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Updated: Jul 3, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
[Analysis of treatment results 389 patients with congenital blepharoptosis]
Kazimierz Kobus1, Piotr Wójcicki, Dariusz Rychlik
1Kliniki Chirurgii Plastycznej Akademii Medycznej we Wrocławiu.
Insights
Surgical correction for congenital blepharoptosis (droopy eyelid) shows varying success rates. Levator muscle shortening is effective for preserved muscle function, while frontalis suspension is best for severe cases.
Area of Science:
- Ophthalmology
- Plastic Surgery
Context:
- Congenital blepharoptosis is a condition requiring surgical intervention.
- Treatment outcomes can vary based on surgical technique and patient factors.
Purpose:
- To retrospectively analyze the surgical treatment outcomes for congenital blepharoptosis.
- Evaluate the efficacy of different surgical techniques for blepharoptosis repair.
Summary:
- Levator muscle resection was performed on 218 patients, with 39 requiring re-operation and 4 experiencing recurrence within 12 months.
- Frontalis suspension was used in 109 patients, with 8 requiring re-operation.
- Muscle shortening is most effective for patients with good levator muscle function.
Impact:
- Identifies levator muscle shortening as the preferred method for suitable candidates.
- Recommends frontalis suspension for complex cases with poor levator function.
- Provides data to guide surgical technique selection in blepharoptosis treatment.
Purpose:
Retrospective analysis of the results in the treatment of congenital blepharoptosis.
Material And Methods:
We retrospectively reviewed the records of 389 patients with blepharoptosis who underwent surgical treatment in the Hospital of Plastic Surgery in Polanica-Zdrój, from January 1976 to January 2005. The age of patients, degree of malformation and unilateral or bilateral occurrence of ptosis, was analyzed. Moreover, we studied treatment results of patients with blepharoptosis treated in our hospital and patients treated elsewhere, before admission to our hospital.
Results:
218 patients from 327 operated in our hospital had levator muscle resections. After 6 months of observation 39 patients were qualified for surgical re-correction. 12 months after surgery 4 patients had recurrence of ptosis. Frontalis suspension technique with using the temporal fascia, was performed in 109 patients. After 6 months observation, 8 patients were qualified for surgical re-correction.
Conclusions:
For patients with maintained function of the levator muscle the most effective and physiological procedure, is the muscle shortening. Frontalis suspension technique with use of the temporal fascia should be limited to treat failure cases and patients with poor or absent function of the levator muscle.
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