Surgical management of complete blepharoptosis with no levator function from a compressive third nerve palsy.
A 94-year-old monocular woman with a posterior communicating artery aneurysm developed a compressive third nerve palsy with complete blepharoptosis and abduction of her seeing eye. It was believed that she was not a good neurosurgical candidate for aneurysm repair. Her ptosis was managed successfully with an in-office Whitnall sling procedure combined with a superior tarsectomy. The author describes this safe and effective method for surgical management of complete ptosis with zero levator function.
Nissman
Steven A
SA
Nissman Eye Associates, Plymouth Meeting, Pennsylvania, USA.
D000369:Aged, 80 and over; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008022:Ligaments / Q000601:surgery; D015840:Oculomotor Nerve Diseases / Q000209:etiology / Q000601:surgery*; D014792:Visual Acuity