J Korean Ophthalmol Soc > Volume 55(12); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(12):1734-1738.
DOI: https://doi.org/10.3341/jkos.2014.55.12.1734    Published online December 15, 2014.
Surgical Outcomes of Levator Resection in Ptosis Patients with Deep Superior Sulcus.
Jong Soo Kim, Hee Bae Ahn
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea. hbahn@dau.ac.kr
깊은 윗눈꺼풀고랑이 있는 눈꺼풀처짐 환자에서의 눈꺼풀올림근절제술 결과
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea
To investigate the characteristics and postoperative complications of ptosis patients with deep superior sulcus following levator resection surgery. METHODS: Records of 33 ptosis patients (59 lids) with deep superior sulcus who underwent levator resection surgery from March 2008 to May 2013 were reviewed retrospectively. Operation success rate, reoperation rate, preoperative and postoperative marginal reflex distance 1 (MRD1), and levator function were compared and postoperative complications were evaluated. RESULTS: The patient's mean age was 65.8 years. The MRD1 was -1.0 +/- 1.4 mm preoperatively, 2.5 +/- 1.2 mm at 1 month after surgery, and 2.3 +/- 1.1 mm at 3 months after surgery. Operation success rate was 84.8%. At 1 month after surgery, 52.5% of lids had lagophthalmos as a surgery complication but later all recovered. Additionally, 44.1% of the patients had worn therapeutic contact lenses postoperatively for 7.0 +/- 12.1 days. CONCLUSIONS: Occurrence rate of postoperative lagophthalmos was higher than in other previous studies suggesting a tendency for overcorrection in levator resection surgery for ptosis patients with deep superior sulcus. Additionally, levator resection surgery is cosmetically as well as functionally very effective for deep superior sulcus.
Key Words: Deep superior sulcus;Lagophthalmos;Levator resection;Ptosis

Editorial Office
SKY 1004 Building #701
50-1 Jungnim-ro, Jung-gu, Seoul 04508, Korea
Tel: +82-2-583-6520    Fax: +82-2-583-6521    E-mail: kos08@ophthalmology.org                

Copyright © 2023 by Korean Ophthalmological Society.

Developed in M2PI

Close layer
prev next