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Blepharoptosis correction transconjunctivally using buried suture method: A prospective cohort study
Hyejeong Lee1, Munjae Lee2, Sangmo Bae3
1B.A.E. Aesthetic Plastic Surgical Clinic, 727-4 Gojan-dong, Danwon-gu, Ansan, Republic of Korea; Department of Medicine, Korea University Graduate School, Seoul, Republic of Korea.
International Journal of Surgery (London, England)
|November 11, 2015
Summary
This study details a transconjunctival blepharoptosis correction using a buried suture method. The technique shows high effectiveness and predictability for mild to moderate ptosis, minimizing eyelid scarring.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Oculoplastics
Background:
- Minimizing eyelid scarring is crucial in blepharoptosis correction.
- Transconjunctival approaches offer aesthetic advantages.
- The buried suture method aims for scarless correction.
Purpose of the Study:
- To describe the transconjunctival blepharoptosis correction technique using buried sutures.
- To evaluate the effectiveness and predictability of this method.
- To assess complication rates and patient satisfaction.
Main Methods:
- A total of 458 eyelids in 245 patients underwent transconjunctival blepharoptosis correction.
- A buried suture technique involving six threads was employed.
- Sutures were inserted transconjunctivally above the superior tarsal margin, engaging levator palpebrae and Müller muscles.
Main Results:
- Successful correction was achieved in 89% of eyelids (409 eyelids).
- Undercorrection occurred in 11% (49 eyelids), leading to reoperation in 16 patients.
- No major complications like overcorrection, persistent irritation, or keratitis were observed.
Conclusions:
- The transconjunctival buried suture method provides effective blepharoptosis correction with excellent predictability for mild and moderate cases.
- The technique allows for accurate correction rates and minimal scarring.
- This method is a viable and safe treatment option for ptosis correction.
