Ptosis of the upper eyelid: diagnosis and choice of a surgical treatment

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

This article discusses a topical problem in ophthalmology, ptosis of the upper eyelid, highlighting the key points of diagnosis, choice of a surgical treatment, and postoperative patient management. The main causes of the development of ptosis of the upper eyelid are considered, and the key biometric parameters of the eyelids are described, which make it possible to make a pathogenetically determined choice of surgical treatment. The most common diseases leading to secondary ptosis of the upper eyelid, or pseudoptosis, and methods of their detection are considered.

Full Text

Restricted Access

About the authors

Irina A. Filatova

Helmholtz National Medical Research Center of Eye Diseases

Email: filatova13@yandex.ru
ORCID iD: 0000-0002-5930-117X
SPIN-code: 1797-9875

Dr of Med. Sci

Russian Federation, Moscow

Sergey A. Shemetov

Helmholtz National Medical Research Center of Eye Diseases

Author for correspondence.
Email: sergeyshemetov87@gmail.com
SPIN-code: 4397-4425

MD, PhD

Russian Federation, Moscow

Ihab M. Mohammad

Helmholtz National Medical Research Center of Eye Diseases

Email: waheedko@yandex.ru

MD, PhD

Russian Federation, Москва

Marina S. Trefilova

Helmholtz National Medical Research Center of Eye Diseases

Email: gomfozis@yandex.ru

MD

Russian Federation, Moscow

References

  1. Murchison AP, Sires BA, Jian-Amadi A. Margin reflex distance in different ethnic groups. Arch Facial Plast Surg. 2009;11(5):303–305. doi: 10.1001/archfacial.2009.9
  2. Filatova IA. Zabolevanie veka. In: Avetisov SE, Egorov EA, Moshetova LK, et al, editors. Oftal’mologiya. Natsional’noe rukovodstvo. Moscow: GEOTAR-Media; 2018. (In Russ).
  3. Filatova IA, Shemetov SA. The analysis of complications due to the erroneous strategy of the surgical treatment of the upper lid ptosis. Rossiiskii pediatricheskii zhurnal. 2016;11(2):89–92. (In Russ). doi: 10.18821/1993-1859-2016-11-2-89-92
  4. Baggio E, Ruban JM, Boizard Y. Etiologic causes of ptosis about a serie of 484 cases. To a new classification? J Fr Ophthalmol. 2002;25(10):1015–1020. (In French).
  5. Filatova IA, Shemetov SA. O differentsirovannom podkhode k vyboru metoda operatsii ustraneniya ptoza verkhnego veka. In: (Conference proceedings) Nevskie gorizonty-2016: Materialy nauchnoi konferentsii oftal’mologov; 2016 Apr 22–23; St. Petersburg, Russia. St. Petersburg; 2016. P. 87–89. (In Russ).
  6. Moeller JJ, Maxner CE. The dilated pupil: an update. Curr Neurol Neurosci Rep. 2007;7(5):417–422. doi: 10.1007/s11910-007-0064-9
  7. McCord CD Jr, Putman JR, Nunery WR, Tanenbaum M. Blepharoptosis. In: McCord CD Jr, Tanebaum M, Nunery WR, editors. Oculoplastic surgery. New York: Raven Press; 1995.
  8. Bartley GB. The epidemiologic characteristics and clinical course of ophthalmopathy associated with autoimmune thyroid disease in Olmsted County, Minnesota. Trans Am Ophthalmol Soc. 1994;92:477–588.
  9. Chang EL, Rubin PA. Upper and lower eyelid retraction. Int Ophthalmol Clin. 2002;42(2):45–59. doi: 10.1097/00004397-200204000-00006
  10. Rubin PA, Rumelt S. Functional indications for enophthalmos repair. Ophthal Plast Reconstr Surg. 1999;15(4):284–92. doi: 10.1016/s0161-6420(84)34299-3
  11. Cline RA, Rootman J. Enophthalmos: a clinical review. Ophthalmology. 1984;91(3):229–237.
  12. Soparkar CN, Patrinely JR, Cuaycong MJ, et al. The silent sinus syndrome. A cause of spontaneous enophthalmos. Ophthalmology. 1994;101(4):772–778. doi: 10.1016/s0161-6420(94)31267-x
  13. Gundorova RA, Neroev VV, Kashnikova VV. Travmy glaza. Moscow: GEOTAR-Media; 2014. 361 p. (In Russ).
  14. Ficker LA, Collin JR, Lee JP. Management of ipsilateral ptosis with hypotropia. Br J Ophthalmol. 1986;70(10):732–736. doi: 10.1136/bjo.70.10.732
  15. Savino PJ, Maus M. Botulinum toxin therapy. Neurol Clin. 1991;9(1):205–224.
  16. Simpson DM, Blitzer A, Brashear A, et al. Assessment: botulinum neurotoxin for the treatment of movement disorders (an evidencebased review): report of the therapeutics and technology assessment subcommittee of the American academy of neurology. Neurology. 2008;70(19):1699–1706. doi: 10.1212/01.wnl.0000311389.26145.95
  17. Hersh D, Martin FJ, Rowe N. Comparison of silastic and banked fascia lata in pediatric frontalis suspension. J Pediatr Ophthalmol Strabismus. 2006;43(4):212–218. doi: 10.3928/01913913-20060701-02
  18. Anderson RL, Dixon RS. Aponeurotic ptosis surgery. Arch. Ophthalmol. 1979;97(6):1123–1128. doi: 10.1001/archopht.1979.01020010577015
  19. Ahmadi AJ, Sires BS. Ptosis in infants and children. Int Ophthalmol Clin. 2002;42(2):15–29. doi: 10.1097/00004397-200204000-00004
  20. Kakizaki H. Gankeiseigeka tora no maki. Tokyo: Medical Aoi; 2009. P. 9–32. (In Japanese).
  21. Finsterer J. Ptosis: causes, presentation, and management. Aesthetic Plast Surg. 2003;27(3):193–204. doi: 10.1007/s00266-003-0127-5
  22. Fagien S. Advanced rejuvenative upper blepharoplasty: enhancing aesthetics of the upper periorbita. Plast Reconstr Surg. 2002;110(1):278. doi: 10.1097/00006534-200207000-00047
  23. Wong VA, Beckingsale PS, Oley CA, Sullivan TJ. Management of myogenic ptosis. Ophthalmology. 2002;109(5):1023–1031. doi: 10.1016/s0161-6420(02)01009-6
  24. Kokorev VYu, Tarannikova SV, Grishina EE. Novoe v khirurgicheskom lechenii blefaroptozov. In: (Conference proceedings) Aktual’nye voprosy meditsiny v sovremennykh usloviyakh. Sbornik nauchnykh trudov po itogam mezhdunarodnoi nauchno-prakticheskoi konferentsii. St. Petersburg: Innovatsionnyi tsentr razvitiya obrazovaniya i nauki; 2015. P. 58–60. (In Russ).
  25. Callahan A. Surgery of eye diseases. Transl. from English. Moscow; 1963. P. 20–46.
  26. Takahashi Y, Leibovitch I, Kakizaki H. Frontalis suspension surgery in upper eyelid blepharoptosis. Open Ophthalmol J. 2010;4:91–97. doi: 10.2174/1874364101004010091
  27. Ben Simon GJ, Macedo AA, Schwarcz RM, et al. Frontalis suspension for upper eyelid ptosis: evaluation of different surgical designs and suture material. Am J Ophthalmol. 2005;140(5):877–885. doi: 10.1016/j.ajo.2005.05.031
  28. Wasserman BN, Sprunger DT, Helveston EM. Comparison of materials used in frontalis suspension. Arch Ophthalmol. 2001;119(5):687–691. doi: 10.1001/archopht.119.5.687
  29. Manners RM, Tyers AG, Morris RJ. The use of prolene as a temporary suspension material for brow suspension in young children. Eye (Lond). 1994;8(Pt 3):346–348. doi: 10.1038/eye.1994.72

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2021 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 86503 от 11.12.2023 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80630 от 15.03.2021 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies