Management of ptosis in chronic progressive external ophthalmoplegia
Patients with chronic progressive external ophthalmoplegia (CPEO) are often disabled by ptosis; however, conventional ptosis surgery may induce lagophthalmos and exposure keratitis. Ten patients with CPEO underwent ptosis correction via bilateral frontalis suspensions, using monofilament synthetic m...
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| Veröffentlicht in: | Ophthalmic plastic and reconstructive surgery 1987, Vol.3 (3), p.141-145 |
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| container_title | Ophthalmic plastic and reconstructive surgery |
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| creator | SHORR, N CHRISTENBURY, J. D GOLDBERG, R. A |
| description | Patients with chronic progressive external ophthalmoplegia (CPEO) are often disabled by ptosis; however, conventional ptosis surgery may induce lagophthalmos and exposure keratitis. Ten patients with CPEO underwent ptosis correction via bilateral frontalis suspensions, using monofilament synthetic material. Three of these patients were also treated with lower eyelid horizontal tightening. The frontalis sling was adjusted to provide a firm linkage between the eyebrow and eyelid, but was loose enough to allow eyelid closure when the frontalis muscle is relaxed. All patients experienced lessening of ptosis and relief from visual obstruction. One patient required reoperation of one eyelid for undercorrection. No lagophthalmos or corneal complications occurred. The rationale for treatment, preoperative evaluation, and operative procedure in CPEO is discussed herein. |
| doi_str_mv | 10.1097/00002341-198703030-00005 |
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The rationale for treatment, preoperative evaluation, and operative procedure in CPEO is discussed herein.</description><identifier>ISSN: 0740-9303</identifier><identifier>EISSN: 1537-2677</identifier><identifier>DOI: 10.1097/00002341-198703030-00005</identifier><identifier>PMID: 3154593</identifier><identifier>CODEN: OPRSEU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams and Wilkins</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Blepharoptosis - etiology ; Blepharoptosis - surgery ; Diseases of eyelid, conjunctiva and lacrimal tracts ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Ophthalmology ; Ophthalmoplegia - complications ; Surgery, Plastic - methods ; Suture Techniques</subject><ispartof>Ophthalmic plastic and reconstructive surgery, 1987, Vol.3 (3), p.141-145</ispartof><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c254t-f97a84568745e904d776a7e80ef754742b3c2646d30941942e56d7d929e8cb433</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7502464$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3154593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SHORR, N</creatorcontrib><creatorcontrib>CHRISTENBURY, J. 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No lagophthalmos or corneal complications occurred. The rationale for treatment, preoperative evaluation, and operative procedure in CPEO is discussed herein.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blepharoptosis - etiology</subject><subject>Blepharoptosis - surgery</subject><subject>Diseases of eyelid, conjunctiva and lacrimal tracts</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Ophthalmoplegia - complications</subject><subject>Surgery, Plastic - methods</subject><subject>Suture Techniques</subject><issn>0740-9303</issn><issn>1537-2677</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UEtPwzAMjhBojMFPQOoBcSskjVMnRzSe0hAXOFdZ6m5BfZF0CP49hY3ZB0vfw7Y-xhLBrwQ3eM3HyiSIVBiNXI6d_kLqgE2FkphmOeIhm3IEnpqRPmYnMb5zLlAqNWETKRQoI6fs9tm2dkUNtUPSVUk_dNHHxLeJW4eu9S7pQ7cKFKP_pIS-BgqtrZOuXw9rWzddX9PK21N2VNk60tluztjb_d3r_DFdvDw8zW8WqcsUDGll0GpQuUZQZDiUiLlF0pwqVICQLaXLcshLyQ0IAxmpvMTSZIa0W4KUM3a53Ts-9bGhOBSNj47q2rbUbWKBmucKQI9CvRW60MUYqCr64BsbvgvBi98Ai_8Ai32Af5Aaree7G5tlQ-XeuEts5C92vI3O1lWwrfNxL0PFM8hB_gCBPXdC</recordid><startdate>1987</startdate><enddate>1987</enddate><creator>SHORR, N</creator><creator>CHRISTENBURY, J. 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A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of ptosis in chronic progressive external ophthalmoplegia</atitle><jtitle>Ophthalmic plastic and reconstructive surgery</jtitle><addtitle>Ophthalmic Plast Reconstr Surg</addtitle><date>1987</date><risdate>1987</risdate><volume>3</volume><issue>3</issue><spage>141</spage><epage>145</epage><pages>141-145</pages><issn>0740-9303</issn><eissn>1537-2677</eissn><coden>OPRSEU</coden><abstract>Patients with chronic progressive external ophthalmoplegia (CPEO) are often disabled by ptosis; however, conventional ptosis surgery may induce lagophthalmos and exposure keratitis. Ten patients with CPEO underwent ptosis correction via bilateral frontalis suspensions, using monofilament synthetic material. Three of these patients were also treated with lower eyelid horizontal tightening. 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| identifier | ISSN: 0740-9303 |
| ispartof | Ophthalmic plastic and reconstructive surgery, 1987, Vol.3 (3), p.141-145 |
| issn | 0740-9303 1537-2677 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Biological and medical sciences Blepharoptosis - etiology Blepharoptosis - surgery Diseases of eyelid, conjunctiva and lacrimal tracts Female Humans Male Medical sciences Middle Aged Ophthalmology Ophthalmoplegia - complications Surgery, Plastic - methods Suture Techniques |
| title | Management of ptosis in chronic progressive external ophthalmoplegia |
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