The Outcomes of Involutional Ptosis Surgeries in a Single Tertiary Center

To report the surgical outcome of anterior approach primary ptosis surgery in a tertiary center and to compare redo surgical rates between different grades of surgeons.

This is a Retrospective review of series of annual audits. All involutional/aponeurosis-disinsertion ptosis surgeries performed at Moorfields Eye-hospital (MEH) between January 01, 2016 and December 31, 2019 were included. Only primary surgery was included. The following data were collected; number of surgeries per year, number of patients, demographics data, grades of surgeons, success rate, redo surgery rate from different grades of surgeons, complications rate and patients' satisfaction.

During the study period, 1191 ptosis surgery were performed, with 899 (75%) cases being involutional/aponeurosis-disinsertion ptosis. The mean redo surgery rate within one year from the primary surgery was 10.5% and the mean complication rate was 1.0%, with 78.95% of patients reported being satisfied with the results of the surgery, having no difference between surgeon's grades. The redo surgery rate was higher for cases performed by a junior surgeon (fellow/registrar) (64.26%) than by a consultant (38.94%).

We report the success rate of a large cohort of primary involutional ptosis surgery performed at the ophthalmic-specialist tertiary center. The success and complication rates are comparable to the literature at 90% and 1%, respectively. Redo surgeries were more frequently required when performed by junior surgeons compared to the consultants, whereas the patient satisfaction level did not differ between different grades of surgeons.