Upper blepharoplasty: A novel approach to improving progressive myopathic blepharoptosis

To describe the results of upper blepharoplasty for the treatment of progressive myopathic upper eyelid blepharoptosis. Retrospective, noncomparative case series. Six consecutive patients treated bilaterally. Upper blepharoplasty in 6 patients (12 eyelids) with progressive myopathic ptosis. Subjective visual improvement, ocular comfort, preoperative and postoperative margin reflex distances, lagophthalmos, and degree of corneal keratopathy at last follow-up date. 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. 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.