Clinical Observation of Congenital Blepharoptosis.

Kim, Ji Chun; Kang, Dai Soo; Kong, Young Tae

Original Article

Journal of the Korean Ophthalmological Society 1988;29(1):7-13.
Published online January 1, 1988.

Clinical Observation of Congenital Blepharoptosis.

Ji Chun Kim, Dai Soo Kang, Young Tae Kong

¹Department of Ophthalmology, Kang-Dong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
²Kong Eye Clinic, Seoul, Korea.

선천성 안검하수증의 임상적 고찰

김지천(Ji Chun Kim),강대수(Dai Soo Kang),공영태(Young Tae Kong)

Abstract

The best results of ptosis surgery will be obtained by properly evaluating the types of ptosis, the degree of levator function, and the amount of ptosis. The authors reviewed 55 patients(79 eyes) of congenital blepharoptosis who received external levator resection and frontalis sling. The following results were obtained. 1. Simple ptosis cases were 85.5%, ptosis with other lid anomalies were 3.7%, ptosis with ophthalmoplegias were 9%, and synkinetic ptoses were 1.8%. 2. Mild ptosis(1.5 to 2 mm) cases were 0%, moderate ptosis(3 mm) cases were 5%, and severe ptosis(4 mm or more) cases were 95%. 3. 78.5% of congenital ptosis cases were poor levator function(4 mm or less), 19% were fair levator function(5 to 7 mm), and 2.5% were good levator function(8 mm or more). 4. Good results were obtained in 80% of the external levator resection cases. 5. Even when there was poor levator function(3 to 4 mm), a large levator resection(22 to 24 mm) was a good primary procedure.