Levator Plication versus Resection in Congenital Ptosis – A Prospective Comparative Study

Kumar, Sushil; Kamal, Saurabh; Kohli, Vandana

doi:10.3109/01676830903231141

Cited by 15 publications

(9 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the study by Kumar et al, 11 with plication of the levator aponeurosis using absorbable sutures, the upper eyelid continued to fall after the fourth week until the final follow-up visit at 3 months. This drooping of the lid postoperatively was not observed in cases of levator resection.…”

Section: (Hs)mentioning

confidence: 98%

Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures

Salamah

Eid

Albialy

et al. 2021

European Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: To compare the efficacy of two different suture types in levator plication for correction of congenital ptosis. Subjects and methods: Prospective comparative interventional randomized study involving 42 eyes of 42 patients aged more than 6 years with congenital ptosis and good levator action. The exclusion criteria were as follows: bilateral ptosis, history of previous surgery, fair or poor levator action, and associated other ocular diseases. Patients were randomized into group A, in which double-armed 5/0 polyester Ethibond were used, and group B, in which double-armed 5/0 Coated Vicryl® (polyglactin 910) suture material we used. Outcomes including eyelid height and stability of eyelid height over time were compared with follow-up data. The MRD was 4.05 ± 0.36 mm and 3.95 ± 0.34 after 1 week for both groups A and B, respectively. At the end of study follow up period (24 weeks), the MRD was 3.60 ± 0.42 mm in group A, and 2.52 ± 0.85 mm in group B. Conclusion: No difference in eyelid height between two groups in early postoperative period, but the postoperative eyelid height was more stable over time in the 5/0 polyester Ethibond group (group A) than in the 5/0 Coated Vicryl® (polyglactin 910) group (group B).

show abstract

Section: (Hs)mentioning

confidence: 98%

Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures

Salamah

Eid

Albialy

et al. 2021

European Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Since then, the levator aponeurosis plication has attracted extensive attention. However, this technique did not always achieve satisfactory correction result because of the insufficient understanding of the anatomical structure of the upper eyelid and too simple surgical procedure in the past 14–17 . During the last 2 decades, the precise and complex anatomical structure of upper eyelid has been further understood 18–22 .…”

Section: Discussionmentioning

confidence: 99%

“…Levator aponeurosis plication was first described by Eversbusch 12 1883 and was reintroduced and redefined by Jones et al 13 structure of the upper eyelid and too simple surgical procedure in the past. [14][15][16][17] During the last 2 decades, the precise complex anatomical structure of upper eyelid has been further understood. [18][19][20][21][22] Based on these changes in the understanding of the upper eyelid structure, our team improved the levator aponeurosis plication in 3 aspects: dissection, fixation, and closure of incision.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Simultaneous Double Eyelid Blepharoplasty and Blepharoptosis Correction With Levator Aponeurosis Plication Technique

et al. 2022

View full text Add to dashboard Cite

BackgroundFifty percent of Asians are born without a supratarsal fold (also called single eyelid), and double eyelid blepharoplasty is one of the most commonly performed and most popular facial cosmetic surgeries in the Asian population. However, patients with single eyelid frequently present with concomitant mild blepharoptosis (degree of ptosis, ≤2 mm), which often fails to cause the attention of surgeons and misses correction.MethodsA retrospective study of all patients who underwent double eyelid blepharoplasty and blepharoptosis correction simultaneously with the modified levator aponeurosis plication technique was performed from June of 2017 to June of 2020.ResultsA total of 108 patients (155 eyelids) underwent double eyelid blepharoplasty and blepharoptosis correction simultaneously with the modified levator aponeurosis plication technique and were enrolled in the study. The average follow-up period was 11.8 ± 4.5 months. There was a statistically significant difference between the preoperative margin reflex distance 1 (MRD1) and postoperative MRD1 (2.93 ± 0.37 vs 4.21 ± 0.39 mm, P = 0.000), and the mean MRD1 improvement was 1.28 ± 0.50 mm. Sufficient correction was obtained in 148 eyelids (95.5%), whereas undercorrection was observed in 5 eyelids (3.2%) and overcorrection was observed in 2 eyelids (1.3%). One hundred two patients (94.4%) were completely satisfied with the final result.All patients had smooth and elegant upper eyelid margin curve, and no patients complained of distortion of the eyelid margin contour and foreign body sensation.There were no cases of hematoma, infection, suture exposure, corneal abrasion, and keratitis in any patient.ConclusionsThis modified levator aponeurosis plication introduced in this study is a simple and effective method for creating double-eyelid crease and correcting mild blepharoptosis simultaneously, and provides a satisfactory outcome. As such, we recommend this method in treating patients with both single eyelid and mild blepharoptosis.

show abstract

“…Kumar et al have compared the results of levator resection versus placation in congenital ptosis, where they found superior results in levator resection group 6. Thus, if the plicated levator bulk causes tarsal eversion and conjunctival prolapsed under such circumstances levator resection can be considered.…”

Section: Discussionmentioning

confidence: 99%

Tarsal buckle with conjunctival prolapse following levator plication for unilateral congenital ptosis

Pujari¹,

Shashni

Bajaj

et al. 2018

BMJ Case Reports

View full text Add to dashboard Cite

An 8-year-old child underwent uneventful levator plication surgery for unilateral congenital ptosis. Postoperative course for initial few days was uneventful but on day 7, the patient was brought with conjunctival prolapse from the undersurface of upper eyelid due to tarsal kinking and eversion. Early medical management was initiated with frequent surface lubrication to avoid conjunctiva dryness. Under general anaesthesia, right-sided conjunctival repositioning was performed with an eyelid spatula supplemented by three forniceal stay sutures to retain the conjunctiva in its anatomical place. To reverse the tarsal kinking, continued downward traction suture was placed for a period of 2 weeks. At the end of 4 weeks, the conjunctival prolapse was completely resolved with a well-formed superior fornix. At the end of 3 months, the symmetric eyelid position was maintained without any additional complications.

show abstract

Levator Plication versus Resection in Congenital Ptosis – A Prospective Comparative Study

Cited by 15 publications

References 15 publications

Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures

Anterior approach levator plication for congenital ptosis, absorpable versus non absorpable sutures

Simultaneous Double Eyelid Blepharoplasty and Blepharoptosis Correction With Levator Aponeurosis Plication Technique

Tarsal buckle with conjunctival prolapse following levator plication for unilateral congenital ptosis

Contact Info

Product

Resources

About