Holck DE, Dutton JJ, DeBacker C (1997) Lower eyelid recession combined with ptosis surgery in patients with poor ocular motility. ĭemartelaere SL, Blaydon SM, Shore JW (2006) Tarsal switch levator resection for the treatment of blepharoptosis in patients with poor eye protective mechanisms. Lelli GJ Jr, Lisman RD (2010) Blepharoplasty complications. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery. Ĭontraindication Nocturnal lagophthalmos Poor Bell’s phenomenon Ptosis. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors. This journal requires that authors assign a level of evidence to each article. Tape eyelid closure can be an effective solution to protect the corneal surface during nocturnal lagophthalmos. Nocturnal lagophthalmos should be monitored after ptosis surgery regardless of the Bell's phenomenon results. We conclude that poor Bell's phenomenon is not a relative contraindication for ptosis surgery. Other complications were minor and resolved with conservative treatment. ![]() One patient had prolonged lagophthalmos and underwent reoperation to lower the eyelid height. ![]() All patients achieved satisfactory correction of ptosis. Of the total 23 patients originally considered for study, 9 with frontalis muscle advancement technique, 8 with conjoint fascial sheath suspension, 4 with levator resection technique, and 2 with levator aponeurosis plication technique. We assessed Bell's phenomenon at different stages of sleep and collected data on ptosis degree, surgical approach, lagophthalmos, complications, and outcomes. We conducted a retrospective case series of 23 patients with ptosis and poor Bell's phenomenon who underwent different surgical techniques at Xijing Hospital from April 2020 to June 2021. ![]() This study aimed to investigate the role of Bell's phenomenon in ptosis surgery and the management of nocturnal lagophthalmos. However, the Bell's phenomenon may vary in different individuals and sleep stages, making it inaccurate to predict the position of the eye during sleep based on awake examination. Poor Bell's phenomenon is often considered a relative contraindication for ptosis surgery, as it increases the risk of corneal exposure and dry eye symptoms after surgery.
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