Levator aponeurosis surgery. A retrospective review.
A review of all cases of aponeurotic repair done since 1980 by the author identified 140 patients and 174 eyelids. An acceptable result at 6 weeks was defined as a lid level within 1 mm of the desired level achieved in 74% of lids with acquired ptosis. The amount of ptosis present preoperatively was the major factor in our study; levator function and type of anesthesia did not affect the success rate. The most significant finding was a lower long-term success rate due to a drop in lid level clustered at the 2- to 4-month period postoperatively. The authors speculate on the cause for this finding.
Department of Ophthalmology, Cleveland Clinic Foundation, OH.
A J
AJ
Berlin
K P
KP
Vestal
D000328:Adult; D001763:Blepharoptosis / Q000151:congenital / Q000601:surgery*; D002648:Child; D005143:Eyelids / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D013997:Time Factors