Re: Re: about bleph........

[Guest guest]

Hey dudes,

>>Hi Maree, thanks for all the info....umm wondering if maybe Noelle

or Rob

>>or someone just as clever could maybe explain a little of Maree's Medical

>>Java?

I'll translate as best I (or my Stedman's Dictionary) can, interspersed...

>>correct timing for this operation. Can anyone also tell me please....is

>>there different techniques to correct the Epicanthus Folds?

There have apparently been many techniques cited over the years. Among

recent work, & Nowinski (Arch Ophthalmol 1989;107;448-452) list

the three best as: (1) Mustarde's five-flap " jumping man " , (2) 's

modification of the Blair technique (whetever that is! sorry, no info),

and (3) Double Z-plasties with Y-to-V flap. Their preference is for #3,

and these days it seems to be the most common.

>>>I had surgery when I was a baby - the only info I have is `operations at

>>>the inner canthi for blepharophimosis`.

Probably epicanthus inversus correction and bleph correction.

>>> Then at age 15 I was seen by a

>>>specialist, `with bilateral ptosis & myopia with fine rotatory nystagmus

>>> & some left amblyopia`.

That's droopy eyelids (both), short-sightedness, slight involuntary eye

movements and poor vision in one eye), respectively. There are a number

of types of amblyopia, so I can't be more specific.

>>>He then proceeded to `shorten both levators from

>>>the under surface (Blaskovikz type of operation)

von Blascovics appears to have pioneered the treatment of ptosis in the

1920s. The 'levators' are the muscles that lift the eyelids. A less

common procedure these days, I believe (fascia lata slings are more

common, also known as a 'frontalis suspension', the frontalis being the

forehead muscle).

>>> & extended the lateral

>>>[c]anthi - a definite improvement apparently.

The lateral canthus is the outer corner of the eye, whereas the inner

corner (where the majority of the BPEI 'action' occurs) is called the

medial canthus.

>>>My daughter, , at the age of 13yrs had `bilateral medial

>>>canthoplasties (V-Y) closures

Both canthi, near the nose. V-Y: see above

>>> in addition to shortening of both medial

>>>canthal ligaments (anterior ligaments)`.

The ligament which supports the canthus by holding it towards the nose.

The anterior ones are at the front. Shortening them is a common way to

bring the canthi closer in as a treatment for telecanthus (canthi too

far apart), since there's a limit to how far the V-Y and Z-plasties can

extend the opening.

>>>the anaesthetic so it was some years before she wanted to pursue further

>>>treatment which would be for `a mild degree of lower lid ectropion` (I

>>>think that means the lower lid is away from the eye a bit

Yes.

>>> - causes some problems with tears running the wrong way!)

Yes. Also can result in, or be made worse by, the tear ducts being in an

ineffective spot, hence watery eyes, etc.

>>>have the `repair of the upper lid ptosis - with autologous fascialata`.

Fascia lata is the tough slippery stuff that surrounds the thigh

muscles, keeping them in their shape and allowing them to slide against

each other. Autologous means (grafts, transplants, etc) from/to the same

person. I.e. using one's own fascia lata rather than someone else's.

Now my poor thrashed medical dictionary is about to catch fire, so away

with me!

Rob

[Guest guest]

I agree, thanks Rob for all your 'translating'. I only hope that one day I'll be as up with it (and have a medical dictionary) and be able to help others as you do. Now all I need to do is remember all of this :-)

It's so great to have such a support group, especially when most Doctors don't know anything about bpes. I know WE would be lost without all the experiences, opinions and answers from this group. Thanks everyone!

blepharophimosis Re: about bleph........

Thankyou Rob for your explanations of the surgical procedures.............appreciate the time you took to look it all up.Byemaree> Hey dudes,> > >>Hi Maree, thanks for all the info....umm wondering if maybe Noelle > or Rob> >>or someone just as clever could maybe explain a little of Maree's Medical> >>Java?> > I'll translate as best I (or my Stedman's Dictionary) can, interspersed...> > >>correct timing for this operation. Can anyone also tell me please....is> >>there different techniques to correct the Epicanthus Folds? > > There have apparently been many techniques cited over the years. Among > recent work, & Nowinski (Arch Ophthalmol 1989;107;448-452) list > the three best as: (1) Mustarde's five-flap "jumping man", (2) 's > modification of the Blair technique (whetever that is! sorry, no info), > and (3) Double Z-plasties with Y-to-V flap. Their preference is for #3, > and these days it seems to be the most common.> > >>>I had surgery when I was a baby - the only info I have is `operations at> >>>the inner canthi for blepharophimosis`.> > Probably epicanthus inversus correction and bleph correction.> > >>> Then at age 15 I was seen by a> >>>specialist, `with bilateral ptosis & myopia with fine rotatory nystagmus> >>> & some left amblyopia`.> > That's droopy eyelids (both), short-sightedness, slight involuntary eye > movements and poor vision in one eye), respectively. There are a number > of types of amblyopia, so I can't be more specific.> > >>>He then proceeded to `shorten both levators from> >>>the under surface (Blaskovikz type of operation)> > von Blascovics appears to have pioneered the treatment of ptosis in the > 1920s. The 'levators' are the muscles that lift the eyelids. A less > common procedure these days, I believe (fascia lata slings are more > common, also known as a 'frontalis suspension', the frontalis being the > forehead muscle).> > >>> & extended the lateral> >>>[c]anthi - a definite improvement apparently.> > The lateral canthus is the outer corner of the eye, whereas the inner > corner (where the majority of the BPEI 'action' occurs) is called the > medial canthus.> > >>>My daughter, , at the age of 13yrs had `bilateral medial> >>>canthoplasties (V-Y) closures> > Both canthi, near the nose. V-Y: see above> > >>> in addition to shortening of both medial> >>>canthal ligaments (anterior ligaments)`.> > The ligament which supports the canthus by holding it towards the nose. > The anterior ones are at the front. Shortening them is a common way to > bring the canthi closer in as a treatment for telecanthus (canthi too > far apart), since there's a limit to how far the V-Y and Z-plasties can > extend the opening.> > >>>the anaesthetic so it was some years before she wanted to pursue further> >>>treatment which would be for `a mild degree of lower lid ectropion` (I> >>>think that means the lower lid is away from the eye a bit> > Yes.> > >>> - causes some problems with tears running the wrong way!) > > Yes. Also can result in, or be made worse by, the tear ducts being in an > ineffective spot, hence watery eyes, etc.> > >>>have the `repair of the upper lid ptosis - with autologous fascialata`.> > Fascia lata is the tough slippery stuff that surrounds the thigh > muscles, keeping them in their shape and allowing them to slide against > each other. Autologous means (grafts, transplants, etc) from/to the same > person. I.e. using one's own fascia lata rather than someone else's.> > Now my poor thrashed medical dictionary is about to catch fire, so away > with me!> > Rob