{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T14:42:46Z","timestamp":1768401766967,"version":"3.49.0"},"reference-count":15,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2017,2,28]],"date-time":"2017-02-28T00:00:00Z","timestamp":1488240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openophthalmologyjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOOPHTJ"],"published-print":{"date-parts":[[2017,2,28]]},"abstract":"\n Background:<\/jats:title>\n Recovery of Bell`s phenomenon after levator resection is unpredicatable. Delayed recovery can result in vision threatening corneal complications.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n To study the variability of Bell\u2019s phenomenon and time taken for its recovery following levator resection for blepharoptosis and to correlate it with the amount of resection.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A prospective observational study was conducted on 32 eyes of 32 patients diagnosed as unilateral simple congenital blepharoptosis who underwent levator resection at a tertiary care center between July 2013 and May 2015. Patients were followed up for 5 months and correction of ptosis, type of Bell`s, duration of Bell`s recovery and complications were noted.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The study group ranged from 16-25 years with 15:17 male: female ratio. There were 9 mild, 16 moderate and 7 severe ptosis. Satisfactory correction was achieved in all cases. Good Bell`s recovery occurred in 13 eyes on first post-op day, in 2-14 days in 19 eyes and 28 days in 1 eye. Inverse Bell`s was noted along with lid oedema and ecchymosis in 2 patients. Large resections (23-26mm) were associated with poor Bell`s on the first postoperative day (p=0.027, Fisher`s exact test). However, the duration required for recovery of Bell`s phenomenon did not show any significant difference with the amount of resection. (p=0.248, Mann Whitney test). Larger resections resulted in greater lagophthalmos (correlation=0.830, p<0.0001). Patients with recovery of Bell`s delayed for more than 7 days were associated with greater number of complications (p=0.001 Fisher`s Exact Test).<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Close monitoring for Bell`s recovery is required following levator resection.<\/jats:p>\n <\/jats:sec>","DOI":"10.2174\/1874364101711010024","type":"journal-article","created":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T05:35:26Z","timestamp":1488951326000},"page":"24-30","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Relationship of Amount of Resection and Time for Recovery of Bell\u2019s Phenomenon after Levator Resection in Congenital Ptosis"],"prefix":"10.2174","volume":"11","author":[{"given":"Ruchi","family":"Goel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Divya","family":"Kishore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Smriti","family":"Nagpal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sparshi","family":"Jain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tushar","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1001\/archopht.1961.01840020495005","volume":"65","author":"Fasanella R.M.","year":"1961","unstructured":"Fasanella RM, Servat J. \n Levator resection for minimal ptosis: another simplified operation. \n Arch Ophthalmol \n 1961; \n 65\n : 493-6.","journal-title":"Arch. Ophthalmol."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1111\/j.1442-9071.1984.tb01119.x","volume":"12","author":"Francis I.C.","year":"1984","unstructured":"Francis IC, Loughhead JA. \n Bells phenomenon. A study of 508 patients. \n Aust J Ophthalmol \n 1984; \n 12\n (1)\n : 15-21.","journal-title":"Aust. J. Ophthalmol."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"ND01","DOI":"10.7860\/JCDR\/2015\/11340.5686","volume":"9","author":"Shitole S.","year":"2015","unstructured":"Shitole S, Jakkal T, Khaire B. \n Inverse bells phenomenon: rare ophthalmic finding following ptosis surgery. \n J Clin Diagn Res \n 2015; \n 9\n (3)\n : ND01-2.","journal-title":"J. Clin. Diagn. 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