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Tarsal Switch Levator Resection for the Treatment of Myopathic Blepharoptosis

  • Sheri L. DeMartelaere
  • Todd R. Shepler
  • Sean M. Blaydon
  • Russell W. Neuhaus
  • John W. Shore

Abstract

Progressive myopathic ptosis is often associated with fair to poor levator function. These patients usually adopt a head-back/chin-up position with heavy recruitment of the frontalis muscle to see, resulting in chronic neck pain and visual fatigue. In addition, these patients often have a poor Bell’s phenomenon and the orbicularis muscle can be weak, resulting in poor eye protective mechanisms. Surgical procedures to correct blepharoptosis in patients with poor eye-protective mechanisms are associated with an increased incidence of postoperative lagophthalmos and corneal exposure.

Keywords

Composite Graft Chronic Neck Pain Visual Fatigue Orbicularis Muscle Orbital Septum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Suggested Reading

  1. DeMartelaere SL, Blaydon SM, Shore JW. Tarsal switch levator resection for the treatment of blepharoptosis in patients with poor eye protective mechanims. Ophthalmology 2006;113:2357–2363.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Sheri L. DeMartelaere
    • 1
    • 2
  • Todd R. Shepler
    • 3
  • Sean M. Blaydon
    • 3
  • Russell W. Neuhaus
    • 3
  • John W. Shore
    • 3
  1. 1.Uniformed ServicesUniversity of the Health SciencesUSA
  2. 2.Department of SurgeryOcular and Orbital Trauma Service, Brooke Army Medical CenterSan AntonioUSA
  3. 3.Texas Oculoplastic ConsultantsOphthalmic Plastic and Reconstructive SurgeonAustinUSA

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