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Blepharoptosis, inferodisplacement of the upper eyelid, can be congenital or acquired. Acquired Blepharoptosis is usually aponeurotic, due to stretching or disinsertion of the levator aponeurosis. Treatment is surgical and can be performed by three common procedures - Levator advancement, Müller's muscle-conjunctival resection procedure and White line advancement. A number of reports inspected the possibility that Blepharoptosis repair procedures may cause deterioration in dry eye status. The investigators would like to assess whether there is a difference between the different procedures in their influence on dry eye status.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients operated for ptosis by levator advancement | Experimental | patients undergoing surgical repair for aponeurotic ptosis by the procedure- levator advancement. |
|
| Patients operated for ptosis by white line advancement | Experimental | patients undergoing surgical repair for aponeurotic ptosis by the procedure- white line advancement |
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| Patients operated for ptosis by Müller resection | Experimental | patients undergoing surgical repair for aponeurotic ptosis by the procedure- Müller's muscle-conjunctival resection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Levator advancement | Procedure | A transcutaneous procedure in which the Levator palpebrae aponeurosis is advanced and attached to the tarsus. |
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| Measure | Description | Time Frame |
|---|---|---|
| Diagnosis of objective or subjective deterioration in dry eye status | Dry eye status will be measured by a composite of tests, including Ocular surface disease index (OSDI) questionnaire (which indicates subjective status), and a number of objective tests - Shirmer test, Flurocein dye, Lissamine green dye and tear breakup time | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Ptosis repair procedure success | Success will be assessed by comparison of margin reflex distance1 (MRD1) measurement before and after surgery | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maya Eiger, MD | Contact | +972-3-9376107 | mayae2@clalit.org.il |
| Name | Affiliation | Role |
|---|---|---|
| Maya Eiger, MD | Rabin Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ophthalmology clinics, Rabin Medical Center | Recruiting | Petah Tikva | Israel |
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| ID | Term |
|---|---|
| D001763 | Blepharoptosis |
| ID | Term |
|---|---|
| D005141 | Eyelid Diseases |
| D005128 | Eye Diseases |
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| Müller's muscle-conjunctival resection procedure | Procedure | A transconjunctival procedure in which part of the muller muscle and conjunctiva are resected. |
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| White line advancement | Procedure | A transconjunctival procedure in which the Levator palpebrae aponeurosis is advanced and attached to the tarsus. |
|