Adjustable Ptosis Correction via Posterior Levator Advancement With Minimal Superior Tarsectomy.

Ophthalmic Plastic and Reconstructive Surgery
Ann Q TranRichard D Lisman

Abstract

To report the surgical technique and outcomes for adjustable ptosis correction using a posterior levator advancement with minimal superior tarsectomy. A retrospective single-center study was conducted on patients who underwent adjustable ptosis repair via posterior levator advancement with minimal superior tarsectomy by a single surgeon from 2002 to 2018. Patients with greater than 1 mm asymmetry between eyes or contour abnormalities underwent nonsurgical adjustment in the office within 6 days of surgery. A total of 79 patients (146 eyelids) were included in this study. The patients were female (67%), underwent bilateral surgery (87%) with mean age of 63 years (range, 20-92). The mean improvement in marginal reflex distance 1 at postoperative month 1 was 2.56 ± 1.04 mm (p ≤ 0.0001). Postoperative symmetry of 1 mm or less between eyes was achieved in 96.6% of patients. Only 8 eyes (5.4%) underwent in-office adjustment postoperatively. No demographic or clinical differences were noted in eyes that required adjustments. Postoperative complications included dry eyes that resolved by 3 months (13.6%), suture cyst (1.4%), corneal abrasion (1.4%), and persistent eyelid edema (1.4%). Surgical revision was required in 2.8% of eyes. The ...Continue Reading

References

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Mar 11, 2009·Ophthalmic Plastic and Reconstructive Surgery·Caroline RosenbergRichard D Lisman
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Mar 30, 2017·Ophthalmic Plastic and Reconstructive Surgery·Victoria S NorthMichael Kazim
Jun 5, 2019·Ophthalmic Plastic and Reconstructive Surgery·Inbal GazitMorris E Hartstein

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