Author/Authors :
Andalib, Dima Nikookari Eye Hospital - Tabriz University of Medical Sciences , Gharebaghi, Davood Nikookari Eye Hospital - Tabriz University of Medical Sciences , Nabie, Reza Nikookari Eye Hospital - Tabriz University of Medical Sciences , Taghaddosifar, Nassim Medical Student - Tabriz University of Medical Sciences
Abstract :
Purpose: To identify any factors that may predict successful levator resection in blepharoptosis
correction
Methods: The hospital records of 52 consecutive patients undergoing anterior levator resection for
unilateral congenital blepharoptosis were reviewed. Successful result was defined a lid level within
1 mm of the fellow eye 1 year after surgery. We studied the effect of levator function, the amount of
ptosis and the kind of anesthesia on the surgical outcome.
Results: Twenty-eight patients (53.8%) were treated with a levator resection under local anesthesia
(group 1) and 24 patients (46.2%) were treated with a levator resection under general anesthesia
(group 2). The mean age was 16.37±9.3 (range 4-40) years. The overall success rate was 76.9%
two months after surgery and 61.5% one year after surgery. The most common complication after
one year was undercorrection (38.5%). Sever ptosis (P=0.002) and decreasing preoperative
levator function (P=0.007) were associated with decreasing chance of success. The kind of
anesthesia was not a predictor factor for surgical success (P=0.312).
Conclusion: The preoperative levator function and the amount of ptosis were found to be the most
significant predictors of surgical outcome. The surgery under local anesthesia was not associated
with a higher success rate.
