Practical ptosis surgery. The Wendell L. Hughes Lecture

Area of Science:

• Ophthalmology
• Oculoplastic Surgery

Background:

• Ptosis surgery aims to correct eyelid drooping.
• Traditional methods may lack intraoperative adjustability.

Purpose of the Study:

• To describe a ptosis surgery technique allowing intraoperative modification.
• To highlight the benefits of local anesthesia for patient-guided adjustments.

Main Methods:

• Utilizing local injection with fractional anesthesia for ptosis repair.
• Creating a subaponeurotic tunnel without conjunctival incision.
• Attaching the advanced aponeurosis to the tarsus with adjustable sutures.

Main Results:

• Local anesthesia permits accurate, patient-assisted intraoperative result evaluation.
• The described surgical approach allows for adjustments in cases of overcorrection or undercorrection.
• Subaponeurotic dissection facilitates precise anatomical dissection.

Conclusions:

• Ptosis surgery can be effectively modified intraoperatively with local anesthesia.
• This technique offers superior control and patient satisfaction compared to regional blocks.
• Adjustable aponeurotic advancement ensures optimal functional and aesthetic outcomes.