Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Ptosis, or drooping eyelid, can be corrected through various surgical approaches.
• The white line advancement technique offers a method for addressing ptosis.

Purpose of the Study:

• To detail a modified white line advancement posterior ptosis surgery.
• To evaluate the success rate of this modified surgical technique.

Main Methods:

• Retrospective case series of 60 patients with ptosis and good levator function.
• Success defined by MRD1 ≥ 3.5 mm, eyelid symmetry ≤ 1 mm asymmetry, and satisfactory contour at 3 months.

Main Results:

• 88.33% success rate observed in 91 eyelids over a 9-month average follow-up.
• Mild complications in 11 patients resolved without intervention.
• Ptosis recurrence occurred in 7 patients (early and late).

Conclusions:

• The modified posterior approach is a viable technique for cosmetic and functional ptosis.
• Advantages include no conjunctival resection, suitability for younger patients, and a short recovery period.
• This technique can be combined with other procedures for varied ophthalmic pathologies.