The Operation of Unaffected Normal Eye in Unilateral Ptosis.

Lee, Chun Hun; Kim, Yong Ran; Kim, Hi Soo

Original Article

Journal of the Korean Ophthalmological Society 1997;38(9):1622-1627.
Published online September 1, 1997.

The Operation of Unaffected Normal Eye in Unilateral Ptosis.

Chun Hun Lee, Yong Ran Kim, Hi Soo Kim

Department of Ophthalmology, Kun-Yang Hospital, Seoul, Korea.

단안 안검하수 환자에서 정상안의 수술

이춘훈(Chun Hun Lee),김용랸(Yong Ran Kim),김희수(Hi Soo Kim)

Abstract

Moderate to severe unilateral ptosis has previously been treated with levator resection or frontalis sling and cosmetic double fold in the opposite eyelid. This method often resulted in undesirable asymmetrical lid lag phenomenon in down gaze. From December 1991 to December 1994, we treated 65 cases of unilateral ptosis with frontalis sling or levator resection, and simultaneously cosmetic frontalis sling have been performed in the unaffected normal eyes of 41 patients and cosmetic double fold have been performed in the unaffected normal eyes of 11 patients. After 6 months of operation, authors survey the patients content. The number of cases of content were 4(36.36%) in 11 cosmetic double fold group and 31(75.6%) in 41 cosmetic frontalis sling group. The content after cosmetic frontalis sling was higher than cosmetic double fold. Asymmetrical lid lag phenomenon on downward gaze which is inevitable complication postoperatively was reduced by means of cosmetic frontalis sling of unafeected normal eye in unilatral ptosis. The authors expect that the patient will be more satisfied with the result of symmetrical lid lag in down gaze after cosmetic frontalis sling of unaffected normal eye in aesthetic aspect.

Key Words: Asymmetrical lid lag;Frontalis sling;Levator resection;Unilateral ptosis)