Minimal incision posterior approach levator plication for aponeurotic ptosis

Ng, Danny Siu-Chun; Chan, Edwin; Ko, Simon Tak Chuen

doi:10.1038/eye.2014.318

Cited by 12 publications

(4 citation statements)

References 30 publications

(50 reference statements)

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“…In study by DS Ng et al, [9] "44 lids of 27 patients were included. Preoperative mean MRD was 0.48 ± 0.56mm.…”

Section: Resultsmentioning

confidence: 99%

Asian Blepharoplasty with Concurrent Ptosis Correction by Lps Plication: Our Experiences in Northeast India

Ete,

Darang,

Gongo

2024

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Background: Asian blepharoplasty is one of the most performed facial cosmetic procedures in northeastern India. Undiagnosed ptosis often goes unnoticed in many Asian blepharoplasty patients. To achieve proper symmetry, its essential to address ptosis simuntaneously during Asian blepharoplasty. In this study, the author discuss ten cases of Asian blepharoplasty in which simultaneous ptosis correction was performed by lps plication.

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“…In study by DS Ng et al, [9] "44 lids of 27 patients were included. Preoperative mean MRD was 0.48 ± 0.56mm.…”

Section: Resultsmentioning

confidence: 99%

Asian Blepharoplasty with Concurrent Ptosis Correction by Lps Plication: Our Experiences in Northeast India

Ete,

Darang,

Gongo

2024

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“…In addition, we have observed that once attached to the aponeurosis, the potentially exposed suture is rotated superiorly and the upper border of the tarsus rotates forward, reducing the potential to abrade the cornea. Only one previous small series 7 reports outcomes of moderate-to-severe ptosis using a posterior approach technique. This also involved septal-sparing advancement of the aponeurosis in 27 predominantly Chinese patients.…”

Section: Discussionmentioning

confidence: 99%

“…1 Posterior approach ptosis surgery has traditionally been reserved for mild-moderate involutional blepharoptosis with good levator excursion with only one small series reporting outcomes in more severe ptosis. 7 We present a retrospective review of an interventional case series, not reported in any previous study, of severe involutional ptosis and outcomes using a posterior approach white-line levator advancement technique.…”

Section: Introductionmentioning

confidence: 99%

Outcomes for severe aponeurotic ptosis using posterior approach white-line advancement ptosis surgery

Antus

Salam

Horváth³

et al. 2017

Eye

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PurposeThe purpose of the study was to report the outcome of posterior approach white-line advancement surgery for severe involutional aponeurotic ptosis.Patients and methodsThis was a retrospective review of an interventional case series of all patients undergoing surgery for severe involutional aponeurotic ptosis during a 42-month period at a single center. The inclusion criteria were severe involutional ptosis (upper eyelid margin reflex distance (MRD) ≤1 mm) undergoing posterior approach surgery. There was minimum 3-month follow-up. The main outcome measures were type of ptosis (primary or recurrent), preoperative margin reflex distance, levator function and eyelid skin crease height, presence of visible iris sign (VIS), documented unusual intraoperative findings, postoperative complications, and follow-up time.ResultsOf the 836 procedures for ptosis, 122 procedures (76 patients) met the inclusion criteria for this study. Mean postoperative follow-up was 28 (median 18, range 12-98) weeks. Success rates were 80.3% (98/122) overall, 81.5% (66/81) in the non-VIS group, and 78% (32/41) in the VIS group. There was no significant difference between the two groups (P=0.411). Failures were due to undercorrection, with <2 mm MRD in 75% (18/24), overcorrection with >4.5 mm MRD in 16.7% (4/24), and inter-eyelid height asymmetry of >1 mm in 8.3% (2/122).ConclusionsOutcomes of ptosis surgery for severe aponeurotic ptosis using a posterior approach white-line advancement are comparable to, and possibly better than, anterior approach in eyelids with VIS.

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“…The range of the upper eyelid margin covering the cornea is based on the degree of upper eyelid margin covering the upper edge of cornea after the effects of frontalis muscle were ruled out. A range of not more than 4 mm indicates mild ptosis, a range of not more than 6 mm indicates moderate ptosis and a range larger than 6 mm and covering the center of the pupil indicates severe ptosis [8] .…”

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confidence: 99%

Efficacy of Modified Shortening of Levator Palpebrae Superioris Muscle on Patients with Ptosis

Li¹,

Li²

2021

IJPS

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To explore the efficacy of modified shortening of levator palpebrae superioris muscle on patients with ptosis. A total of 78 patients with mild or moderate ptosis admitted to our hospital were enrolled and assigned to a control group and an observation group. Patients in the control group were treated with frontalis muscle suspension and those in the observation group were treated with modified shortening of levator palpebrae superioris muscle and the efficacy on ptosis of patients in the two groups was compared. The effective correction rate of the observation group was significantly higher than that of the control group ( 92.59 % vs. 78.72 %) and at 1 st and 7 th d after operation, compared with the control group, the observation group experienced significantly more blinking times and significantly less eyelid closure insufficiency. After operation, the two groups suffered from complications including interbrow hematoma, symblepharon, eyelid entropion, ectropion or angulation, poor upper eyelid radian, exposure keratitis and the incidence of complications in the observation group was not significantly different from that in the control group. In addition, during the follow-up period, the upper eyelid retraction of the observation group was significantly less than that of the control group (all p<0.05). The modified shortening of levator palpebrae superioris muscle can provide reliable efficacy for patients with ptosis and it results in less complications and smaller upper eyelid retraction.

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Minimal incision posterior approach levator plication for aponeurotic ptosis

Cited by 12 publications

References 30 publications

Asian Blepharoplasty with Concurrent Ptosis Correction by Lps Plication: Our Experiences in Northeast India

Asian Blepharoplasty with Concurrent Ptosis Correction by Lps Plication: Our Experiences in Northeast India

Outcomes for severe aponeurotic ptosis using posterior approach white-line advancement ptosis surgery

Efficacy of Modified Shortening of Levator Palpebrae Superioris Muscle on Patients with Ptosis

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