Modified tarsal resection operation for congenital ptosis with fair levator function

Ophthalmic Plastic and Reconstructive Surgery
Sarit M PatelErdogan Gunel

Abstract

There are many options for surgical repair of congenital ptosis with fair levator function. The authors review their 10-year experience with an en bloc resection of tarsus, Müller muscle, and conjunctiva in conjunction with graded levator aponeurosis advancement (a variation of the tarsectomy operation). This is a retrospective case series that reviews all cases of ptosis repair performed at West Virginia University from 1994 to 2004 using the "modified tarsal resection method." Thirty patients with congenital ptosis and fair levator function were identified. Follow-up ranged from 6 weeks to 8 years. Charts were reviewed for type of ptosis, pre- and postoperative upper eyelid margin to reflex distance, degree of levator function, amount of operative tarsus and Müller muscle resection, postoperative eyelid symmetry, and postoperative complications. In patients with congenital ptosis and fair levator function, the average preoperative upper eyelid margin to reflex distance was 0.0 mm and the average postoperative upper eyelid margin to reflex distance was 2.8 mm. Twenty-five of 30 (83%) patients were deemed to have a "good" surgical outcome. The amount of tarsus-Müller muscle resection reliably predicts the amount of eyelid eleva...Continue Reading

References

Oct 1, 1979·Ophthalmology·R K Dortzbach
Jul 1, 1977·American Journal of Ophthalmology·H I Baylis, N Shorr
Apr 1, 1975·Archives of Ophthalmology·W Scherz, C H Dohlman
Oct 1, 1975·Plastic and Reconstructive Surgery·J C Mustardé
Nov 1, 1990·Archives of Ophthalmology·R L AndersonJ J Dutton
Jul 1, 1990·Annals of Plastic Surgery·M A LesavoyG Sanders
Apr 1, 1986·Ophthalmology·J A MaurielloM Lister
May 1, 1970·American Journal of Ophthalmology·C Beard
Jan 1, 1995·Documenta Ophthalmologica. Advances in Ophthalmology·D M Reifler
Dec 1, 1995·Ophthalmology·F CodèreB Renaldi
Jul 27, 2002·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Hans HolmströmAnders Oldfors
Oct 19, 2002·The British Journal of Ophthalmology·V LeeJ R O Collin
Apr 1, 1961·Archives of Ophthalmology·R M FASANELLA, J SERVAT
Sep 30, 2003·Current Opinion in Otolaryngology & Head and Neck Surgery·Marc Shields, Allen Putterman

❮ Previous
Next ❯

Citations

Apr 18, 2009·Anatomical Science International·Vanderson Esperidião-AntonioRicardo de Ary-Pires
Apr 1, 2016·BMC Ophthalmology·Selam Yekta SendulDilek Guven
Jun 20, 2019·Clinical & Experimental Ophthalmology·Katja Ullrich, Raman Malhotra
Jun 5, 2019·Ophthalmic Plastic and Reconstructive Surgery·Inbal GazitMorris E Hartstein
Sep 6, 2008·Current Opinion in Ophthalmology·Altug Cetinkaya, Paul A Brannan
Mar 12, 2016·The Journal of Craniofacial Surgery·Kun Hwang, Yeong Seung Ko
Oct 16, 2010·Annals of Plastic Surgery·Erol BenlierCihan Sahin
Sep 20, 2017·Journal of Pediatric Ophthalmology and Strabismus·Özlem UralUgur Erdener
Sep 6, 2008·Current Opinion in Ophthalmology

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.