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Conjunctival Müllerectomy With or Without Tarsectomy Using Absorbable Versus Nonabsorbable Suture.

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Absorbable sutures offer effective blepharoptosis repair outcomes comparable to nonabsorbable sutures for conjunctival Müllerectomy with or without tarsectomy (CM±T). This study found similar results in patient satisfaction, symmetry, and complication rates, making absorbable sutures a viable option.

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Area of Science:

  • Ophthalmology
  • Ophthalmic Surgery

Background:

  • Blepharoptosis repair aims to correct eyelid drooping.
  • Conjunctival Müllerectomy with or without tarsectomy (CM±T) is a surgical technique for ptosis.
  • Suture material choice can influence surgical outcomes and patient recovery.

Purpose of the Study:

  • To compare the efficacy and safety of absorbable versus nonabsorbable sutures in CM±T blepharoptosis repair.
  • To evaluate outcomes including margin reflex distance, patient satisfaction, symmetry, complications, and reoperation rates.

Main Methods:

  • A retrospective case-series design was employed.
  • Patients undergoing CM±T between January 2019 and August 2021 were analyzed.
  • Outcomes were compared between groups using absorbable and nonabsorbable sutures, focusing on MRD1 measurements and complication data.

Main Results:

  • No significant differences were observed in preoperative or postoperative MRD1, or in the improvement of MRD1 between the absorbable and nonabsorbable suture groups.
  • Achieved goal MRD1 rates (82.8% vs. 85.3%), reoperation rates (p=0.63), postoperative symmetry (91.0% vs. 91.6%), and complication incidence (p=0.88) were similar for both suture types.
  • Specific complications, such as the need for contact lens placement, also showed no significant difference between groups.

Conclusions:

  • Absorbable sutures provide predictable and effective outcomes for CM±T blepharoptosis repair, comparable to nonabsorbable sutures.
  • The use of absorbable sutures does not increase the rate of complications or reoperations.
  • Absorbable sutures represent a safe and effective alternative for CM±T procedures.