The septum orbitale in ptosis surgery

Area of Science:

• Ophthalmology
• Surgical Anatomy

Background:

• The septum orbitale is a critical structure in ptosis surgery.
• It is challenging to identify and prone to damage during procedures.

Purpose of the Study:

• To demonstrate a reliable method for identifying and managing the septum orbitale in ptosis surgery.
• To evaluate the feasibility of re-suturing the septum orbitale after levator aponeurosis resection.

Main Methods:

• A modified transcutaneous approach was used in 34 ptosis operations.
• The septum orbitale was carefully identified and dissected.
• The septum orbitale was re-sutured following levator aponeurosis resection.

Main Results:

• The septum orbitale was readily identifiable using the described technique.
• Dissection and re-suturing of the septum orbitale were successfully performed.
• The modified approach facilitated safe management of this key anatomical structure.

Conclusions:

• The modified transcutaneous approach allows for reliable identification and repair of the septum orbitale.
• This technique enhances the safety profile of ptosis surgery by preserving this important landmark.