Evaluation and Management of Blepharoptosis
Written by experts in the fields of oculofacial plastic surgery and neuro-ophthalmology, Evaluation and Management of Blepharoptosis is an up-to-date, practical guide to the treatment of adults and children with ptosis. This comprehensive reference covers
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Adam J. Cohen • David A. Weinberg Editors
Evaluation and Management of Blepharoptosis “Foreword by George Brian Bartley, MD”
Editors Adam J. Cohen Private Practice The Art of Eyes Skokie, IL USA [email protected]
David A. Weinberg Concord Eye Care Concord, NH and Department of Surgery (Ophthalmology) Dartmouth Medical School Hanover, NH USA [email protected]
ISBN 978-0-387-92854-8 e-ISBN 978-0-387-92855-5 DOI 10.1007/978-0-387-92855-5 Springer New York Dordrecht Heidelberg London © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Dedicated to the memory of Bartley R. Frueh, MD – a superb clinician, scientist, and teacher
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Foreword
You are reading this book, presumably, because you want to know more about treating patients with ptotic eyelids (or perhaps that one particularly vexing patient whose droopy eyelid refuses to respond to your normally successful surgical expertise). The good news: any eyelid can be lifted. But more about that later. First, reflect for a moment on the supreme elegance of the eyelid. Less than an organ but far more than mere tissue, the eyelid is both subtle and sublime. Our eyes can detect, with a quick glance, asymmetries of eyelid height and abnormalities of eyelid contour that measure less than a millimeter. Think of how much nonverbal information can be conveyed by a blink, a wink, a squint, or a glare; eyelids are the primary drivers of facial expression. Twinkling eyes, sad eyes, bedroom eyes, pop-eyes – extraordinarily different subjectively, amazingly similar objectively. We should pause and ponder, however, if we think that a ptotic eyelid is a ptotic eyelid is a ptotic eyelid. Yes, patients with weak levators walk into our clinics every day, but, given enough time in practice, so also will patients with myasthenia gravis, aneurysms, tumors, chronic progressive external ophth
