title: Conjunctival flap-cosmetic shell-ptosis procedure. Treatment of blepharoptosis in severe keratopathy.
abstract: The correction of marked blepharoptosis in patients with severe or potential keratopathy will worsen the keratopathy and possibly lead to the complications of corneal ulceration and endophthalmitis. The conjunctival flap--cosmetic shell--ptosis procedure is well suited to this difficult management problem. Patients are initially treated with a conjunctival flap to protect their cornea. Subsequently they are fit with a cosmetic shell, and finally they undergo surgery to correct their ptosis. This three-stage procedure has produced excellent cosmetic and functional results in two patients, one of whom had ptosis and severe radiation-induced keratopathy following the treatment of a rhabdomyosarcoma; the other patient had severe ptosis associated with lack of corneal sensation and orbicularis function following removal of a cerebral meningioma.
authors.affiliation: Department of Ophthalmology, University of Illinois, Chicago College of Medicine.
authors.forename: A M
authors.initials: AM
authors.lastname: Putterman
mesh_terms: D001763:Blepharoptosis / Q000150:complications / Q000209:etiology / Q000601:surgery*; D001932:Brain Neoplasms / Q000601:surgery; D002675:Child, Preschool; D003228:Conjunctiva / Q000637:transplantation*; D003316:Corneal Diseases / Q000150:complications / Q000209:etiology* / Q000517:prevention & control; D004954:Esthetics; D005260:Female; D006801:Humans; D008579:Meningioma / Q000601:surgery; D008722:Methods; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000532:radiotherapy; D012208:Rhabdomyosarcoma / Q000532:radiotherapy; D013524:Surgical Flaps