Choice of surgical procedure for ptosis correction.
OBJECTIVE
the ideal procedure for ptosis management is not available until now. In many ptosis cases there is a doubt which procedure will give the best results and patient satisfaction. The aim of this paper was to present our point of view in this topic.


METHODS
retrospective review and analysis of 350 ptosis cases operated by a single surgeon was done. Primary outcome measure was cosmetic appearance, secondary outcome measures includes the need for reoperation and specific complications for each operation: central picking of operated eyelid for Fasanella-Servat operation, presence and degree of lid-lag phenomenon and lagophthalmos for levator muscle resection and frontalis muscle suspension.


RESULTS
350 cases of ptosis are operated by a single consultant surgeon. Among them, Fasanella-Servat procedure was done in 119 cases (reoperation rate was 8.4%), levator muscle resection in 112 (reoperation rate was 10.7%), frontalis muscle suspension in 116 (reoperation rate was 10.3%) and Mc. Cord procedure in 3 cases.


CONCLUSIONS
levator muscle function is a key determining factor in choosing the appropriate operating procedure for ptosis correction regardless of the degree and etiology of ptosis.
Spahiu
Kelmend
K
Eye clinic, University Clinical Center of Kosova, Prishtina, Republic Kosova. kelmendspahiu@yahoo.com
Spahiu
Lidvana
L
Dida
Ermal
E
D001763:Blepharoptosis / Q000601:surgery*; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery; D012086:Reoperation