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Updated: May 24, 2025

$Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity$

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Upper Eyelid Blepharoptosis Correction Performed Under the Operating Microscope.

Chin-Ho Wong¹, Michael Ku Hung Hsieh², Kunihiko Nohira³

¹W Aesthetic Plastic Surgery, #06 - 28/29, Mount Elizabeth Novena Specialist Center, 38 Irrawaddy Road, Singapore, 329563, Singapore. drwong@waesthetics.com.

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|March 5, 2025

Summary

This summary is machine-generated.

Using an operating microscope for eyelid ptosis correction improves surgical outcomes and surgeon ergonomics. This method offers superior visualization and reduces cervical spine stress, potentially extending surgeons' careers.

Keywords:

Blepharoptosis Cervicalgia Eyelid ptosis Levator palpebrae superioris Microsurgery Musculoskeletal disease Musculoskeletal pain Occupational health physicians Occupational injury

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Area of Science:

Ophthalmology
Microsurgery
Ergonomics

Background:

Eyelid blepharoptosis correction traditionally uses loupe magnification.
This surgical posture often involves cervical spine flexion, leading to significant stress.

Purpose of the Study:

To evaluate the benefits of performing upper eyelid surgery using an operating microscope.
To examine improvements in surgeon posture and potential surgical outcomes.

Main Methods:

A prospective study involving 86 cases of bilateral ptosis correction (172 eyelids) using an operating microscope.
Data collected from June 2023 to June 2024.

Main Results:

Mean surgery duration was 115 minutes with a 3% revision rate.
Advantages included superior visualization, illumination, dissection precision, hemostasis, and anatomical clarity.
Faster postoperative recovery with minimized bruising and edema was observed.

Conclusions:

Operating microscope use in ptosis correction yields superior surgical outcomes.
It promotes an upright surgeon posture, mitigating cervical spine stress and injury.
This approach may enhance surgeon career longevity.