Changes in Sunken Eyes Combined with Blepharoptosis after Levator Resection

Area of Science:

• Ophthalmology
• Plastic Surgery
• Facial Aesthetics

Background:

• Sunken eyes and blepharoptosis often occur together, impacting facial aesthetics.
• Levator resection is a surgical technique used to correct eyelid abnormalities.

Purpose of the Study:

• To evaluate the changes in sunken eyes and eyelid parameters after levator resection.
• To assess the impact of levator resection on the area of the upper eyelid sulcus (AES) and eyebrow height (EBH).

Main Methods:

• Analyzed 60 eyes from 32 patients undergoing levator resection for sunken eyes and blepharoptosis.
• Measured margin reflex distance, EBH, and AES before and 3 months post-surgery.
• Utilized digital image analysis with ImageJ software to quantify AES.

Main Results:

• Levator resection significantly improved sunken eyes in all patients.
• Post-surgery, there was a significant increase in margin reflex distance and a significant decrease in EBH and AES.
• Preoperative AES correlated with patient age, and postoperative AES changes correlated with EBH changes.

Conclusions:

• Levator resection improves upper eyelid height and visual fields.
• The procedure can alter eyebrow position and upper orbital fat, filling eyelid hollowness.
• This technique effectively addresses sunken eyes and improves overall aesthetic appearance.