PMC3532037_01
Preoperative presentation of Case 8 with left hypotropia and limited elevation in all gazes and one previous ptosis surgery.
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Four patients had bilateral presentation (Figure 3) and four patients had unilateral involvement (Figures 1 and 2).
Preoperative presentation of Case 5 with left hypotropia and mismanaged ptosis by three sequential lid surgeries and lagophthalmos.
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Four patients had bilateral presentation (Figure 3) and four patients had unilateral involvement (Figures 1 and 2).
Preoperative presentation of bilateral hypotropia bilateral pseudoptosis (A) in Case 3, with chin-up head posture to fixate (B).
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Four patients had bilateral presentation (Figure 3) and four patients had unilateral involvement (Figures 1 and 2).
Postoperative pictures of Case 8 (1 week after single-stage adjustable strabismus surgery) with residual ptosis due to lid edema.
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Of the five patients operated on for IR recession, four (80%) had postoperative orthophoria (Figures 4 and 5) in the primary position with correction of AHP (Figure 6). Ptosis improved in four of five patients (80%) and 6 of 8 eyes (75%) (Figures 4 and 5).
Postoperative pictures of Case 8 (1 month after surgery) with less lid edema and improved up-gaze of left eye.
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Of the five patients operated on for IR recession, four (80%) had postoperative orthophoria (Figures 4 and 5) in the primary position with correction of AHP (Figure 6). Ptosis improved in four of five patients (80%) and 6 of 8 eyes (75%) (Figures 4 and 5).
Postoperative picture of Case 3 after correction of hypotropia and conservative sling operation showing improvement of chin-up position.
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Of the five patients operated on for IR recession, four (80%) had postoperative orthophoria (Figures 4 and 5) in the primary position with correction of AHP (Figure 6). He underwent sling operation for ptosis 1 month after SSASS (Figure 6). Keratitis was found in one eye that had three previous successive ptosis surgeries prior to our SSASS (Figure 7), and in one eye of patient who underwent ptosis surgery following SSASS (Figure 6).
Postoperative pictures of Case 5 (1 month after single-stage adjustable strabismus surgery) with maximum IR recession showing limited left-eye elevation, under-corrected hypotropia, residual ptosis, and lagophthalmos due to shortened lid.
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Keratitis was found in one eye that had three previous successive ptosis surgeries prior to our SSASS (Figure 7), and in one eye of patient who underwent ptosis surgery following SSASS (Figure 6).
PMC3532037_02