Clinical Feature of Unilateral Ptosis with Positive Result in Phenylephrine Test

Published on Nov 1, 2016in Journal of The Korean Ophthalmological Society
· DOI :10.3341/JKOS.2016.57.11.1678
Seok Jae Lee4
Estimated H-index: 4
(PNU: Pusan National University),
Hye Shin Jeon (New Generation University College), Hee Young Choi1
Estimated H-index: 1
(New Generation University College)
#1Chung Sheng LaiH-Index: 1
#2Ya Wei LaiH-Index: 1
Last. Austin D. ChenH-Index: 7
view all 6 authors...
Treatment of blepharoptosis caused by ocular myasthenia gravis (OMG) is challenging in patients with serious side effects or failed response to medical therapy. Only a few surgical reports have been published for refractory myathenic blepharoptosis. This study is aimed at the evaluation of the surgical outcome of blepharoptosis correction in intractable OMG patients.Twelve OMG patients who accepted frontalis sling with frontalis orbicularis oculi muscle (FOOM) flap for blepharoptosis correction ...
#1Dae Il ParkH-Index: 1
#2Sung Woo HaH-Index: 3
Last. Helen LewH-Index: 14
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#1Yuriko NaganeH-Index: 23
#2Kimiaki UtsugisawaH-Index: 26
Last. Norihiro Suzuki (Keio: Keio University)H-Index: 69
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Introduction. When treating ocular myasthenia gravis (MG), the risk/benefit profile of corticosteroids is unclear, and acetylcholinesterase inhibitors are not very effective. We examined the efficacy of topical naphazoline in the treatment of myasthenic blepharoptosis. Methods. Sixty MG patients with blepharoptosis (32 with ocular symptoms only and 28 with mild generalized symptoms) were enrolled in a multicenter open trial of topical naphazoline. The effects were reported by patients via a ques...
#1Joon Sung Bae (Konyang University)H-Index: 2
#2Myung Sook Ha (Konyang University)H-Index: 5
Last. Jae Woo Jang (Konyang University)H-Index: 4
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Purpose: To assess surgical outcomes after adjusting the amount of resection of the conjunctiva and the Muller muscle according to 10% phenylephrine test results. Methods: The charts of 32 patients (32 eyes) with mild upper eyelid ptosis were reviewed retrospectively. They all had conjunctiva-Muller muscle resections. A preoperative 10% phenylephrine test was performed to determine the resection amount of the Muller muscle and conjunctiva. An 8 mm resection was performed when phenylephrine raise...
#1Bentley C. Skibell (U of T: University of Toronto)H-Index: 2
#2John H. HarveyH-Index: 1
Last. Dan D. DeAngelisH-Index: 9
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PURPOSE: To investigate the relationship between adrenergic receptors in Muller muscle and response to phenylephrine testing in patients undergoing ptosis surgery. This study also compares outcomes of Fasanella and Putterman approaches to posterior ptosis repair. METHODS: Prospective analysis of 71 patients undergoing posterior ptosis surgery. Eyelid height was measured before and after phenylephrine. Muller muscle was examined for alpha-1D, alpha-2C, beta-1, and beta-2 receptors. Specimens were...
#1Michael Baroody (Danbury Hospital)H-Index: 1
#2John B. HoldsH-Index: 19
Last. Valerie L. VickH-Index: 6
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PURPOSE OF REVIEW: The surgical correction of blepharoptosis, both congenital and acquired, has been intensively examined and reported on for many years. This paper reviews recent publications on basic science, evaluation, technique modifications, and innovative materials in the care of ptosis patients. RECENT FINDINGS: The frontalis suspension technique is a commonly performed surgical correction of congenital blepharoptosis, used widely in the repair of ptosis with poor levator function. The r...
Purpose: To classify blepharoptosis in Korean patients, investigate the type of surgery used, and to compare the results with the data from Western countries. Methods: A total of 913 patients (1147 eyes) who underwent surgery for blepharoptosis from 1991 to 2003 were classified as either being congenital or acquired blepharoptosis, and then further subclassified into myogenic, aponeurotic, mechanical, or neurogenic ptosis according to Freuh’s mechanistic classification. The type of surgery for e...
Drooping of the upper eyelid (upper eyelid ptosis) may be minimal (1–2 mm), moderate (3–4 mm), or severe (>4 mm), covering the pupil entirely. Ptosis can affect one or both eyes. Ptosis can be present at birth (congenital) or develop later in life (acquired). Ptosis may be due to a myogenic, neurogenic, aponeurotic, mechanical or traumatic cause. Usually, ptosis occurs isolated, but may be associated with various other conditions, like immunological, degenerative, or hereditary disorders, tumors...
Purpose: To describe the results of surgical correction of blepharoptosis in a series of patients with myasthenia gravis (MG). Methods: In this retrospective case series, we reviewed the medical records of all patients with MG who did not respond to medical therapy and underwent surgical correction for blepharoptosis at the Mayo Clinic between 1985 and 1999. The primary outcome measure was change in interpalpebral eyelid fissure height. Results: Sixteen blepharoptosis procedures were performed o...
Drawing on the expertise of a multidisciplinary team of experts, this unique text systematically covers the three major branches of oculoplastic surgery - general, aesthetic, and orbital diseases - in a concise format that focuses on only the most relevant, must-know information. Packed with hundreds of full-color illustrations, Oculoplastic Surgery: The Essentials provides readers with easily accessible descriptions of key techniques and procedures.
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