Direct browplasty
Table 20.1 Indications for surgery Brow ptosis below orbital rim causing visual obstruction Heavy brows with thick brow cilia Pre-existing supraciliary rhytids Paralytic eyebrow ptosis (CN VII palsy) Table…
Levator extirpation and frontalis suspension
Table 18.1 Indications for surgery Marcus Gunn syndrome with functional or cosmetically displeasing jaw wink Unilateral ptosis with poor levator function requiring frontalis suspension Table 18.2 Preoperative evaluation Ptosis…
Upper eyelid loading with platinum weight
Table 19.1 Indications for surgery Paralytic lagophthalmos Exposure keratopathy CN VII palsy Symptomatic dry eye Table 19.2 Preoperative evaluation Bell’s phenomenon Degree of lagophthalmos Corneal epithelial staining Orbicularis strength…
Frontalis suspension with silicone rod
Table 15.1 Indications for surgery Poor levator function ptosis, <5 mm Myogenic ptosis • Congenital ptosis • Double elevator palsy • Blepharophimosis • Congenital fibrosis syndrome • Chronic progressive external ophthalmoplegia…
Upper eyelid retraction repair
Table 17.1 Indications for surgery Upper eyelid retraction • Associated with thyroid-related orbitopathy • After upper eyelid ptosis repair, blepharoplasty, or brow lifting • After trauma Table 17.2 Preoperative…
Congenital ptosis repair by levator resection
Table 14.1 Indications for surgery Poor levator function ptosis, greater than or equal to 5 mm Myogenic ptosis • Congenital ptosis • Double elevator palsy • Blepharophimosis • Congenital fibrosis syndrome…
Transcutaneous lower blepharoplasty with orbitomalar suspension and fat redraping
Table 10.1 Indications for surgery Cosmetically displeasing lower eyelid fat prolapse with dermatochalasis Functionally, when glasses rest upon excessive lower eyelid fat prolapse and causes lower eyelid ectropion Table…
Repair of conjunctival prolapse
Table 16.1 Indications for surgery Conjunctival prolapse • After a large levator resection in congenital ptosis repair • After craniofacial surgery with cerebrospinal fluid leak Table 16.2 Preoperative evaluation…
Ptosis repair by conjunctival Müller’s muscle resection
Table 13.1 Indications for surgery Functional ptosis affecting vision Cosmetically displeasing ptosis Ptosis developing after cataract, refractive surgery, or prolonged contact lens use Ptosis repair under general anesthesia or when…
Ptosis repair by external levator advancement
Table 11.1 Indications for surgery Functional ptosis affecting vision Cosmetically displeasing ptosis Amblyopia in visually maturing children Ptosis affecting prosthesis function in the anophthalmic socket Table 11.2 Preoperative evaluation…
