The Experts below are selected from a list of 13317 Experts worldwide ranked by ideXlab platform
J Burns - One of the best experts on this subject based on the ideXlab platform.
-
modified visual field test for Ptosis surgery leicester peripheral field test
Eye, 2011Co-Authors: S F Ho, A Morawski, Raghavan Sampath, J BurnsAbstract:INTRODUCTION: There is lack of consensus among Primary Health Care Trusts (PCTs) and health insurers on how to reimburse Ptosis surgery and upper lid blepharoplasty, as these procedures can be regarded as cosmetic. Standardised photographs are expensive and difficult to achieve, whilst the routine 24-2 visual field lacks the range to detect visually significant superior field defects.AimTo introduce a modified visual field designed to assess the functional disability associated with Ptosis and dermatochalasis and to demonstrate the effectiveness of surgery in improving the visual field. METHODS: Patients who had surgery for Ptosis or dermatochalasis between January 2006 and December 2009 were prospectively invited to perform a modified visual field test pre- and post-operatively. RESULTS: In total, 97 patients amounting to 194 eyes were included in the study. Ninety five eyes had aponeurotic repair with or without blepharoplasty and 77 eyes had blepharoplasty alone. This modified test has a sensitivity of 98.8% of detecting Ptosis. For patients who underwent Ptosis surgery with or without blepharoplasty, 84.2% recorded an improvement in points seen with the test and 81% recorded an improvement in visual field height. For those who had blepharoplasty alone, 90.9% recorded an improvement in points seen in the modified visual field test and 80.6% had improvement in visual field height. CONCLUSION: Our modified visual field assessment is a quick and easy way to assess patient disability associated with Ptosis and dermatochalasis. Surgery improves the demonstrated defect, confirming that Ptosis and dermatochalasis can be considered a functional rather than cosmetic issue.
-
Modified visual field test for Ptosis surgery (Leicester Peripheral Field Test)
Eye, 2011Co-Authors: A Morawski, Raghavan Sampath, J BurnsAbstract:There is lack of consensus among Primary Health Care Trusts (PCTs) and health insurers on how to reimburse Ptosis surgery and upper lid blepharoplasty, as these procedures can be regarded as cosmetic. Standardised photographs are expensive and difficult to achieve, whilst the routine 24-2 visual field lacks the range to detect visually significant superior field defects. To introduce a modified visual field designed to assess the functional disability associated with Ptosis and dermatochalasis and to demonstrate the effectiveness of surgery in improving the visual field. Patients who had surgery for Ptosis or dermatochalasis between January 2006 and December 2009 were prospectively invited to perform a modified visual field test pre- and post-operatively. In total, 97 patients amounting to 194 eyes were included in the study. Ninety five eyes had aponeurotic repair with or without blepharoplasty and 77 eyes had blepharoplasty alone. This modified test has a sensitivity of 98.8% of detecting Ptosis. For patients who underwent Ptosis surgery with or without blepharoplasty, 84.2% recorded an improvement in points seen with the test and 81% recorded an improvement in visual field height. For those who had blepharoplasty alone, 90.9% recorded an improvement in points seen in the modified visual field test and 80.6% had improvement in visual field height. Our modified visual field assessment is a quick and easy way to assess patient disability associated with Ptosis and dermatochalasis. Surgery improves the demonstrated defect, confirming that Ptosis and dermatochalasis can be considered a functional rather than cosmetic issue.
Brian G Mohney - One of the best experts on this subject based on the ideXlab platform.
-
strabismus in childhood eyelid Ptosis
American Journal of Ophthalmology, 2014Co-Authors: Gregory J Griepentrog, Brian G MohneyAbstract:Purpose To report the prevalence and causes of strabismus in children with eyelid Ptosis diagnosed in a well-defined population over a 40-year period. Design Retrospective, population-based cohort study. Methods We retrospectively reviewed the charts of 107 patients ( Results Strabismus was diagnosed in 20 (18.7%) of the 107 patients with childhood Ptosis. Of the 81 patients, 8 (9.9%) were diagnosed with simple congenital Ptosis and had strabismus, of which there were 4 (4.9%) cases of exotropia and 4 (4.9%) cases of esotropia. There were no cases of isolated vertical deviation. Conclusions Strabismus occurred in 1 of 5 children diagnosed with any form of childhood Ptosis in this population-based cohort. Strabismus affected approximately 1 of 10 patients diagnosed with simple congenital Ptosis, and a predominance of isolated horizontal deviations was equally divided between esotropia and exotropia.
-
amblyopia in childhood eyelid Ptosis
American Journal of Ophthalmology, 2013Co-Authors: Gregory J Griepentrog, Nancy N Diehl, Brian G MohneyAbstract:Purpose To report the prevalence and causes of amblyopia among children with Ptosis diagnosed in a well-defined population over a 40-year period. Design Retrospective, population-based cohort study. Methods We retrospectively reviewed the charts of 107 patients younger than 19 years for the prevalence and causes of amblyopia who were diagnosed with childhood Ptosis and were residents of Olmsted County, Minnesota, from January 1, 1965, through December 31, 2004. Results Amblyopia was diagnosed in 16 (14.9%) of the 107 patients with childhood Ptosis. Fourteen (14.6%) of 96 patients diagnosed with a congenital form of Ptosis demonstrated amblyopia. Twelve (14.8%) of the 81 patients diagnosed with simple congenital Ptosis had amblyopia, 7 (8.6%) cases of which solely were the result of eyelid occlusion of the visual axis. The causes of amblyopia in the remaining 5 patients were significant refractive error in 3 patients and strabismus in 2 patients. Conclusions Amblyopia occurred in 1 in 7 children diagnosed with Ptosis in this population-based cohort. In approximately half of those with amblyopia, or less than 10% of all patients, the disease solely was the result of eyelid occlusion of the visual axis.
-
incidence and demographics of childhood Ptosis
Ophthalmology, 2011Co-Authors: Gregory J Griepentrog, Nancy N Diehl, Brian G MohneyAbstract:Purpose To report the incidence and demographics of childhood Ptosis diagnosed over a 40-year period in a well-defined population. Design Retrospective, population-based cohort study. Participants Patients ( Methods The medical records of all potential patients identified by the Rochester Epidemiology Project were reviewed. Main Outcome Measures Calculated annual age- and gender-specific incidence rates and demographic information. Results A total of 107 children were diagnosed with Ptosis during the 40-year period, yielding an incidence of 7.9 per 100000 younger than 19 years (95% confidence interval [CI], 6.4–9.5). Ninety-six (89.7%) of the 107 had congenital-onset disease. Eighty-one (75%) of the 107 had simple congenital Ptosis, yielding a birth prevalence of 1 in 842 births. A family history of childhood Ptosis was present in 12% of queried patients with simple congenital Ptosis. Three (4%) of the simple congenital Ptosis cases were bilateral and 55 (68%) of the unilateral cases involved the left upper eyelid (95% CI, 57%–78%; P Conclusions Childhood Ptosis was diagnosed in 7.9 per 100000 patients younger than 19 years (95% CI, 6.4–9.5). Simple congenital Ptosis was the most prevalent form, occurring in 1 in 842 births, and was significantly more likely to involve the left side. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
S F Ho - One of the best experts on this subject based on the ideXlab platform.
-
modified visual field test for Ptosis surgery leicester peripheral field test
Eye, 2011Co-Authors: S F Ho, A Morawski, Raghavan Sampath, J BurnsAbstract:INTRODUCTION: There is lack of consensus among Primary Health Care Trusts (PCTs) and health insurers on how to reimburse Ptosis surgery and upper lid blepharoplasty, as these procedures can be regarded as cosmetic. Standardised photographs are expensive and difficult to achieve, whilst the routine 24-2 visual field lacks the range to detect visually significant superior field defects.AimTo introduce a modified visual field designed to assess the functional disability associated with Ptosis and dermatochalasis and to demonstrate the effectiveness of surgery in improving the visual field. METHODS: Patients who had surgery for Ptosis or dermatochalasis between January 2006 and December 2009 were prospectively invited to perform a modified visual field test pre- and post-operatively. RESULTS: In total, 97 patients amounting to 194 eyes were included in the study. Ninety five eyes had aponeurotic repair with or without blepharoplasty and 77 eyes had blepharoplasty alone. This modified test has a sensitivity of 98.8% of detecting Ptosis. For patients who underwent Ptosis surgery with or without blepharoplasty, 84.2% recorded an improvement in points seen with the test and 81% recorded an improvement in visual field height. For those who had blepharoplasty alone, 90.9% recorded an improvement in points seen in the modified visual field test and 80.6% had improvement in visual field height. CONCLUSION: Our modified visual field assessment is a quick and easy way to assess patient disability associated with Ptosis and dermatochalasis. Surgery improves the demonstrated defect, confirming that Ptosis and dermatochalasis can be considered a functional rather than cosmetic issue.
Gregory J Griepentrog - One of the best experts on this subject based on the ideXlab platform.
-
strabismus in childhood eyelid Ptosis
American Journal of Ophthalmology, 2014Co-Authors: Gregory J Griepentrog, Brian G MohneyAbstract:Purpose To report the prevalence and causes of strabismus in children with eyelid Ptosis diagnosed in a well-defined population over a 40-year period. Design Retrospective, population-based cohort study. Methods We retrospectively reviewed the charts of 107 patients ( Results Strabismus was diagnosed in 20 (18.7%) of the 107 patients with childhood Ptosis. Of the 81 patients, 8 (9.9%) were diagnosed with simple congenital Ptosis and had strabismus, of which there were 4 (4.9%) cases of exotropia and 4 (4.9%) cases of esotropia. There were no cases of isolated vertical deviation. Conclusions Strabismus occurred in 1 of 5 children diagnosed with any form of childhood Ptosis in this population-based cohort. Strabismus affected approximately 1 of 10 patients diagnosed with simple congenital Ptosis, and a predominance of isolated horizontal deviations was equally divided between esotropia and exotropia.
-
amblyopia in childhood eyelid Ptosis
American Journal of Ophthalmology, 2013Co-Authors: Gregory J Griepentrog, Nancy N Diehl, Brian G MohneyAbstract:Purpose To report the prevalence and causes of amblyopia among children with Ptosis diagnosed in a well-defined population over a 40-year period. Design Retrospective, population-based cohort study. Methods We retrospectively reviewed the charts of 107 patients younger than 19 years for the prevalence and causes of amblyopia who were diagnosed with childhood Ptosis and were residents of Olmsted County, Minnesota, from January 1, 1965, through December 31, 2004. Results Amblyopia was diagnosed in 16 (14.9%) of the 107 patients with childhood Ptosis. Fourteen (14.6%) of 96 patients diagnosed with a congenital form of Ptosis demonstrated amblyopia. Twelve (14.8%) of the 81 patients diagnosed with simple congenital Ptosis had amblyopia, 7 (8.6%) cases of which solely were the result of eyelid occlusion of the visual axis. The causes of amblyopia in the remaining 5 patients were significant refractive error in 3 patients and strabismus in 2 patients. Conclusions Amblyopia occurred in 1 in 7 children diagnosed with Ptosis in this population-based cohort. In approximately half of those with amblyopia, or less than 10% of all patients, the disease solely was the result of eyelid occlusion of the visual axis.
-
incidence and demographics of childhood Ptosis
Ophthalmology, 2011Co-Authors: Gregory J Griepentrog, Nancy N Diehl, Brian G MohneyAbstract:Purpose To report the incidence and demographics of childhood Ptosis diagnosed over a 40-year period in a well-defined population. Design Retrospective, population-based cohort study. Participants Patients ( Methods The medical records of all potential patients identified by the Rochester Epidemiology Project were reviewed. Main Outcome Measures Calculated annual age- and gender-specific incidence rates and demographic information. Results A total of 107 children were diagnosed with Ptosis during the 40-year period, yielding an incidence of 7.9 per 100000 younger than 19 years (95% confidence interval [CI], 6.4–9.5). Ninety-six (89.7%) of the 107 had congenital-onset disease. Eighty-one (75%) of the 107 had simple congenital Ptosis, yielding a birth prevalence of 1 in 842 births. A family history of childhood Ptosis was present in 12% of queried patients with simple congenital Ptosis. Three (4%) of the simple congenital Ptosis cases were bilateral and 55 (68%) of the unilateral cases involved the left upper eyelid (95% CI, 57%–78%; P Conclusions Childhood Ptosis was diagnosed in 7.9 per 100000 patients younger than 19 years (95% CI, 6.4–9.5). Simple congenital Ptosis was the most prevalent form, occurring in 1 in 842 births, and was significantly more likely to involve the left side. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
A Morawski - One of the best experts on this subject based on the ideXlab platform.
-
modified visual field test for Ptosis surgery leicester peripheral field test
Eye, 2011Co-Authors: S F Ho, A Morawski, Raghavan Sampath, J BurnsAbstract:INTRODUCTION: There is lack of consensus among Primary Health Care Trusts (PCTs) and health insurers on how to reimburse Ptosis surgery and upper lid blepharoplasty, as these procedures can be regarded as cosmetic. Standardised photographs are expensive and difficult to achieve, whilst the routine 24-2 visual field lacks the range to detect visually significant superior field defects.AimTo introduce a modified visual field designed to assess the functional disability associated with Ptosis and dermatochalasis and to demonstrate the effectiveness of surgery in improving the visual field. METHODS: Patients who had surgery for Ptosis or dermatochalasis between January 2006 and December 2009 were prospectively invited to perform a modified visual field test pre- and post-operatively. RESULTS: In total, 97 patients amounting to 194 eyes were included in the study. Ninety five eyes had aponeurotic repair with or without blepharoplasty and 77 eyes had blepharoplasty alone. This modified test has a sensitivity of 98.8% of detecting Ptosis. For patients who underwent Ptosis surgery with or without blepharoplasty, 84.2% recorded an improvement in points seen with the test and 81% recorded an improvement in visual field height. For those who had blepharoplasty alone, 90.9% recorded an improvement in points seen in the modified visual field test and 80.6% had improvement in visual field height. CONCLUSION: Our modified visual field assessment is a quick and easy way to assess patient disability associated with Ptosis and dermatochalasis. Surgery improves the demonstrated defect, confirming that Ptosis and dermatochalasis can be considered a functional rather than cosmetic issue.
-
Modified visual field test for Ptosis surgery (Leicester Peripheral Field Test)
Eye, 2011Co-Authors: A Morawski, Raghavan Sampath, J BurnsAbstract:There is lack of consensus among Primary Health Care Trusts (PCTs) and health insurers on how to reimburse Ptosis surgery and upper lid blepharoplasty, as these procedures can be regarded as cosmetic. Standardised photographs are expensive and difficult to achieve, whilst the routine 24-2 visual field lacks the range to detect visually significant superior field defects. To introduce a modified visual field designed to assess the functional disability associated with Ptosis and dermatochalasis and to demonstrate the effectiveness of surgery in improving the visual field. Patients who had surgery for Ptosis or dermatochalasis between January 2006 and December 2009 were prospectively invited to perform a modified visual field test pre- and post-operatively. In total, 97 patients amounting to 194 eyes were included in the study. Ninety five eyes had aponeurotic repair with or without blepharoplasty and 77 eyes had blepharoplasty alone. This modified test has a sensitivity of 98.8% of detecting Ptosis. For patients who underwent Ptosis surgery with or without blepharoplasty, 84.2% recorded an improvement in points seen with the test and 81% recorded an improvement in visual field height. For those who had blepharoplasty alone, 90.9% recorded an improvement in points seen in the modified visual field test and 80.6% had improvement in visual field height. Our modified visual field assessment is a quick and easy way to assess patient disability associated with Ptosis and dermatochalasis. Surgery improves the demonstrated defect, confirming that Ptosis and dermatochalasis can be considered a functional rather than cosmetic issue.
