Ptosis Repair with Additional Blepharoplasty

Doi: 10.36351/pjo.v38i2.1096

Abstract

Purpose:  To share the results of Levator resection with additional blepharoplasty in patients with ptosis.

Study Design:  Interventional case series.

Place and duration of study: This study was carried out at Khalid eye clinic, Karachi, from January 2019 to June 2019.

Methods: We recruited twelve patients belonging to either gender with ages ranging from 18 to 35 years. Patients with moderate to severe ptosis with fair to good Levator function were included in the study. Whereas, patients with previous history of eyelid procedure or any bleeding diathesis were excluded. All patients were briefed about the study dynamics and complete ocular examination along with ptosis evaluation were performed. Levator resection was done with additional blepharoplasty. The amount of skin removal was solely dependent upon the surgeon’s clinical judgment. Main outcome measure was cosmetic appearance by assessing the vertical fissure height as compared to the contra lateral eye, and the amount of overhanging skin at the lid crease as judged by the patients and the oculoplastic surgeon.

Result:  This study included thirteen eyes of both genders with a mean age of 23.7±4.19 years. Twelve out of thirteen eyes had a satisfactory final cosmetic appearance, and were also graded as excellent by another oculoplastic surgeon. One patient required revision of surgery for the overhanging skin at the lid crease.

Conclusion:  Additional blepharoplasty with Levator resection can be a good option for ptosis correction and it provides a good aesthetic appearance.

Key Words:  Ptosis, Levator resection, Blepharoplasty.