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Updated: Jun 22, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Choice of surgical procedure for ptosis correction
Kelmend Spahiu1, Lidvana Spahiu, Ermal Dida
1Eye clinic, University Clinical Center of Kosova, Prishtina, Republic Kosova. kelmendspahiu@yahoo.com
Purpose:
the ideal procedure for ptosis management is not available until now. In many ptosis cases there is a doubt which procedure will give the best results and patient satisfaction. The aim of this paper was to present our point of view in this topic.
Method:
retrospective review and analysis of 350 ptosis cases operated by a single surgeon was done. Primary outcome measure was cosmetic appearance, secondary outcome measures includes the need for reoperation and specific complications for each operation: central picking of operated eyelid for Fasanella-Servat operation, presence and degree of lid-lag phenomenon and lagophthalmos for levator muscle resection and frontalis muscle suspension.
Results:
350 cases of ptosis are operated by a single consultant surgeon. Among them, Fasanella-Servat procedure was done in 119 cases (reoperation rate was 8.4%), levator muscle resection in 112 (reoperation rate was 10.7%), frontalis muscle suspension in 116 (reoperation rate was 10.3%) and Mc. Cord procedure in 3 cases.
Conclusion:
levator muscle function is a key determining factor in choosing the appropriate operating procedure for ptosis correction regardless of the degree and etiology of ptosis.
