PTOSISPTOSIS

LT COL Khalid NaimatLT COL Khalid NaimatCLASSIFIED EYE SPECIALISTCLASSIFIED EYE SPECIALIST

CLASSIFICATIONCLASSIFICATION

PSEUDOPTOSISPSEUDOPTOSIS

IT IS FALSE IMPRESSION IT IS FALSE IMPRESSION OF PTOSISOF PTOSIS

CAUSESCAUSES LACK OF SUPPORT LACK OF SUPPORT

(DUE TO RIGHT (DUE TO RIGHT ARTIFICIAL EYE)ARTIFICIAL EYE)

CAUSES OF PSEUDOPTOSISCAUSES OF PSEUDOPTOSIS

BROW BROW PTOSISPTOSIS

CAUSES OF PSEUDOPTOSISCAUSES OF PSEUDOPTOSIS

CONTRALATERAL CONTRALATERAL LID RETRACTIONLID RETRACTION

CAUSES OF PSEUDOPTOSISCAUSES OF PSEUDOPTOSIS

DERMATOCHALASDERMATOCHALASISIS

CAUSES OF PSEUDOPTOSISCAUSES OF PSEUDOPTOSIS

IPSILATERAL IPSILATERAL HYPOTROPIAHYPOTROPIA

ASSOCIATED SIGNSASSOCIATED SIGNS

INCREASED INNERVATION TO INCREASED INNERVATION TO CONTRALATERAL LEVATORCONTRALATERAL LEVATOR

FATIGUABILITYFATIGUABILITY OCULAR MOTILITY DEFECTSOCULAR MOTILITY DEFECTS JAW WINKINGJAW WINKING BELL PHENOMENONBELL PHENOMENON

PRINCIPLES OF SURGERYPRINCIPLES OF SURGERY

FASANELLA FASANELLA SERVAT SERVAT PROCEDUREPROCEDURE

Eyelid Ptosis Correction Surgery in High Speed - YouTube.flv

LEVATOR LEVATOR RESECTIONRESECTION

LEVATOR RESECTIONLEVATOR RESECTION

FRONTALIS FRONTALIS SUSPENSIONSUSPENSION

FRONTALIS SUSPENSIONFRONTALIS SUSPENSION

Frontalis sling - YouTube.flv

FRONTALIS SUSPENSIONFRONTALIS SUSPENSION

MARCUS GUNN JAW WINKING MARCUS GUNN JAW WINKING SYNDROMESYNDROME

5% OF CONGENITAL 5% OF CONGENITAL PTOSISPTOSIS

UNILATERALUNILATERAL RETRACTION OF RETRACTION OF

PTOTIC LID WHEN PTOTIC LID WHEN THERE IS THERE IS STIMULATION OF STIMULATION OF IPSILATERAL IPSILATERAL PTERYGOID MUSCLESPTERYGOID MUSCLES

Marcus Gunn jaw-winking syndrome - YouTube.flv

TREATMENTTREATMENT

UNILATERAL UNILATERAL LEVATOR LEVATOR RESECTIONRESECTION

UNILATERAL UNILATERAL LEVATOR LEVATOR DISINSERTIONDISINSERTION

BILATERAL BILATERAL LEVATOR LEVATOR DISINSERTIONDISINSERTION

HORNER SYNDROME WITH HORNER SYNDROME WITH ANISOCORIAANISOCORIA

THIRD NERVE THIRD NERVE MISDIRECTIONMISDIRECTION

CONGENITAL OR CONGENITAL OR FOLLOW AFTER 3 N FOLLOW AFTER 3 N PALSIESPALSIES

BIZARRE BIZARRE MOVEMENTS OF MOVEMENTS OF UPPER LID WITH UPPER LID WITH EYE MOVEMENTSEYE MOVEMENTS

TREATMENTTREATMENT LEVATOR LEVATOR

DISINSERTIONDISINSERTION BROW SUSPENSIONBROW SUSPENSION

SIMPLE CONGENITAL PTOSISSIMPLE CONGENITAL PTOSIS

ABSENT LID ABSENT LID CREASECREASE

POOR LEVATOR POOR LEVATOR FUNCTIONFUNCTION

TREATMENTTREATMENT LEVATOR LEVATOR

RESECTION RESECTION DURING PRE-DURING PRE-SCHOOL YEARSSCHOOL YEARS

CONGENITAL PTOSISCONGENITAL PTOSIS

BLEPHAROPHIMOSIS BLEPHAROPHIMOSIS SYNDROMESYNDROME

RARE, CONGENITALRARE, CONGENITAL AUTOSOMAL DOMINANTAUTOSOMAL DOMINANT SIGNSSIGNS

PTOSISPTOSIS SHORT HORIZONTAL SHORT HORIZONTAL

APERTUREAPERTURE TELECANTHUSTELECANTHUS EPICANTHUS INVERSUSEPICANTHUS INVERSUS POORLY DEVELOPED POORLY DEVELOPED

NASAL BRIDGENASAL BRIDGE HYPOPLASIA OF HYPOPLASIA OF

SUPERIOR ORBITAL RIMSSUPERIOR ORBITAL RIMS

APONEUROTIC PTOSISAPONEUROTIC PTOSIS CAUSED BY DEHISCENCE, CAUSED BY DEHISCENCE,

DISINSERTION OR DISINSERTION OR STRETCHING OF LEVATOR STRETCHING OF LEVATOR APONEUROSISAPONEUROSIS

SIGNSSIGNS BILATERAL PTOSIS & GOOD BILATERAL PTOSIS & GOOD

LEVATOR FUNCTIONLEVATOR FUNCTION HIGH UPPER LID CREASEHIGH UPPER LID CREASE

TREATMENTTREATMENT LEVATOR RESECTION, LEVATOR RESECTION,

REINSERTION OR ANT. REINSERTION OR ANT. LEVATOR APONEUROSIS LEVATOR APONEUROSIS REPAIRREPAIR

APONEUROTIC PTOSISAPONEUROTIC PTOSIS

INVOLUTIONAL PTOSISINVOLUTIONAL PTOSIS

MAY BE CONFUSED MAY BE CONFUSED WITH MYASTHENIC WITH MYASTHENIC PTOSIS BECAUSE IT PTOSIS BECAUSE IT GETS WORSE AT GETS WORSE AT THE END OF DAYTHE END OF DAY

THINNING OF LIDS THINNING OF LIDS ABOVE THE ABOVE THE TARSAL PLATES & TARSAL PLATES & DEEP SULCIDEEP SULCI

MECHANICAL PTOSISMECHANICAL PTOSIS

DERMATOCHALASIDERMATOCHALASISS

LARGE EYELID LARGE EYELID TUMOURSTUMOURS

SCARRINGSCARRING LID ODEMALID ODEMA ANTERIOR ORBITAL ANTERIOR ORBITAL

LESIONSLESIONS

DERMATOCHALASISDERMATOCHALASIS

COMMON, COMMON, BILATERALBILATERAL

AFFECTS ELDERLYAFFECTS ELDERLY REDUNDANT UPPER REDUNDANT UPPER

LID SKIN WITH LID SKIN WITH HERNIATION OF FAT HERNIATION OF FAT THROUGH WEAK THROUGH WEAK ORBITAL SEPTUMORBITAL SEPTUM

TREATMENTTREATMENT BLEPHAROPLASTYBLEPHAROPLASTY

FOREST WHITTAKERFOREST WHITTAKER

THANKYOUTHANKYOU