We present a modification of the frontalis suspension for blepharoptosis, first described in 1937, that eliminates many of the drawbacks of traditional brow suspension techniques. Functional and cosmetic problems with standard suspension procedures are related to the superficial location of the sling in the eyelid, which leads to unsatisfactory geometric tenting of the pretarsal and preseptal skin, obliteration of the lid crease, and a pulling away of the upper lid from the globe with brow elevation. Eyelid height is also limited by the upper lid being pulled away from the globe. By anchoring the suspensory material behind the superior orbital septum near the arcus marginalis, more physiologic vectors of elevation are transmitted to the upper eyelid. This modification has yielded good cosmetic and functional results in 96 cases of frontalis suspension using both autogenous and allosplastic materials, and it deserves to be more widely used.
[Show abstract][Hide abstract] ABSTRACT: From an inexact origin of trial and error, blepharoptosis surgery has become a scientific art. The arc of its technical development
parallels that of anatomical discoveries and surgical materials. Approaches have varied, as have the tissues of interest,
and with increasingly reliable results in the reconstructive domain came greater expectations and the development of its cosmetic
counterpart. That said, for some diseases associated with blepharoptosis, an ideal surgery remains elusive. This chapter provides
a chronological account of the treatment of blepharoptosis with attention paid to the tissues involved. The rich history
of blepharoptosis surgery provides a fertile matrix for the field of oculofacial plastic surgery, and in return, the field
continues to evolve blepharoptosis’ surgical treatment.
Advances in ophthalmic plastic and reconstructive surgery 02/1986; 5:133-7. DOI:10.1007/978-0-387-92855-5_2
[Show abstract][Hide abstract] ABSTRACT: We reviewed retrospectively 170 cases of congenital and acquired oculomotor nerve palsy to determine the effectiveness of surgery in the treatment of blepharoptosis in oculomotor nerve palsy. Twenty patients had had surgical repair of the blepharoptosis. Patients with congenital oculomotor palsy were more often selected for blepharoptosis surgery than patients with acquired blepharoptosis because of the absence of diplopia caused by suppression in congenital cases. There was complete recovery in 72 of 109 patients (66%) with acquired oculomotor palsy. Results were judged with regard to functional improvements and cosmetic improvement. Primary functional disability was relieved by lifting the eyelid above the pupil in ten of 12 patients (83%). Primary cosmetic disability was relieved in six of six patients. Corneal complications occurred in six of 20 patients (30%) who were treated surgically.
American Journal of Ophthalmology 02/1988; 105(1):57-64. DOI:10.1016/0002-9394(88)90121-3 · 3.87 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.