Browlifting as an alternative procedure for apraxia of eyelid opening

Essential blepharospasm is an idiopathic disorder that consists of spontaneous, spasmodic, and involuntary eyelid closure in the absence of ocular disease. Some patients develop an inability to open their eyelids in the absence of orbicularis spasms. These patients have essential blepharospasm combi...

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Bibliographic Details
Published in:	Ophthalmic plastic and reconstructive surgery Vol. 25; no. 1; pp. 46 - 47
Main Authors:	Nicoletti, André G B, Pereira, Ivana C, Matayoshi, Suzana
Format:	Journal Article
Language:	English
Published:	United States 01-01-2009
Subjects:	Aged Apraxias - physiopathology Apraxias - surgery Blepharoplasty Blepharospasm - physiopathology Blepharospasm - surgery Eyebrows Eyelids - physiopathology Female Forehead - surgery Humans Polypropylenes Suture Techniques Sutures
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Summary:	Essential blepharospasm is an idiopathic disorder that consists of spontaneous, spasmodic, and involuntary eyelid closure in the absence of ocular disease. Some patients develop an inability to open their eyelids in the absence of orbicularis spasms. These patients have essential blepharospasm combined with apraxia of eyelid opening. Botulinum toxin injections are the treatment of choice for blepharospasm but results may be insufficient, especially in cases associated with apraxia. Apraxia can be treated surgically by levator aponeurosis advancement, frontalis suspension, and upper myectomy. The authors report the first browlift using polypropylene suture to manage eyelid apraxia associated with blepharospasm as an alternative and minimally invasive procedure.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0740-9303 1537-2677
DOI:	10.1097/IOP.0b013e318192f001