Upper blepharoplasty

Objective To describe the results of upper blepharoplasty for the treatment of progressive myopathic upper eyelid blepharoptosis. Design Retrospective, noncomparative case series. Participants Six consecutive patients treated bilaterally. Intervention Upper blepharoplasty in 6 patients (12 eyelids) with progressive myopathic ptosis. Main outcome measures Subjective visual improvement, ocular comfort, preoperative and postoperative margin reflex distances, lagophthalmos, and degree of corneal keratopathy at last follow-up date. Results All patients had subjective visual improvement and denied ocular discomfort. Upper eyelid ptosis, measured by margin reflex distances, was improved. No worsening of lagophthalmos or corneal keratopathy was noted. Conclusions Upper blepharoplasty may be an excellent alternative for ptosis treatment in patients with progressive myopathies. Improvement in ptosis, margin reflex distance, without concomitant lagophthalmos, and corneal keratopathy can be achieved.