Blepharoplasty, Upper Lid Ptosis Surgery Workup

  • Author: Jorge I de la Torre, MD, FACS; Chief Editor: Lars M Vistnes, MD, FRCSC, FACS   more...
 
Updated: Sep 1, 2010
 

Laboratory Studies

Laboratory studies should be performed as needed for routine preoperative evaluation. However, a comprehensive evaluation for patients with ptosis of unclear etiology can include clinical examination by a neurologist and ophthalmologist; radiographic evaluation of the brain, orbits, and chest; and blood work.

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Other Tests

A thorough evaluation of both functional and aesthetic problems is required prior to ptosis repair surgery. This includes assessment of visual acuity, corneal irritation, and excessive or insufficient tearing. Test for myasthenia gravis using the Tensilon test. Horner syndrome can be tested by stimulation with 10% phenylephrine hydrochloride solution, which corrects the ptosis. Preoperative photographs document the degree of ptosis and asymmetry as well as provide a comparison to evaluate postoperative results.

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Contributor Information and Disclosures
Author

Jorge I de la Torre, MD, FACS  Professor of Surgery and Physical Medicine and Rehabilitation, Chief, Division of Plastic Surgery, Residency Program Director, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics

Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama

Disclosure: Nothing to disclose.

Coauthor(s)

Luis O Vasconez, MD, FACS  Chief, Professor, Division of Plastic Surgery, University of Alabama at Birmingham

Luis O Vasconez, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Head and Neck Surgery, American Society for Reconstructive Microsurgery, American Society for Surgery of the Hand, American Society of Maxillofacial Surgeons, and American Surgical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Neal R Reisman, MD, JD  Chief of Plastic Surgery, St Luke's Episcopal Hospital; Clinical Professor of Plastic Surgery, Baylor College of Medicine

Neal R Reisman, MD, JD is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Lipoplasty Society of North America, Texas Medical Association, and Texas Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

R Edward Newsome, MD  Program Director and Chief of Plastic Surgery, Henderson Chair in Surgery, Assistant Dean for Graduate Medical Education, Tulane University School of Medicine

R Edward Newsome, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society of Plastic and Reconstructive Surgery, American Society of Plastic Surgeons, and Louisiana State Medical Society

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Lars M Vistnes, MD, FRCSC, FACS  Professor of Surgery, Emeritus, Stanford University Medical Center

Lars M Vistnes, MD, FRCSC, FACS is a member of the following medical societies: Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

References

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