Outcomes of Maximal Levator Resection Procedure in Cases of Congenital Myogenic Ptosis

Year 2019, Volume: 46 Issue: 3, 535 - 542, 16.09.2019

Selahattin Balsak , Umut Dağ Yakup Güneş Sevim Çakmak Uğur Keklikçi

https://doi.org/10.5798/dicletip.620581

Abstract

Objective: This study aimed to evaluate the outcomes of maximal levator resection in cases of congenital myogenic ptosis with poor levator function.

Method: Thirty-threeptotic eyelids of 30 cases undergoing maximal levator resection were retrospectively included. There were 18 male and 12 female cases. The mean age of the cases was 12.55±5.3 years (range, 4-26 years). For all eyes, vertical palpebral aperture, margin reflex distance, levator functions, and upper eyelid crease height were measured. Ptosisseverity was “mild” when the eyelid elevation was ≤2 mm; “moderate” when the eyelid elevation was 3 mm; and “severe” when the eyelid elevation was ≥4 mm. The mean age of the cases (18 males and 12 females) was 12.55±5.3 years (range, 4-26 years).

Results and Conclusion: The mean ptosis severity (vertical palpebral aperture) was 5.136 mm preoperatively and 0.818 mm at the postoperative Month 3 (p<0.001). Surgical outcomes were successful in 26 eyes (78%), satisfactory in 4 eyes (12%), and unsuccessful in 3 eyes (9%).Conclusively, successful outcomes were obtained after maximal levator resection in ptosis cases with poor levator functionin most of casses.

Keywords

Acquired ptosis, congenital myogenic ptosis

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