Lower eyelid reverse ptosis repair

Ophthalmic Plastic and Reconstructive Surgery
George B BartleyM J Hawes

Abstract

To report the results of the surgical repair of lower eyelid reverse ptosis. Retrospective case series. Eight patients ranging in age from 31 to 77 years underwent surgical repair of lower eyelid reverse ptosis. The pupillary axis of the affected eye(s) in each patient was obscured in downgaze, interfering with reading. The lower eyelid reverse ptosis resulted from involutional changes in 3 patients, previous orbital decompression in 3 patients, multiple prior retinal and extraocular muscle operations in 1 patient, and previous orbital floor fracture and repair in 1 patient. Transcutaneous advancement of the lower eyelid retractors was performed in 12 eyelids of the 8 patients. The mean preoperative vertical eyelid fissure was 6.2 mm (median, 6 mm; range, 3-9 mm), increasing after surgery to a mean of 7.7 mm (median, 8 mm; range, 5-11 mm). The mean preoperative distance between the central light reflex and the lower eyelid margin was 1.7 mm (median, 1.25 mm; range, 1-4 mm); this distance increased to a mean of 3.3 mm (median, 3.25 mm; range, 2.5-4.5 mm) after surgery. Symptoms improved in all patients, and there were no perioperative complications. Follow-up intervals ranged from 2 months to 24 months (mean, 9 months; median, 1...Continue Reading

References

Jun 1, 1979·Archives of Ophthalmology·R L Anderson, R S Dixon
Oct 1, 1983·Acta Ophthalmologica·P J Nielsen
Aug 1, 1982·Archives of Ophthalmology·M J Hawes, R K Dortzbach

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Citations

Oct 11, 2005·Otolaryngologic Clinics of North America·Ira Eliasoph
Aug 2, 2007·Ophthalmic Plastic and Reconstructive Surgery·Hirohiko KakizakiMasayoshi Iwaki
Feb 9, 2018·The Journal of Craniofacial Surgery·Jinhwan ParkSehyun Baek
Jan 25, 2007·Annals of Plastic Surgery·Kiyoshi MatsuoTatsuya Kawamura
Jul 16, 2009·Annals of Plastic Surgery·Hirohiko KakizakiDinesh Selva
Jan 20, 2016·Ophthalmic Plastic and Reconstructive Surgery·Sara Filipa Teixeira RibeiroAntonio Augusto Velasco Cruz
Dec 13, 2006·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·L V O LeiteJ M C Malbouisson
Jan 25, 2008·The Journal of Craniofacial Surgery·Antonio Augusto V CruzDominique Renier

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