Different techniques and materials in ptosis surgery
Ayşe Dolar Bilge1, Cem Mesçi2, Hasan H. Erbil3
1Emsey Hospital, Göz Hastalıkları Kliniği, İstanbul, Türkiye
2Medistate Hospital, Göz Hastalıkları Kliniği, İstanbul, Türkiye
3Medeniyet Üniversitesi Göztepe Eğitim ve Araştırma Hastanesi Göz Hastalıkları Kliniği, İstanbul, Türkiye
Keywords: Aponeurosis, blepharoptosis, levator aponeurosis, surgery
Objectives: This study aims to evaluate the different surgical techniques and materials in patients operated for ptosis.
Materials and methods: Thirty-five eyelids of 25 patients (15 males, 10 females; mean age 38.8 years; range, 3 to 78 years) were operated with a diagnosis of ptosis at Göztepe Training and Research Hospital Ophthalmology clinic between October 2008 and November 2009 and the results were analyzed prospectively.
Results: Ptosis type was congenital in 10 patients (6 myogenic, 3 aponeurotic, and 1 neurogenic) and acquired in 15 patients (14 aponeurotic and 1 neurogenic). Seventeen patients with aponeurotic ptosis underwent levator aponeurosis surgery, seven patients with poor levator function underwent frontal suspension surgery, and one patient with neurogenic (Marcus Gunn jaw-winking) ptosis underwent combined levator resection and frontal suspension surgery. The desired lid level was achieved in 22 patients (88%). Average duration of follow-up was 8.5 months (3 to 13 months). During follow-up, recurrence developed in two (5.7%) of 35 eyes.
Conclusion: Clinical evaluation is important in deciding on the surgical method to be performed for ptosis. Results of surgeries with the correct indication according to the pathogenesis are quite satisfactory.