Typical clinical findings in aponeurotic ptosis may include good levator muscle function, deep upper eyelid sulcus, and upper eyelid dermatochalasis [11].
Senile entropion and aponeurotic ptosis are common eyelid disorders in the elderly population.
In our case, the successful surgical management of the involutional entropion and the aponeurotic ptosis led to a significant reduction of the patient's postoperative discomfort and total recovery time, as both diseases were treated synchronously.
Congenital causes, oculomotor nerve palsy, myasthenia gravis, post-traumatic causes, and more rarely, Marcus- Gunn jaw-winking (MGJWS) syndrome and
aponeurotic ptosis are considered among the causes.
Eight (22.2%) patients had neurogenic ptosis, 5(13.9%) had mechanical ptosis, 17 (47.2%) cases had myogenic, 6 (16.7%) had aponeurotic ptosis. Twenty seven eye of fifteen patients were managed surgically.
Eight (22.2%) patients had neurogenic ptosis (5 had occulomotor nerve palsy, 2 had Marcus-Gunn jaw winking phenomenon, 1 had Horner's syndrome), 5 (13.9%) had mechanical ptosis (2 had giant papillary conjunctivitis, 2 had tumors and 1 had large chalazion), 17 (47.2%)cases had myogenic, 6 (16.7%) had aponeurotic ptosis (Table-1).
Efficacy and efficiency of a small-incision, minimal dissection procedure versus a traditional approach for correcting aponeurotic ptosis. Ophthalmology 2004; 111(12):2158-63.