Abstract
Purpose
To evaluate the surgical outcome of levator resection with suspensory ligament of the superior fornix (SLSF) suspension in severe congenital ptosis with poor levator function (LF).
Patients and methods
The medical records of 25 patients who underwent levator resection with SLSF suspension between March 2011 and January 2013 were retrospectively reviewed. All of the patients had severe congenital ptosis (>4 mm) and poor LF (<4 mm). The follow-up time ranged from 12 to 18 months (median, 15 months). Data regarding eyelid position, cosmetic outcomes, and postoperative complications were evaluated.
Results
The average preoperative margin reflex distance-1 (MRD1) measured −0.30±0.11 mm. The average postoperative MRD1 measured 3.1±1.25 mm at the last follow-up visit. There was a statistically significant difference between preoperative and postoperative MRD1 values (P<0.001). Excellent cosmetic results occurred in 14 patients, good cosmetic results occurred in eight patients and poor cosmetic results did not occur. Three patients (12%) underwent reoperation for residual ptosis. No serious postoperative complications occurred.
Conclusion
Levator resection with SLSF suspension is very effective in the treatment of severe congenital ptosis with poor LF. This surgery technique results in high functional and cosmetic successes in the long term.
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Acknowledgements
This work was supported by grants from the National Natural Science Foundation of China (NSFC no 81470660), the Xiamen Science and Technology Plan Projects (no 3502Z20131017 and no 3502Z20159017) and the Natural Science Foundation of Fujian Province of China (no 2015-ZQN-ZD-34 and 2016D13). The research received no specific grant from any funding agency in the public, commercial or not for profit sector.
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Chen, W., Liu, Z., Tian, Q. et al. Levator resection with suspensory ligament of the superior fornix suspension for correction of pediatric congenital ptosis with poor levator function. Eye 30, 1490–1495 (2016). https://doi.org/10.1038/eye.2016.165
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DOI: https://doi.org/10.1038/eye.2016.165
