Year : 2020 | Volume
: 33 | Issue : 2 | Page : 636--640
Maximal levator resection in congenital blepharoptosis
Sameh S Mandour, Ghada Z Rajab, Ola E Abdou
Department of Ophthalmology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
The aim was to evaluate the surgical effect of maximal levator muscle resection technique for moderate to severe simple congenital blepharoptosis with poor levator function.
Surgical treatments for the correction of congenital ptosis with poor levator function including frontalis suspension or maximal levator resection remain controversial. However, the levator resection approach seems to be the most physiological. Maximal levator resection, assuming that it is employed appropriately, is highly effective in cases of moderate to severe congenital ptosis with poor levator function. This surgery advances and plicates the levator muscle, thus increasing its effect.
Patients and methods
This prospective study included 29 eyelids of 20 patients who underwent maximal levator resection procedure, and their ages ranged from 3 to 8 years. Patients who presented with ptosis were examined and enrolled from January 2018 to January 2019, from the Outpatient Ophthalmic Clinic of Menoufia University Hospital. Follow-up was done at first week, first month, and sixth month postoperatively to evaluate the functional, cosmetic results, and complications.
There is a statistically significant increase of mean postoperative marginal reflex distance-1 (MRD-1) at first week, first month, and sixth month in comparison with preoperative MRD-1 (P < 0.05). Successful outcome of the maximal levator resection procedure that was evaluated by postoperative MRD-1 was met by 79.31% (23/29) in the first week, 82.76% (24/29) in the first month, and 86.21% (25/29) in the sixth month. Satisfactory eyelid contour was met by 28 of 29 eyelids. The most common complications at 6 months were undercorrection in 10.3% (3/29) and overcorrection in 3.4% (1/29).
Maximal levator resection procedure is very effective in the treatment of simple congenital blepharoptosis with poor levator function.
Ola E Abdou
Shebin El-Kom, Menoufia 12345
|How to cite this article:|
Mandour SS, Rajab GZ, Abdou OE. Maximal levator resection in congenital blepharoptosis.Menoufia Med J 2020;33:636-640
|How to cite this URL:|
Mandour SS, Rajab GZ, Abdou OE. Maximal levator resection in congenital blepharoptosis. Menoufia Med J [serial online] 2020 [cited 2020 Aug 4 ];33:636-640
Available from: http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2020;volume=33;issue=2;spage=636;epage=640;aulast=Mandour;type=0