Myogenic Blepharoptosis

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The Experts below are selected from a list of 12 Experts worldwide ranked by ideXlab platform

Martin H Devoto - One of the best experts on this subject based on the ideXlab platform.

  • frontalis suspension sling using a silicone rod in patients affected by Myogenic Blepharoptosis
    Orbit, 2002
    Co-Authors: Francesco P Bernardini, Carlo De Conciliis, Martin H Devoto
    Abstract:

    The charts of 10 patients affected by Myogenic ptosis who underwent surgical correction by means of a frontalis suspension sling using a silicone rod were reviewed. The patients included in the study were affected by ptosis secondary to myasthenia gravis (MG), chronic progressive external ophthalmoplegia (CPEO) or mitochondrial myopathy (MM). In every patient the ptosis was severe (MRD 1 <2mm), with the eyelid partially or totally occluding the visual axis; levator function was poor (<5mm), Bell's phenomenon was poor or absent and the orbicularis function was reduced. Final eyelid height, patient satisfaction and the presence of complications were our main outcome measures. Analysis of the results showed that the ptosis was corrected in every patient with a clear visual axis. One patient with absent Bell's and poor levator function had exposure keratopathy resistant to medical treatment and required surgical revision. We believe that the frontalis suspension sling is safe, effective and is the proce...

Sara A Kaltreider - One of the best experts on this subject based on the ideXlab platform.

  • one medial triangular tutoplast sling as a frontalis suspension for adult Myogenic Blepharoptosis
    Acta Ophthalmologica Scandinavica, 2005
    Co-Authors: Nir Seider, Itzchak Beiran, Sara A Kaltreider
    Abstract:

    . Purpose: The treatment of choice for medium to severe Blepharoptosis with minimal or no levator function is frontalis suspension with a sling, using a rectangular or rhomboid sling placement technique. We describe the short-term, follow-up results of frontalis suspension surgery for adult Myogenic Blepharoptosis using Tutoplast, a commercially available fascia lata allograft. Methods: We conducted a consecutive, interventional case study. All adult (>25 years of age) patients operated for non-traumatic Myogenic ptosis during a 1-year period were included. All underwent frontalis suspension using one medial triangular Tutoplast sling. Success was judged according to lid position and complications. Results: Successful surgical results were judged by lid level, lid symmetry and lid contour. During a mean follow-up of 9 months, the success rate was 91% in all three criteria and 100% in at least two out of three. No major complications were observed. The most prevalent minor complication was the need for lubrication treatment in 26% of the operated patients. Conclusion: The use of Tutoplast for frontalis suspension in cases of adult Myogenic ptosis is safe and has a high success rate in the early postoperative period. Further large-scale studies are necessary to ascertain the longterm results and the applicability of this material to other indications.

Francesco P Bernardini - One of the best experts on this subject based on the ideXlab platform.

  • frontalis suspension sling using a silicone rod in patients affected by Myogenic Blepharoptosis
    Orbit, 2002
    Co-Authors: Francesco P Bernardini, Carlo De Conciliis, Martin H Devoto
    Abstract:

    The charts of 10 patients affected by Myogenic ptosis who underwent surgical correction by means of a frontalis suspension sling using a silicone rod were reviewed. The patients included in the study were affected by ptosis secondary to myasthenia gravis (MG), chronic progressive external ophthalmoplegia (CPEO) or mitochondrial myopathy (MM). In every patient the ptosis was severe (MRD 1 <2mm), with the eyelid partially or totally occluding the visual axis; levator function was poor (<5mm), Bell's phenomenon was poor or absent and the orbicularis function was reduced. Final eyelid height, patient satisfaction and the presence of complications were our main outcome measures. Analysis of the results showed that the ptosis was corrected in every patient with a clear visual axis. One patient with absent Bell's and poor levator function had exposure keratopathy resistant to medical treatment and required surgical revision. We believe that the frontalis suspension sling is safe, effective and is the proce...

Nir Seider - One of the best experts on this subject based on the ideXlab platform.

  • one medial triangular tutoplast sling as a frontalis suspension for adult Myogenic Blepharoptosis
    Acta Ophthalmologica Scandinavica, 2005
    Co-Authors: Nir Seider, Itzchak Beiran, Sara A Kaltreider
    Abstract:

    . Purpose: The treatment of choice for medium to severe Blepharoptosis with minimal or no levator function is frontalis suspension with a sling, using a rectangular or rhomboid sling placement technique. We describe the short-term, follow-up results of frontalis suspension surgery for adult Myogenic Blepharoptosis using Tutoplast, a commercially available fascia lata allograft. Methods: We conducted a consecutive, interventional case study. All adult (>25 years of age) patients operated for non-traumatic Myogenic ptosis during a 1-year period were included. All underwent frontalis suspension using one medial triangular Tutoplast sling. Success was judged according to lid position and complications. Results: Successful surgical results were judged by lid level, lid symmetry and lid contour. During a mean follow-up of 9 months, the success rate was 91% in all three criteria and 100% in at least two out of three. No major complications were observed. The most prevalent minor complication was the need for lubrication treatment in 26% of the operated patients. Conclusion: The use of Tutoplast for frontalis suspension in cases of adult Myogenic ptosis is safe and has a high success rate in the early postoperative period. Further large-scale studies are necessary to ascertain the longterm results and the applicability of this material to other indications.

Carlo De Conciliis - One of the best experts on this subject based on the ideXlab platform.

  • frontalis suspension sling using a silicone rod in patients affected by Myogenic Blepharoptosis
    Orbit, 2002
    Co-Authors: Francesco P Bernardini, Carlo De Conciliis, Martin H Devoto
    Abstract:

    The charts of 10 patients affected by Myogenic ptosis who underwent surgical correction by means of a frontalis suspension sling using a silicone rod were reviewed. The patients included in the study were affected by ptosis secondary to myasthenia gravis (MG), chronic progressive external ophthalmoplegia (CPEO) or mitochondrial myopathy (MM). In every patient the ptosis was severe (MRD 1 <2mm), with the eyelid partially or totally occluding the visual axis; levator function was poor (<5mm), Bell's phenomenon was poor or absent and the orbicularis function was reduced. Final eyelid height, patient satisfaction and the presence of complications were our main outcome measures. Analysis of the results showed that the ptosis was corrected in every patient with a clear visual axis. One patient with absent Bell's and poor levator function had exposure keratopathy resistant to medical treatment and required surgical revision. We believe that the frontalis suspension sling is safe, effective and is the proce...