Ptosis associated with Blepharophimosis

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Ptosis associated with Blepharophimosis

Blepharophimosis is name for a collection of birth deformities.

• small eyelids that are short in vertical dimensions in some cases causing ectropion (lower eyelid too short to adequately cover the eye)
• eyelids shorter from side to side
• small opening for eyes to see through
• eyes spread apart from each other (telecanthus) that can make the nose look like it is flattened
• sagging of eyelids (ptosis)
• arching of eyebrows
• bones above eyes (supraorbital ridges) slightly flattened
• epicanthal folds (a fold of extra tissue near the central corner of the eye opening)

Blepharophimosis

Before surgery

case from Dr. Y. Song Ba Da Chu, China

The condition is usually inherited and the different elements show up to various degrees. Besides the unusual appearance, patients cannot easily see beyond their eyelids.

Blepharophimosis

Before surgery

case from Dr. Y. Song Ba Da Chu, China

This patient compensated for the upper eyelid ptosis by tilting her neck. The tilting let the eye see beyond the upper eyelid.

Blepharophimosis

Before surgery	After surgery
case from Dr. Y. Song Ba Da Chu, China

Surgical markings for a "jumping man flap" and levator (eyelid) muscle adjustment. Notice even with this early after surgery photograph that there is more room for the patient to see beyond her eyelids.

Surgery for blepharophimosis is frequently done in stages addressing the various problems. Timing is based on balancing the need for function and waiting until structures develop enough. This patient had her ptosis and the telecanthus / epicanthal folds addressed.

Other topics of interest:

Ptosis of the eyelid (dropping of the upper eyelid).
Ptosis classification
Muscle function and dysfunction in drooping eyelid problems.
Measuring eyelid function in eyelid ptosis.
Congenital eyelid ptosis reconstructive surgery options.
Recurrent congenital eyelid ptosis in a 26 year old black male.
Ptosis associated with paralyzed eyebrow muscle.
Ptosis associated with Blepharophimosis (congenital eyelid deformity).
Blepharoplasty (Cosmetic surgery of the eyes)
Ectropion (Drooping of the lower eyelid) Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts. Reconstruction of the lower eyelid

Blepharophimosis on the web (see eyelid on the web)

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This page last updated on: August 3, 2008

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