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Dear Patient and Family,

With a mixture of sadness and gratitude, I announce the closing of my practice after 45 wonderful years in Pediatric Ophthalmology and Adult Eye Muscle Specialty. As of August 30, 2024, I will be retiring.

Serving as your eye doctor has been an immense privilege and honor. Over the years, I have had the joy of building relationships with so many of you and being a part of your lives. I am incredibly grateful, humbled, and appreciative that you have allowed me to be part of your life’s journey, just as you have been a part of mine. Each day of my career has been a unique opportunity to touch lives in ways that have brought me immense joy. I will treasure these memories forever.

I have thoroughly enjoyed living and working in Cincinnati since founding the Department of Pediatric Ophthalmology at Children’s Hospital in July 1979. However, I am now an empty nester. My wife Barbara (who you may know as my "Do-Everything" office manager) and I have two sons and six grandchildren, all of whom reside in
Florida. We are looking forward to moving there and spending much more time with our family.

As my practice closes, I understand the importance of finding a new pediatric ophthalmologist. While it will be up to you to connect with a provider of your choice, I can recommend the following options:

Michael B. Yang, M.D.

  • 7185 Liberty Centre Drive, Suite D
  • Liberty Township, OH 45069
  • Office phone: 513-777-2000
  • Email:
  • libertyeyecenter.org

Pediatric Ophthalmology at Cincinnati Children's Hospital

  • 3333 Burnet Ave.
  • Cincinnati, OH 45229
  • Office: 513-636-4751
  • Scheduling: 513-636-3200
  • CincinnatiChildrens.org

Regarding your medical records, all my records will be transferred to Morgan Records Management, LLC shortly after my practice closes. There will be a brief transition period, but if you wish to obtain a copy of your records, you can submit a written request to:

Morgan Records Management: Medical Records

  • Phone: 833-888-0061
  • Email:
  • Online: MorganRecordsmanagement.com
  • Find “Patient Records Request “ — Hit Tab “Request My Medical Records”

Saying goodbye is never easy. I want to thank you once again for the trust you placed in me throughout the years. I wish you all the best for your future health and happiness.

Warm regards,
Miles J. Burke, M.D.

Ptosis

Dr. Burke is one of Cincinnati’s most trusted resources concerning Ptosis.

What is a droopy eyelid or ptosis?

A droopy eyelid or ptosis can be present at birth (congenital) or occur later in life (acquired). Poor development of the levator palpebris muscle in the upper eyelid with resulting abnormal function is the most common cause of congenital ptosis. Acquired ptosis has many causes. Ptosis can involve one or both upper eyelids, with or without asymmetry.

What problems can occur as a result of childhood ptosis?

One or more of the following vision problems may accompany ptosis in childhood: astigmatism (refractive error), obstruction of the visual axis, chin up head position, and amblyopia. The abnormal resting position of the eyelid on the cornea may result in astigmatism or other refractive error and is a risk factor to develop amblyopia. Another risk factor for amblyopia is an eyelid so droopy that it actually blocks vision into the eye. Also, a chin up head position to see below the droopy eyelid may be noted. Contraction of the frontalis muscle (in the forehead) to help elevate the eyelid is a very common compensatory mechanism.

What causes acquired ptosis?

Acquired ptosis can be caused by neurological conditions that affect the nerves and/or muscles of the eye. These include myasthenia gravis, progressive external ophthalmoplegia, Horner syndrome and third nerve paralysis. The ptosis may be combined with an eye movement disorder/ double vision. An eyelid mass can also cause ptosis.

How is ptosis treated?

When amblyopia is present, appropriate treatment is initiated. When potential amblyopia causing astigmatism is present, glasses are often prescribed. Early surgery is usually indicated for a droopy eyelid that blocks vision (which may cause delayed vision development) or causes a chin up head position (which may cause neck problems and/or delay of developmental skills). Children are usually observed serially to monitor for visual problems. During preschool years surgery may be indicated if facial maturation has not sufficiently improved the ptosis.

More technical information can be found on the EyeWiki Site