Abstract | BACKGROUND: MATERIALS AND METHODS: All cases of blepharoptosis treated at the Reims University Hospital from 1992 to 1997 were reviewed. Ptosis, levator function, palpebral aperture, and the position of the upper crease were recorded as well as results of the epinephrine test, acetylcholine esterase inhibitor antibodies and computed tomography findings. RESULTS: There were 96 unilateral and 34 cases of bilateral blepharoptosis (164 cases). The cases of congenital blepharoptosis (36 cases) were usually unilateral with severe ptosis and poor levator function. In cases with Claude Bernard Horner syndrome, the blepharoptosis was unilateral with minimal ptosis and a positive response to neosynephrine. In cases with oculomotor nerve palsy (31 cases) the ptosis was moderate to severe and levator function was poor. In those with myasthenia, the prostigmine test was positive. Levator aponeurotic disinsertion was observed in 16 cases with severe ptosis, positive response to neosynephrine and a high upper crease. There were three cases of trauma-induced ptosis, 5 cases of myopathy and 26 cases of idiopathic ptosis. DISCUSSION: CONCLUSIONS:
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Authors | A Ducasse, M F Maucour, A Gotzamanis, M P Chaunu |
Journal | Journal francais d'ophtalmologie
(J Fr Ophtalmol)
Vol. 22
Issue 4
Pg. 442-5
(May 1999)
ISSN: 0181-5512 [Print] France |
Vernacular Title | Principales caractéristiques séméiologiques des ptosis. |
PMID | 10365332
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adolescent
- Age Factors
- Blepharoptosis
(classification, diagnosis, etiology)
- Female
- Horner Syndrome
(complications)
- Humans
- Male
- Middle Aged
- Myasthenia Gravis
(complications)
- Oculomotor Nerve Diseases
(complications)
- Sex Factors
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