Surgical treatment of moderate and severe ptosis: analysis of results

Chedid, Rodolfo; Boechat, Celso Eduardo Jandre; Guimarães, Fernando Serra

doi:10.5935/2177-1235.2018rbcp0099

Cited by 1 publication

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“…In transcutaneous levator resection, the muscle must be detached from the underlying conjunctiva and reattached to the mid-tarsal plate until the eyelid margin reaches the desired height [5]. Levator resection should be the procedure of choice in patients with moderate to severe ptosis and a good levator function [5][6][7]. Nirankari et al suggested resection should be 3 mm for every 1 mm of ptosis in patients with a good levator function, with a basic increment of 5 mm to make up for the minimum of 8 mm resection.…”

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confidence: 99%

Surgical Outcomes of Levator Resection in Moderate and Severe Ptosis With a Good Levator Function: A Retrospective Study

Das¹,

Singh²,

Sharma³

et al. 2023

Cureus

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Introduction: An abnormally drooping upper eyelid in comparison with the normal position in primary gaze refers to ptosis. Levator resection should be the procedure of choice in patients with moderate to severe ptosis and a good levator function.Methods: In this retrospective study, we analysed the surgical outcomes after large and maximal levator resection in patients with moderate and severe ptosis with a good levator function and Bell's phenomenon. All patients had a good levator function; therefore, levator resection was the procedure of choice. We performed levator resection of 20 mm and above and the desired post-operative correction was achieved.Results: One patient had microcornea, and hence, he was undercorrected and his post-operative marginal reflex distance 1 (MRD 1) was 3 mm. Two patients who had severe ptosis pre-operatively had a postoperative MRD 1 of 3 mm. Rest of the patients had a post-operative MRD 1 of 4 mm. Conclusion:Levator resection of 20 mm or more should be performed in patients with congenital simple ptosis with a good levator function and Bell's phenomenon to achieve a favourable post-operative outcome.

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