Anophthalmic Ptosis

  • Ann P. Murchison
  • Jurij R. Bilyk


Anophthalmic ptosis should never be considered as an entity in isolation, and in this regard it is unlike other forms of acquired ptosis. Surgical anophthalmia changes the relationship between the eyelids and the orbital contents. Furthermore, changes within the orbital soft tissue may secondarily manifest as ptosis. Conversely, lower lid laxity associated with anophthalmia may result in a downward displacement of the ocular prosthesis, resulting in masking of underlying ptosis. In all likelihood, the majority of anophthalmic ptosis is the result of multiple factors and must always be evaluated in relation to associated orbital and periocular soft tissues. Effective management of the ptotic lid in anophthalmia can be difficult and must take into account these orbital and periocular factors as well as prosthesis fitting.


Lower Eyelid Levator Muscle Orbital Volume Superior Sulcus Levator Function 
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  1. 1.
    Tyers AG, Collin JRO. Orbital implants and post enucleation socket syndrome. Trans Ophthalmol Soc UK. 1982;102:90–2.PubMedGoogle Scholar
  2. 2.
    Collin JRO. Enucleation, evisceration and socket surgery. In: Collin JRO, editor. A manual of systematic eyelid surgery. 3rd ed. London: Elsevier; 2006. p. 208–23.Google Scholar
  3. 3.
    Smit TJ, Koornneef L, Zonneveld FW, Groet E, Otto AJ. Computed tomography in the assessment of the postenucleation socket syndrome. Ophthalmology. 1990;97(10):1347–51.PubMedGoogle Scholar
  4. 4.
    Smit TJ, Koornneef L, Zonneveld FW, Groet E, Otto AJ. Primary and secondary implants in the anopthalmic orbit. Preoperative and postoperative computed tomographic appearance. Ophthalmology. 1991;98(1):106–10.PubMedGoogle Scholar
  5. 5.
    Detorakis ET, Engstrom RE, Straatsma BR, Demer JL. Functional anatomy of the anopthalmic socket: insights from magnetic resonance imaging. Invest Ophthalmol Vis Sci. 2003;44(10):4307–13.CrossRefPubMedGoogle Scholar
  6. 6.
    Vistnes LM. Mechanism of upper lid ptosis in the anophthalmic orbit. Plast Reconstr Surg. 1976;58:539–45.CrossRefPubMedGoogle Scholar
  7. 7.
    Soll DB. Evolution and current concepts in the surgical treatment of the anophthalmic orbit. Ophthal Plast Reconstr Surg. 1986;2:163–71.CrossRefPubMedGoogle Scholar
  8. 8.
    Kaltreider SA, Sheilds MD, Hippeard SC, Patrie J. Anophthalmic ptosis: investigation of the mechanisms and statistical analysis. Ophthal Plast Reconstr Surg. 2003;19(6):421–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Mustardé JC. Repair and reconstruction in the orbital region. 2nd ed. Edinburgh: Churchill Livingstone; 1980. p. 222.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of OphthalmologyJefferson University Hospitals and Thomas Jefferson University Medical CollegePhiladelphiaUSA

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