title: Treatment of Eyelid Ptosis due to Kearns-Sayre Syndrome Using Frontalis Suspension.
abstract: Blepharoptosis is a common indication for surgery in plastic surgery units, yet its possible underlying pathology frequently remains unidentified. A 52-year-old man with a 20-year history of progressive bilateral ptosis (right>left) presented with recurrent ptosis of both eyes; he had undergone an operation on the levator aponeurosis 12 years prior. Due to the suspicion of an underlying disease, he was evaluated further. Chronic progressive external ophthalmoplegia in transition to the more severe syndromic variant Kearns-Sayre syndrome, a mitochondrial disorder causing myopathy, was diagnosed. The patient was treated with coenzyme Q10, and he underwent ptosis surgery on both eyes. This case illustrates a potentially multi-systemic disease that was diagnosed by a further evaluation of a common symptom, in this case worsening blepharoptosis. Awareness of myopathic symptoms is necessary to prevent overlooking serious yet improvable conditions.
authors: Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria.
authors: Laurenz
authors: L
authors: Weitgasser
authors: Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria.
authors: Gottfried
authors: G
authors: Wechselberger
authors: Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria.
authors: Florian
authors: F
authors: Ensat
authors: Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria.
authors: Rene
authors: R
authors: Kaplan
authors: Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria.
authors: Michaela
authors: M
authors: Hladik
keywords: Blepharoplasty; Blepharoptosis; Chronic progressive external opthalmoplegia; Kearns-Sayre syndrome