ISSN: 1300-0365
Dil: Türkçe
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Levator Surgery In The Treatment Of Ptosis
Pınar Çakar ÖZDAL*, Şule GÖKA*, Mehmet Yasin TEKE*, Esin FIRAT**
* Uz.Dr., SSK Ankara Göz Hastanesi 1. Göz Kliniği,** Doç.Dr., SSK Ankara Göz Hastanesi 1. Göz Kliniği, Şefi, ANKARA
Purpose: To evaluate the results of the levator surgery in the treatment of ptosis.
Materials and Methods: 86 eyelids of the 66 patients with ptosis who had undergone levator surgery between January 1997 and May 2000 in SSK Ankara Eye Hospital (1st Eye Clinic) were included in this study. Levator aponeurosis resection was performed in 78 eyelids and classical levator resection was performed in 8 eyelids with poor levator function (LF). Additionally, levator aponeurosis repair, advancement on the tars and exicision of redundant skin was performed when necessary. Full correction or 1 mm of residual ptosis with a good lid contour is considered as a successful result.
Results: Follow up period ranged from 3 to 43 months with an average of 27 months. Congenital ptosis was present in 67, aponeurotic ptosis in 15 (13 senil and 2 traumatic), ocular myopathy in 2 and residual ptosis in 2 eyelids. LF ranged from 3 to 15 mm and the amount of ptosis ranged from 1 to 7 mm. Sixty two of the eyelids (72.1%) were corrected successfully, but 24 eyelids (27.9%) were undercorrected. Desired eyelid height was achieved in 9 eyelids which were reoperated. Thus the success rate reached to 82.6%. The observed complications were conjunctival prolapsus in 5, exposure keratopathy in 1, eyelid hematoma in 5 and a minimal lagophthalmos during sleep in 3 patients.
Conclusion: Levator aponeurosis surgery is an effective surgical technique with predictable results which respect to the eyelid anatomy. However, classical levator surgery which ensure a large amount of resection can be performed in patients with poor LF and severe ptosis.Keywords: Ptosis, Treatment, Levator surgery, Aponeurosis surgeryTurkiye Klinikleri J Ophthalmol 2001, 10:139-145
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