptosis between October 2009 and March 2013 were reviewed. Indications for surgery were ptosis obscuring the visual axis and margin-reflex distance ≤ 2 mm. Surgical success was defined as clea...