Abstract
Seventeen patients with ptosis as a feature of chronic progressive external ophthalmoplegia were managed in accordance with a new protocol. An anterior approach levator advancement was performed on seven patients (13 lids) with more than 4 mm of levator function and a brow suspension procedure on eight patients (14 lids) with minimal levator function, in whom the frontalis muscle was relatively spared. Ptosis props were prescribed for two patients with a very weak orbicularis and poor lid closure. Six patients required long term lubricants, and one developed a postoperative corneal abscess associated with a poor Bell's phenomenon. Satisfactory elevation of the lids was achieved in 16 patients (25 lids).
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson R. L., Dixon R. S. Neuromyopathic ptosis: a new surgical approach. Arch Ophthalmol. 1979 Jun;97(6):1129–1131. doi: 10.1001/archopht.1979.01020010583016. [DOI] [PubMed] [Google Scholar]
- Beard C. The surgical treatment of blepharoptosis: a quantitative approach. Trans Am Ophthalmol Soc. 1966;64:401–487. [PMC free article] [PubMed] [Google Scholar]
- Burian H. M., Burns C. A. Ocular changes in myotonic dystrophy. Am J Ophthalmol. 1967 Jan;63(1):22–34. doi: 10.1016/0002-9394(67)90577-6. [DOI] [PubMed] [Google Scholar]
- COGAN D. G. MYASTHENIA GRAVIS: A REVIEW OF THE DISEASE AND A DESCRIPTION OF LID TWITCH AS A CHARACTERISTIC SIGN. Arch Ophthalmol. 1965 Aug;74:217–221. doi: 10.1001/archopht.1965.00970040219016. [DOI] [PubMed] [Google Scholar]
- CRAWFORD J. S. Repair of ptosis using frontalis muscle and fascia lata. Trans Am Acad Ophthalmol Otolaryngol. 1956 Sep-Oct;60(5):672–678. [PubMed] [Google Scholar]
- Carroll J. E., Zwillich C., Weil J. V., Brooke M. H. Depressed ventilatory response in oculocraniosomatic neuromuscular disease. Neurology. 1976 Feb;26(2):140–146. doi: 10.1212/wnl.26.2.140. [DOI] [PubMed] [Google Scholar]
- Crawford J. S. Repair of ptosis using frontalis muscle and fascia lata: a 20-year review. Ophthalmic Surg. 1977 Aug;8(4):31–40. [PubMed] [Google Scholar]
- Drachman D. A. Ophthalmoplegia plus. The neurodegenerative disorders associated with progressive external ophthalmoplegia. Arch Neurol. 1968 Jun;18(6):654–674. doi: 10.1001/archneur.1968.00470360076008. [DOI] [PubMed] [Google Scholar]
- KEARNS T. P., SAYRE G. P. Retinitis pigmentosa, external ophthalmophegia, and complete heart block: unusual syndrome with histologic study in one of two cases. AMA Arch Ophthalmol. 1958 Aug;60(2):280–289. [PubMed] [Google Scholar]
- Kemp E. G., James C. R., Collin J. R. Brow suspension in the management of ptosis: an analysis of over 100 cases. Trans Ophthalmol Soc U K. 1986;105(Pt 1):84–87. [PubMed] [Google Scholar]
- Morgan-Hughes J. A., Mair W. G. Atypical muscle mitochondria in oculoskeletal myopathy. Brain. 1973 Jun;96(2):215–224. doi: 10.1093/brain/96.2.215. [DOI] [PubMed] [Google Scholar]
- STEPHENS J., HOOVER M. L., DENST J. On familial ataxia, neural amyotrophy, and their association with progressive external ophthalmoplegia. Brain. 1958 Dec;81(4):556–566. doi: 10.1093/brain/81.4.556. [DOI] [PubMed] [Google Scholar]
- VICTOR M., HAYES R., ADAMS R. D. Oculopharyngeal muscular dystrophy. A familial disease of late life characterized by dysphagia and progressive ptosis of the evelids. N Engl J Med. 1962 Dec 20;267:1267–1272. doi: 10.1056/NEJM196212202672501. [DOI] [PubMed] [Google Scholar]
- Yee R. D., Cogan D. G., Zee D. S. Ophthalmoplegia and dissociated nystagmus in adetalipoproteinemia. Arch Ophthalmol. 1976 Apr;94(4):571–575. doi: 10.1001/archopht.1976.03910030265002. [DOI] [PubMed] [Google Scholar]