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Maximal levator resection in unilateral congenital ptosis with poor levator function
Ju-Hyang Lee1,2, Orapan Aryasit3, Yoon-Duck Kim4
1Department of Ophthalmology, Ulsan University Hospital, Ulsan University School of Medicine, Ulsan, Korea.
The British Journal of Ophthalmology
|September 8, 2016
Summary
Maximal levator resection effectively treats congenital ptosis with poor levator function, yielding good cosmetic results. This surgical approach offers a natural lid contour and avoids forehead scars.
Area of Science:
- Ophthalmology
- Oculoplastic Surgery
Background:
- Congenital ptosis with poor levator function presents surgical challenges.
- Frontalis suspension and maximal levator resection are debated treatment options.
Purpose of the Study:
- To evaluate surgical and cosmetic outcomes of maximal levator resection for unilateral congenital ptosis with poor levator function.
Main Methods:
- Retrospective analysis of 243 eyelids (210 unilateral, 33 bilateral asymmetric ptosis) undergoing unilateral maximal levator resection.
- Surgical results graded as excellent, good, or poor; complications documented.
Main Results:
- Satisfactory outcomes (excellent/good) achieved in 93.0% of patients.
- No correlation found between preoperative levator function, MRD-1, or levator dehiscence and outcomes.
- Common complications included exposure keratopathy (11.1%) and lid crease asymmetry (8.2%).
Conclusions:
- Maximal levator resection is an effective surgical option for congenital ptosis, even with poor levator function.
- The procedure improves cosmesis, lid contour, and avoids brow scarring.
