title: Eyelid surgery in ocular myopathies.
abstract: OBJECTIVE
  To retrospectively analyse surgical outcome and complications in patients with ocular myopathy undergoing ptosis correction and to introduce preoperative prophylactic lower lid elevation in this group.
  
  
  METHODS
  The medical records of all ocular myopathy patients who had undergone oculoplastic surgery between June 1995 and May 2006 were obtained. Patients' demographics, surgical details and measurements, and complications were recorded.
  
  
  RESULTS
  29 patients were identified; 21 with chronic progressive external ophthalmoplegia (CPEO), 7 with myotonic dystrophy (MD) and 1 with oculopharyngeal muscular dystrophy (OPMD). Then, 61 procedures to adjust eyelid height were performed, comprising levator resection, brow suspension, anterior lamellar repositioning, lower lid elevation and upper lid lowering. Palpebral aperture was significantly increased in all patient groups, by procedure and diagnosis, more significantly following brow suspension compared with levator resection. The patients' feedback was very positive. Post-operative complications were few, included corneal exposure and ulceration, ptosis recurrence, arched brow, and sling infection, all of which were successfully treated.
  
  
  CONCLUSIONS
  Our results demonstrate subjective and objective benefit following surgery in these patients, with a low complication rate. The use of pre-operative prophylactic lower lid elevation procedures is a promising modality.
authors: Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom. highburymark@yahoo.co.uk
authors: Mark
authors: M
authors: Doherty
authors: Robert
authors: R
authors: Winterton
authors: Philip G
authors: PG
authors: Griffiths
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty; D001763:Blepharoptosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D039141:Muscular Dystrophy, Oculopharyngeal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D009223:Myotonic Dystrophy / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery*; D017246:Ophthalmoplegia, Chronic Progressive External / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult