Upper Eyelid Ptosis Correction by a Revised Tarsal Resection Technique

1990 ◽  
Vol 25 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Malcolm A. Lesavoy ◽  
Terry J. Dubrow ◽  
Donna M. Eisenhauer ◽  
George Sanders
Keyword(s):  
Upper Eyelid ◽  
Upper Eyelid Ptosis ◽  
Tarsal Resection

scholarly journals Synchronous Surgical Treatment of Lower Eyelid Involutional Entropion and Ptosis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
D. Vasakos ◽  
E. Nakos ◽  
C. Sioulis
Keyword(s):  
Treatment Options ◽  
The Elderly ◽  
Lower Eyelid ◽  
Postoperative Recovery ◽  
Multiple Time ◽  
Upper Eyelid ◽  
Alternative Treatment Strategy ◽  
Involutional Entropion ◽  
Lateral Tarsal Strip ◽  
Upper Eyelid Ptosis

Background. Involutional entropion and upper eyelid ptosis are common eyelid diseases in the elderly population. They represent a frequent cause of discomfort and often result in significant visual and functional impairment. The surgical management of these disorders includes various treatment options and techniques and is usually carried out in multiple time sessions. Case Report. We report the case of a 72 year old female patient, suffering from right eye involutional lower eyelid entropion and ptosis, who was treated synchronously for both conditions, by applying the lateral tarsal strip procedure and the levator resection technique. Conclusion. The synchronous treatment of involutional entropion and ptosis is an alternative treatment strategy, which could potentially improve surgical outcome, while reducing postoperative recovery time and treatment costs.

scholarly journals Regression of Sebaceous Carcinoma of the Eyelid after a Small Incisional Biopsy: Report of Two Cases

2018 ◽  
Vol 5 (4) ◽  
pp. 252-257 ◽  
Author(s):  
Seymour Brownstein ◽  
Sonul Mehta ◽  
Navdeep Nijhawan ◽  
Guy Allaire ◽  
Tuan Quynh Tram Nguyen ◽  
...  
Keyword(s):  
Sebaceous Carcinoma ◽  
Incisional Biopsy ◽  
Resonance Imaging ◽  
Upper Eyelid ◽  
Clinical Imaging ◽  
Biopsy Report ◽  
History Of ◽  
Biopsy Methods ◽  
Upper Eyelid Ptosis

Purpose: To report 2 cases of regression of sebaceous carcinoma of the eyelid after a small incisional biopsy. Methods: Clinical, imaging, and histopathological findings are presented, with a literature review on regressing ocular tumors. Results: Our first patient was a 79-year-old man who presented with a 10-month history of progressive left upper eyelid ptosis caused by an eyelid tumor with orbital involvement and confirmed on magnetic resonance imaging. Our second patient was a 70-year-old woman who presented with ptosis with a left upper eyelid mass. Both patients underwent a small incisional biopsy of their lesion. The histopathological diagnoses in both cases were consistent with sebaceous carcinoma. Both patients refused exenteration. Follow-up clinical examination and imaging disclosed total regression of the ptosis and of the neoplasm with no sign of recurrence in both patients over a 4-year period for Case 1 and a 7-year period for Case 2. Conclusion: Regression following incisional biopsy of basal cell, squamous cell, and Merkel cell carcinoma, including of the eyelid, is well documented. To the best of our knowledge, our 2 cases of sebaceous carcinoma are the first to be reported with total involution clinically and on imaging of the tumor following partial incisional biopsy.

scholarly journals Outcomes of Maximum Levator Resection in Severe Upper Eyelid Ptosis at a Tertiary Oculoplastic Service

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Mohammad Idris ◽  
Hassan Yaqoob ◽  
Hadia Sabir ◽  
Hera Faheem ◽  
Muhammad Jamshed
Keyword(s):  
Postoperative Complications ◽  
Surgical Outcomes ◽  
Case Series ◽  
Upper Eyelid ◽  
Congenital Ptosis ◽  
Study Results ◽  
Department Of Ophthalmology ◽  
Levator Resection ◽  
Upper Eyelid Ptosis ◽  
Ptosis Surgery

Purpose:  To investigate the surgical outcomes of maximum Levator resection in cases of severe upper eyelid ptosis at a tertiary oculoplastic service. Study Design:  Interventional case series. Place and Duration of Study:  Department of Ophthalmology, Lady Reading Hospital, Medical Teaching Hospital, Peshawar January 2013 to December 2017. Methods:  One hundred and twenty three eyes of 107 patients, who underwent maximum levator resection for severe congenital ptosis were included. Patients with missing or incomplete notes, patients with previous ptosis surgery and ptosis other than congenital were excluded. Maximum levator resection of the muscle above the Whitnall ligament was performed under local/general anesthesia. All patients had a minimum of 6 months and maximum of 5 years followup. The postoperative complications were recorded and followed. Post operative followup was done at day one, week one and at four weekly intervals till the end of the study. Results:  Out of 123 eyes, satisfactory results (excellent or good) were obtained in 111 (90.1%) eyes. Majority of the patients (56.09%) were females. Mean Preoperative Levator function was 2.3 ± 1.1mm. Mean Preoperative MRD1 was ?0.1 ± 1.5 mm and mean postoperative MRD1 was 3.9 ± 01.0 mm. The commonest complication was over correction which occurred in 5 (4.06%) cases, under correction in 4 (3.25%), crease abnormality in 2 (1.62%) cases and entropion was seen in only one (0.81%) case. Success rate was 90.1% at 6 months to 5-years followup. Key Words:  Blepharoptosis; Levator resection; Levator function.

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