ABSTRACT Eyebrow position plays a central role in facial harmony and emotional expression. Lateral brow ptosis is a common condition associated with aging, tissue laxity, and individual anatomical characteristics, with aesthetic and, in more severe cases, functional consequences. The main treatment techniques include direct brow lift (Castanhares technique), transpalpebral approach, internal browpexy, subcutaneous temporal lift, brassiere suture, and endoscopic lift. Each technique carries specific indications based on the degree of ptosis, the patient’s anatomical profile, and aesthetic expectations. Literature highlights […]

ABSTRACT The objective was to report a case of severe eyelid ptosis associated with Kearns-Sayre Syndrome (KSS), with 12 years of postoperative follow-up. A patient diagnosed with KSS presented with progressive eyelid ptosis since childhood and underwent bilateral frontalis suspension using silicone rods. Clinical follow-up included evaluation of eyelid symmetry, ocular motility, and visual acuity. After 12 years of follow-up, stable eyelid symmetry and satisfactory functional outcomes were observed, despite the expected progression of the underlying mitochondrial myopathy. Frontalis suspension […]

ABSTRACT To report a case of Dubowitz syndrome with eyelid ptosis in the right eye, successfully treated with surgical correction. A 9-year-old child, previously diagnosed with Dubowitz syndrome, presented with congenital ptosis in the right eye. Surgical correction of eyelid ptosis was performed. The postoperative outcome showed significant functional and aesthetic improvement, with satisfactory eyelid position and absence of complications. Dubowitz syndrome is a rare autosomal recessive disorder characterized by multiple congenital anomalies, including ophthalmologic manifestations such as eyelid ptosis. […]

ABSTRACT This case report aimed to describe the Tolosa-Hunt syndrome in a patient infected with chikungunya and highlight the relevance of considering chikungunya as a possible cause of the Tolosa-Hunt syndrome, especially in endemic or epidemic infection sites. A 63-year-old female patient diagnosed with chikungunya 2 months earlier was being followed up by a general practitioner. She had painful ophthalmoplegia associated with eyelid ptosis in the left eye (LE) for 1 month. Intraocular pressure (IOP) of 20 and 26 mmHg. […]

ABSTRACT Objective To compare efficacy, durability and postoperative complications of frontal suspension with the use of autologous fascia lata, silicone sling or polypropylene suture. Methods A descriptive, analytical, observational and retrospective study of patients with severe ptosis who underwent frontalis suspension, during a 2-year period. Data analyzed included comparative margin to reflex distance, palpebral fissure, and complications. Results Fascia lata was the material that provided the best results of margin to reflex distance and palpebral fissure in the postoperative analysis […]

The purpose of this report is to describe a case of external ophthalmomyiasis, discussing the clinical picture, differential diagnoses and treatment options. The information was obtained by means of a review of the medical record, an interview with the patient and a photographic record of the diagnostic and therapeutic methods to which the patient was submitted. Data were analyzed together with an extensive review of the literature. Our article reports a case of a patient who was initially diagnosed and […]

OBJECTIVES: To assess the palpebral position in patients with congenital or acquired ptosis, related to margin, sulcus and eyebrow, trying to identify differences between types of ptosis. METHODS: A retrospective evaluation of patients with palpebral ptosis treated at the Ambulatory of Ophthalmic Plastic Surgery – Faculdade de Medicina de Botucatu (UNESP) was conducted, from 1995 to 2006. Data were recovered from electronic medical charts as well as digital image files. Eighty-seven patients were assessed, according to age, gender and data […]

PURPOSE: To draw an epidemiological profile of congenital ptosis patients in the Hospital Regional de São José (HRSJ), describing the general characteristics of congenital ptosis, including the coexistence of strabismus and the prevalence of amblyopia. METHODS: An epidemiological study with a cross-sectional characteristic was conducted, based on analysis of medical records of congenital ptosis cases treated on the Department of Ocular Plastic and Orbit of the HRSJ, from July 1998 to July 2008. RESULTS: A total of 42 patients (56 […]