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Congenital ptosis repair using posterior approach levator plication
Zsuzsanna Antus1, Olga Lukáts1, Irén Szalai1
11 Semmelweis Egyetem, Általános Orvostudományi Kar, Szemészeti Klinika, Budapest, Mária utca 39., 1085.
Orvosi Hetilap
|May 2, 2021
Summary
This study evaluated posterior levator plication for congenital ptosis, finding it an effective treatment for droopy eyelids when levator function is moderate to good. The procedure achieved an 86.4% success rate, comparable to international results.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Congenital ptosis, or droopy eyelid, is characterized by an abnormally low upper eyelid position.
- It can be present from birth (congenital) or develop later (acquired).
Purpose of the Study:
- To retrospectively review the outcomes of posterior approach levator plication surgery for correcting congenital ptosis.
- To assess the efficacy and safety of this surgical technique.
Main Methods:
- The study included 20 patients (22 eyelids) with moderate to good levator function.
- Preoperative and postoperative measurements of levator function and margin reflex distance were recorded.
- Postoperative eyelid contour and asymmetry were also evaluated.
Main Results:
- The overall success rate for the levator plication procedure was 86.4% (19 out of 22 eyelids).
- Postoperative margin reflex distance improved significantly, and satisfactory eyelid contour was achieved in all cases.
- No significant difference in success rates was observed between local and general anesthesia.
Conclusions:
- Posterior approach levator plication is a suitable and effective treatment for congenital ptosis, particularly in patients with moderate or better levator function.
- The results of this procedure are comparable to those reported in international literature.
