Treatment of Eyelid Ptosis due to Kearns-Sayre Syndrome Using Frontalis Suspension

Blepharoptosis is a common indication for surgery in plastic surgery units, yet its possible underlying pathology frequently remains unidentified. A 52-year-old man with a 20-year history of progressive bilateral ptosis (right>left) presented with recurrent ptosis of both eyes; he had undergone an operation on the levator aponeurosis 12 years prior. Due to the suspicion of an underlying disease, he was evaluated further. Chronic progressive external ophthalmoplegia in transition to the more severe syndromic variant Kearns-Sayre syndrome, a mitochondrial disorder causing myopathy, was diagnosed. The patient was treated with coenzyme Q10, and he underwent ptosis surgery on both eyes. This case illustrates a potentially multi-systemic disease that was diagnosed by a further evaluation of a common symptom, in this case worsening blepharoptosis. Awareness of myopathic symptoms is necessary to prevent overlooking serious yet improvable conditions.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Treatment of Eyelid Ptosis due to Kearns-Sayre Syndrome Using Frontalis Suspension ; volume:42 ; number:02 ; year:2015 ; pages:214-217 ; Archives of Plastic Surgery ; 42, Heft 02 (2015), 214-217

Contributors, Places and Time

• Contributor: Weitgasser, Laurenz ; Wechselberger, Gottfried ; Ensat, Florian ; Kaplan, Rene ; Hladik, Michaela

Further information

• DOI: 10.5999/aps.2015.42.2.214
• URN: urn:nbn:de:101:1-2022062310262777271808
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:36 AM CEST