PMID- 32516215 OWN - NLM STAT- MEDLINE DCOM- 20201026 LR - 20201026 IS - 1536-3732 (Electronic) IS - 1049-2275 (Linking) VI - 31 IP - 5 DP - 2020 Jul-Aug TI - Effectiveness of Blepharoptosis Surgery in Patients With Deepening of the Upper Eyelid Sulcus. PG - 1284-1286 LID - 10.1097/SCS.0000000000006485 [doi] AB - The purpose of this retrospective study was to evaluate the effectiveness of blepharoptosis surgery in patients with deepening of the upper eyelid sulcus (DUES). This case series included 10 consecutive patients (19 eyes) with DUES associated with use of a prostaglandin analog for glaucoma. Patients who had used bimatoprost and developed DUES were changed to an alternative prostaglandin analog and observed for >/=3 months. If there was no improvement, they underwent levator resection for blepharoptosis and were followed up for >/=6 months postoperatively. Improvement in margin reflex distance-1 and surgical complications was evaluated. After discontinuation of bimatoprost in 3 cases (6 eyes), mild subjective and objective improvement in DUES was seen in 2 cases (4 eyes) but without improvement in blepharoptosis. The prostaglandin analog used before surgery was travoprost in 4 eyes (21.0%), tafluprost in 7 eyes (36.9%; including 4 eyes switched from bimatoprost), and latanoprost in 8 eyes (42.1%; including 2 eyes switched from bimatoprost). The mean margin reflex distance-1 value was 1.11 +/- 0.96 mm before surgery and 3.72 +/- 0.81 mm at the final postoperative follow-up; the difference was significant (P = 3.32 x -10). There were no intraoperative or postoperative complications. Levator resection is a useful and safe procedure for blepharoptosis with DUES. FAU - Yamazaki, Hitoshi AU - Yamazaki H AD - Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan. FAU - Yunoki, Tatsuya AU - Yunoki T FAU - Tojo, Naoki AU - Tojo N FAU - Hayashi, Atsushi AU - Hayashi A LA - eng PT - Journal Article PL - United States TA - J Craniofac Surg JT - The Journal of craniofacial surgery JID - 9010410 RN - 0 (Prostaglandins F) RN - 1O6WQ6T7G3 (tafluprost) RN - 6Z5B6HVF6O (Latanoprost) RN - QXS94885MZ (Bimatoprost) RN - WJ68R08KX9 (Travoprost) MH - Aged MH - Bimatoprost/therapeutic use MH - Blepharoptosis/*surgery MH - Eyelids MH - Female MH - Humans MH - Latanoprost/therapeutic use MH - Male MH - Prostaglandins F/therapeutic use MH - Retrospective Studies MH - Travoprost/therapeutic use EDAT- 2020/06/10 06:00 MHDA- 2020/10/27 06:00 CRDT- 2020/06/10 06:00 PHST- 2020/06/10 06:00 [pubmed] PHST- 2020/10/27 06:00 [medline] PHST- 2020/06/10 06:00 [entrez] AID - 10.1097/SCS.0000000000006485 [doi] PST - ppublish SO - J Craniofac Surg. 2020 Jul-Aug;31(5):1284-1286. doi: 10.1097/SCS.0000000000006485.