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Related Experiment Video

Updated: Dec 31, 2025

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation
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Postoperative Blepharoptosis After Modern Phacoemulsification Procedure.

Mohsen Bahmani Kashkouli1, Parya Abdolalizadeh1, Acieh Es'haghi1

  • 1Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

American Journal of Ophthalmology
|January 14, 2020
PubMed
Summary

Persistent clinically significant ptosis affects over 3% of patients after sutureless cataract surgery. Lower preoperative levator function is linked to increased ptosis risk, warranting preoperative counseling.

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Ptosis Research

Background:

  • Cataract surgery is a common procedure.
  • Postoperative ptosis can impact visual function and aesthetics.
  • Understanding ptosis risk factors is crucial for patient counseling.

Purpose of the Study:

  • To determine the incidence of transient and persistent ptosis after clear corneal sutureless phacoemulsification.
  • To identify factors influencing the development of postoperative ptosis.

Main Methods:

  • A cohort study included 234 patients undergoing phacoemulsification.
  • Measurements included margin reflex distance (MRD1, MRD2) and levator function.
  • Preoperative, 1-month, and 6-month postoperative assessments were performed.

Main Results:

  • Persistent ptosis occurred in 25.4% of cases.
  • Clinically significant and photo-based ptosis were observed in approximately 3.3% of eyelids.
  • Lower preoperative levator function was significantly associated with persistent ptosis (P=.03).

Conclusions:

  • Clinically significant ptosis occurs in over 3% of patients post-sutureless cataract surgery.
  • Preoperative counseling regarding ptosis risk is recommended.
  • Reduced preoperative levator function is a key predictor of postoperative ptosis.