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Combined lateral rectus augmented transposition and inferior rectus recession for monocular elevation deficiency
Manjula Jayakumar1, Dhivya Ashok Kumar1, Amar Agarwal1
1Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
Summary
A surgical technique for congenital ptosis involving lateral rectus transposition improved eyelid function and eye alignment. This procedure, combined with inferior rectus recession, offers a safe and effective treatment for drooping eyelids.
Area of Science:
- Ophthalmology
- Oculoplastic Surgery
Background:
- Congenital ptosis and hypotropia can significantly impact visual development and appearance.
- Surgical correction is often necessary to improve eyelid function and ocular alignment.
Observation:
- A 21-year-old female presented with congenital right upper eyelid ptosis and hypotropia.
- She exhibited limited elevation and a 3 mm true upper lid ptosis.
Findings:
- A modified surgical technique involved lateral rectus muscle transposition to the superior rectus muscle with augmentation.
- This was performed concurrently with inferior rectus recession.
- One year post-surgery, the patient achieved orthophoria and improved elevation.
Implications:
- This combined surgical approach is effective for correcting congenital ptosis and hypotropia.
- Performing the procedure simultaneously with inferior rectus recession may reduce the risk of anterior segment ischemia.
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