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The Fasanella-Servat procedure: a retrospective study
R Sampath1, D C Saunders, B Leatherbarrow
1Manchester Royal Eye Hospital, UK.
Eye (London, England)
|January 1, 1995
Summary
The Fasanella-Servat procedure showed a low 28% success rate for managing adult ptosis caused by aponeurotic defects. Further research is needed to improve outcomes for this eyelid condition.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Adult ptosis, specifically the aponeurotic defect type, affects eyelid function and appearance.
- The Fasanella-Servat procedure is a surgical option for correcting ptosis.
Purpose of the Study:
- To evaluate the efficacy of the Fasanella-Servat procedure in managing adult ptosis with aponeurotic defects.
Main Methods:
- A retrospective study design was employed.
- Eighteen Fasanella-Servat procedures were performed on 16 patients.
- Mean follow-up duration was 3 years.
Main Results:
- The overall success rate of the Fasanella-Servat procedure was 28%.
- A mean residual tarsal plate height of 5 mm was observed.
- Significant variability in tarsal plate contour was noted post-surgery.
Conclusions:
- The Fasanella-Servat procedure demonstrates limited success for aponeurotic defect ptosis.
- The procedure resulted in inconsistent anatomical outcomes, indicated by variable tarsal plate contour.