- •Foreword
- •Preface
- •Acknowledgments
- •Contents
- •Contributors
- •References
- •References
- •Introduction
- •Eyelid Anatomy
- •Eyelid Skin
- •The Orbicularis Muscle
- •The Orbital Septum
- •The Preaponeurotic Fat Pockets
- •The Major Eyelid Retractors
- •The Sympathetic Eyelid Retractors
- •The Tarsal Plates
- •The Canthal Tendons
- •The Conjunctiva
- •Nerves to the Eyelids
- •Vascular Supply to the Eyelids
- •Upper Eyelid Physiology
- •References
- •Introduction
- •Ocular Surface Disease
- •Medications
- •Prior Ocular and Periocular Surgery
- •Contact Lens Use
- •Miscellaneous Conditions
- •Congenital Ptosis
- •Conclusion
- •References
- •Recognise the Ptosis!
- •Unsafe Ptosis
- •Safe Ptosis
- •Distinguishing Safe Ptosis from Unsafe Ptosis
- •Lifting the Ptotic Lid
- •Contralateral Lid Retraction
- •Proptosis and Enophthalmos
- •Frontalis Overaction
- •The Dry Eye Patient
- •Definitive Examination of the Ptosis
- •Special Diagnostic Tests for Ptosis
- •References
- •Introduction
- •History
- •Physical Exam
- •Determination of Procedure
- •Blood Thinners
- •Patient Expectations
- •When Not to Operate
- •References
- •References
- •Pathogenesis
- •Myogenic Causes
- •Aponeurotic Causes
- •Mechanical Causes
- •Neurogenic Causes
- •Pseudoptosis
- •Examination
- •Preoperative Considerations
- •Surgical Repair
- •Müllerectomy
- •Levator Resection
- •Frontalis Suspension
- •Conclusions
- •References
- •Introduction
- •Background
- •Etiology
- •Clinical Findings
- •Ophthalmic Exam
- •Treatment
- •Conclusions
- •References
- •Introduction
- •Congenital Myogenic Ptosis
- •Acquired Myogenic Ptosis
- •Evaluation of the Patient
- •Treatment
- •References
- •Overview
- •Diagnosis: Clinical
- •Diagnosis: Testing
- •Medical Therapy
- •Surgical Therapy
- •References
- •Introduction
- •Third Nerve (Oculomotor) Palsy
- •Diagnosis
- •Localization of a Third Nerve Palsy
- •Common Etiologies for Third Nerve Palsy
- •Horner Syndrome
- •Diagnosis
- •Pharmacologic Evaluation
- •Localization of Horner Syndrome
- •Radiographic Evaluation
- •Horner Syndrome in Children
- •Treatment
- •References
- •Introduction
- •Iatrogenic Causes of Ptosis
- •Ptosis Postintraocular Surgery
- •Ptosis Posteyelid and Adnexal Procedures
- •Contact Lens Wear
- •Ptosis Following Systemic Interventions
- •Birth Trauma
- •Blunt Trauma
- •Lacerating Trauma
- •Traumatic Ptosis Secondary to Restrictive Scarring
- •Traumatic Ptosis Following Facial Fractures
- •Neurogenic Ptosis Secondary to Trauma
- •Traumatic Superior Orbital Fissure Syndrome
- •Blepharoptosis Secondary to Traumatic Third Nerve Palsy
- •Isolated Neurogenic Ptosis
- •Traumatic “Ptosis” Secondary to Facial Synkinesis
- •References
- •Etiology
- •Evaluation
- •Solutions
- •Conclusion
- •References
- •Introduction
- •Pathophysiology
- •Clinical Evaluation
- •Surgical Management
- •Minimal Lash Ptosis
- •Moderate to Severe Lash Ptosis
- •Conclusion
- •References
- •Introduction
- •Mechanical Measures
- •Lid Crutches
- •Eyelid Taping
- •Glues
- •Apraclonidine
- •Medical Measures: Botulinum Toxin
- •References
- •Introduction
- •Procedure
- •Conclusion
- •Suggested Reading
- •Introduction
- •Principle of the Procedure
- •Methodology of the Procedure
- •References
- •Technique [5]
- •References
- •Introduction
- •Surgical Technique
- •Preservation of the Conjunctiva
- •Discussion
- •References
- •History
- •Mechanism of Action
- •Indications
- •Procedure
- •Description of the Procedure
- •Complications
- •Discussion
- •References
- •Indications
- •Techniques
- •Lamellar Technique
- •En Bloc Technique
- •Challenges and Solutions
- •Pearls
- •References
- •Indications
- •Autologous Tissue for Frontalis Suspension
- •Autogenous Fascia Lata
- •Harvesting Fascia Lata
- •Temporalis Fascia
- •Harvesting Deep Temporalis Fascia
- •Palmaris Longus Tendon
- •Harvesting Palmaris Longus Tendon
- •Frontalis Muscle Flap Advancement
- •Allografts for Frontalis Suspension
- •Preserved Fascia Lata
- •Other Processed Tissues
- •Synthetic Materials for Frontalis Suspension
- •Techniques for Frontalis Suspension
- •Double Triangle or Rhomboid Frontalis Sling
- •Single Pentagonal Frontalis Sling
- •References
- •The Transition to Office-Based Surgery
- •Reasons to Transition
- •Surgical Space and Equipment
- •State Regulations
- •Procedure Selection
- •Patient Selection
- •Evaluating Patients at Risk for Anxiety
- •Nonmedical Prevention of Anxiety
- •Medical Prevention of Anxiety
- •Postoperative Nausea and Vomiting
- •Anesthesia for Surgery
- •Topical Anesthetics
- •Injectable Anesthetics
- •Postoperative Pain Control
- •Conclusion
- •References
- •References
- •References
- •Etiology and Evaluation
- •Treatment
- •Surgical Technique
- •Aporneurotic Ptosis Repair
- •Frontalis Sling
- •Complications
- •Summary
- •Tarsal Switch
- •Severe Horizontal Eyelid Laxity
- •Inadequate Tarsus
- •Neurofibromatosis
- •References
- •Involutional/Aponeurotic ptosis
- •Levator Advancement/Plication
- •Congenital Myogenic Ptosis
- •Frontalis Suspension
- •Levator Resection
- •Maximal Levator Resection
- •Whitnall’s Sling
- •Summary
- •References
- •Introduction
- •Preoperative Factors
- •Intraoperative Factors
- •Postoperative Factors
- •Surgical Approach to Ptosis Reoperation
- •Summary
- •References
- •Entropion
- •Symblepharon
- •Ectropion
- •Contour Deformity
- •Lagophthalmos
- •Eyelid Fold and Crease
- •Conjunctival Prolapse
- •Hemorrhage/Hematoma
- •Infection
- •Conclusion
- •References
- •Twelve Steps to a Successful Surgical Encounter
- •Index
22 Full-Thickness Eyelid Resection for Blepharoptosis Correction |
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References
1.Hervouet F, Tessier P. Technique chirurgicale du ptosis. Bull Mem Soc Fr Ophtalmol. 1956;239–42.
2.Beard C. Ptosis. St. Louis, MO: Mosby; 1969. p. 260.
3.McCord Jr CD. An external minimal ptosis procedure
– external tarsoaponeurectomy. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1975;79:683–6.
4.Mustarde JC. Correction of ptosis by split level resection. Clin Plast Surg. 1978;5:533–5.
5.Karesh JW. Multilevel full-thickness eyelid resection for the correction of severe acquired ptosis in
the poorly functioning eyelid. Ophthalmic Surg. 1991;22(7):399–405.
6.Baylis HI, Shorr N. Anterior tarsectomy reoperation for upper eyelid blepharoptosis or contour deformities. Am J Ophthalmol. 1977;84:67–72.
7.Baylis HI, Axelrod RN, Rosen N. Full thickness eyelid resection for the treatment of undercorrected blepharoptosis and eyelid contour defects. Adv Ophthalmic Plast Reconstr Surg. 1982;1: 205–12.
8.Anderson RL, Beard C. The levator aponeurosis. Attachments and their clinical significance. Arch Ophthalmol. 1977;95(8):1437–41.
