دورية أكاديمية
أعرض في EDS

Frontalis Linkage Without Intraoperative Eyelid Elevation for the Management of Myopathic Ptosis.

التفاصيل البيبلوغرافية
العنوان: Frontalis Linkage Without Intraoperative Eyelid Elevation for the Management of Myopathic Ptosis.
المؤلفون: Diniz SB; Division of Oculoplastics and Orbit, Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil., Akaishi PM, Cruz AAV
المصدر: Ophthalmic plastic and reconstructive surgery [Ophthalmic Plast Reconstr Surg] 2020 May/Jun; Vol. 36 (3), pp. 258-262.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins for the American Society of Ophthalmic Plastic and Reconstructive Surgery Country of Publication: United States NLM ID: 8508431 Publication Model: Print Cited Medium: Internet ISSN: 1537-2677 (Electronic) Linking ISSN: 07409303 NLM ISO Abbreviation: Ophthalmic Plast Reconstr Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 199 - : Hagerstown, MD : Lippincott Williams & Wilkins for the American Society of Ophthalmic Plastic and Reconstructive Surgery
Original Publication: [New York, NY : Raven Press Publishers], c1985-
مواضيع طبية MeSH: Blepharoplasty* , Blepharoptosis*/surgery, Eyelids/surgery ; Fascia/transplantation ; Humans ; Oculomotor Muscles/surgery ; Retrospective Studies
مستخلص: Purpose: To report the effect of frontalis linkage without intraoperative eyelid elevation for the management of myopathic ptosis.
Methods: Retrospective analysis of 21 (42 eyelids) myopathic patients with bilateral ptosis who were operated between 1999 and 2017. All patients had orbicularis weakness and poor or absent Bell's phenomenon. Surgery consisted of using an autogenous fascia sling to link the tarsal plate to the frontalis muscle without any degree of intraoperative eyelid elevation. The main outcome measures were margin reflex distance, brow height and degree of brow excursion and degree of lagophthalmos, and exposure keratitis.
Results: After surgery, there were significant changes (p <0.0001) in both margin reflex distance and brow position. Mean margin reflex distance increased to 1.4 mm ± 1.34 DP and with full frontalis contraction, it reached 3.0 mm ± 1.73 DP, while mean brow position decreased 1.6 mm ± 1.59 SD, p < 0.0001. Postoperative lagophthalmos was not detected in 31 (74%) eyes. In the remaining 11 eyes (26%), lagophthalmos ranged from 1.2 to 5.2 mm (mean = 1.7 mm ± 0.74 DP). Mild inferior superficial keratitis was detected in 14 eyes (33.3%) of 7 patients only 3 of which had lagophthalmos. One patient needed additional surgery to correct unilateral eyelid retraction. Overall, 81.81% of the patients were pleased with the procedure.
Conclusions: Myopathic ptosis can be alleviated with a minimal amount of lagophthalmos by just linking the tarsal plate to the frontalis muscle without lifting the eyelid margin intraoperatively.
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تواريخ الأحداث: Date Created: 20191207 Date Completed: 20210318 Latest Revision: 20210318
رمز التحديث: 20240829
DOI: 10.1097/IOP.0000000000001525
PMID: 31809486
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-2677
DOI:10.1097/IOP.0000000000001525