{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:37:58Z","timestamp":1757702278871},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T00:00:00Z","timestamp":1651708800000},"content-version":"vor","delay-in-days":2622,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>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&gt;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.<\/jats:p>","DOI":"10.5999\/aps.2015.42.2.214","type":"journal-article","created":{"date-parts":[[2015,3,18]],"date-time":"2015-03-18T11:33:57Z","timestamp":1426678437000},"page":"214-217","source":"Crossref","is-referenced-by-count":7,"title":["Treatment of Eyelid Ptosis due to Kearns-Sayre Syndrome Using Frontalis Suspension"],"prefix":"10.1055","volume":"42","author":[{"given":"Laurenz","family":"Weitgasser","sequence":"additional","affiliation":[{"name":"Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gottfried","family":"Wechselberger","sequence":"additional","affiliation":[{"name":"Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Ensat","sequence":"additional","affiliation":[{"name":"Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Hladik","sequence":"additional","affiliation":[{"name":"Department of Plastic, Aesthetic, and Reconstructive Surgery, Krankenhaus Barmherzige Brueder Salzburg, Teaching Hospital of the Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,5]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1001\/archopht.1958.00940080296016","article-title":"Retinitis pigmentosa, external ophthalmophegia, and complete heart block: unusual syndrome with histologic study in one of two cases","volume":"60","author":"TP Kearns","year":"1958","journal-title":"AMA Arch Ophthalmol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"727","DOI":"10.3349\/ymj.2004.45.4.727","article-title":"Kearns-Sayre syndrome: 3 case reports and review of clinical feature","volume":"45","author":"SB Park","year":"2004","journal-title":"Yonsei Med J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.bjps.2007.08.022","article-title":"Blepharoptosis due to Kearns-Sayre syndrome","volume":"61","author":"G Papageorgiou","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref4","first-page":"559","article-title":"External ophthalmoplegia, pigmentary degeneration of the retina, and cardiomyopathy: a newly recognized syndrome","volume":"63","author":"TP Kearns","year":"1965","journal-title":"Trans Am Ophthalmol Soc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1212\/WNL.36.1.45","article-title":"Treatment of Kearns-Sayre syndrome with coenzyme Q10","volume":"36","author":"S Ogasahara","year":"1986","journal-title":"Neurology"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1001\/archopht.1980.01020031060010","article-title":"Orbicularis oculi muscle in chronic progressive external ophthalmoplegia","volume":"98","author":"J Eshaghian","year":"1980","journal-title":"Arch Ophthalmol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1097\/IOP.0b013e31819ac542","article-title":"Frontalis suspension 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