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Single stage surgery for Blepharophimosis syndrome
Kasturi Bhattacharjee1, Harsha Bhattacharjee, Ganesh Kuri
1Department of Orbit, Ophthalmic Plastic and Reconstructive Surgery, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.
Indian Journal of Ophthalmology
|May 10, 2012
Summary
Single-stage surgery effectively corrects Blepharophimosis syndrome, improving vision and facial aesthetics. This procedure offers stable, successful long-term functional and cosmetic outcomes for patients.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Genetics
Background:
- Blepharophimosis syndrome presents with characteristic facial anomalies including epicanthus inversus, telecanthus, palpebral phimosis, and ptosis.
- These conditions can significantly impair vision and affect facial appearance.
Purpose of the Study:
- To evaluate the functional and cosmetic results of a single-stage surgical correction for classic Blepharophimosis syndrome components.
- To assess the long-term stability of surgical outcomes.
Main Methods:
- Retrospective review of 11 patients with Blepharophimosis syndrome operated between 2004 and 2008.
- Single-stage surgical correction addressing epicanthus inversus, telecanthus, palpebral phimosis, and bilateral ptosis.
- Pre- and postoperative examinations, photography, and visual acuity measurements with a mean follow-up of 3 years.
Main Results:
- Significant improvement in visual acuity (0.729 to 0.856, P<0.0428) and reduction in astigmatism (P<0.05).
- Statistically significant correction of telecanthus (IICD: 3 to 2.418, P<0.0001) and palpebral fissure length (P=0.019).
- Marked improvement in ptosis (IPFH, P<0.01) and superior visual field, with stable functional and cosmetic results at mean 3-year follow-up.
Conclusions:
- A single-stage surgical approach is a stable and successful method for correcting classic Blepharophimosis syndrome anomalies.
- The procedure yields significant long-term functional and cosmetic benefits.
