Upper blepharoplasty: a novel approach to improving progressive myopathic blepharoptosis.
OBJECTIVE
To describe the results of upper blepharoplasty for the treatment of progressive myopathic upper eyelid blepharoptosis.


METHODS
Retrospective, noncomparative case series.


METHODS
Six consecutive patients treated bilaterally.


METHODS
Upper blepharoplasty in 6 patients (12 eyelids) with progressive myopathic ptosis.


METHODS
Subjective visual improvement, ocular comfort, preoperative and postoperative margin reflex distances, lagophthalmos, and degree of corneal keratopathy at last follow-up date.


RESULTS
All patients had subjective visual improvement and denied ocular discomfort. Upper eyelid ptosis, measured by margin reflex distances, was improved. No worsening of lagophthalmos or corneal keratopathy was noted.


CONCLUSIONS
Upper blepharoplasty may be an excellent alternative for ptosis treatment in patients with progressive myopathies. Improvement in ptosis, margin reflex distance, without concomitant lagophthalmos, and corneal keratopathy can be achieved.
Burnstine
M A
MA
Department of Ophthalmology, Doheny Eye Institute, Childrens Hospital-Los Angeles, University of Southern California, 90033, USA. mburnsti@hsc.usc.edu
Putterman
A M
AM
D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000473:pathology / Q000601:surgery*; D002648:Child; D018450:Disease Progression; D005143:Eyelids / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015835:Ocular Motility Disorders / Q000473:pathology / Q000601:surgery*; D009801:Oculomotor Muscles / Q000473:pathology / Q000601:surgery*; D012018:Reflex; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity