title: Levator resection with suspensory ligament of the superior fornix suspension for correction of pediatric congenital ptosis with poor levator function.
abstract: PurposeTo evaluate the surgical outcome of levator resection with suspensory ligament of the superior fornix (SLSF) suspension in severe congenital ptosis with poor levator function (LF).Patients and methodsThe medical records of 25 patients who underwent levator resection with SLSF suspension between March 2011 and January 2013 were retrospectively reviewed. All of the patients had severe congenital ptosis (>4 mm) and poor LF (<4 mm). The follow-up time ranged from 12 to 18 months (median, 15 months). Data regarding eyelid position, cosmetic outcomes, and postoperative complications were evaluated.ResultsThe average preoperative margin reflex distance-1 (MRD1) measured -0.30±0.11 mm. The average postoperative MRD1 measured 3.1±1.25 mm at the last follow-up visit. There was a statistically significant difference between preoperative and postoperative MRD1 values (P<0.001). Excellent cosmetic results occurred in 14 patients, good cosmetic results occurred in eight patients and poor cosmetic results did not occur. Three patients (12%) underwent reoperation for residual ptosis. No serious postoperative complications occurred.ConclusionLevator resection with SLSF suspension is very effective in the treatment of severe congenital ptosis with poor LF. This surgery technique results in high functional and cosmetic successes in the long term.
authors: Eye Institute and Eye Center of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Vision Science, Xiamen, Fujian, China.|Department of Ophthalmology, Nanyang Second People's Hospital, Nanyang, Henan, China.
authors: W
authors: W
authors: Chen
authors: Eye Institute and Eye Center of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Vision Science, Xiamen, Fujian, China.
authors: Z
authors: Z
authors: Liu
authors: Department of Ocular Plastic and Orbital Surgery, Nanyang Eye Hospital, Nanyang, Henan, China.
authors: Q
authors: Q
authors: Tian
authors: Department of Ocular Plastic and Orbital Surgery, Nanyang Eye Hospital, Nanyang, Henan, China.
authors: H
authors: H
authors: Niu
authors: Eye Institute and Eye Center of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Vision Science, Xiamen, Fujian, China.
authors: F
authors: F
authors: Liu
authors: Eye Institute and Eye Center of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Vision Science, Xiamen, Fujian, China.
authors: X
authors: X
authors: Wang
authors: Eye Institute and Eye Center of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Vision Science, Xiamen, Fujian, China.
authors: Y
authors: Y
authors: Xiu
authors: Eye Institute and Eye Center of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Vision Science, Xiamen, Fujian, China.
authors: N
authors: N
authors: Dong
mesh_terms: D000070606:Aponeurosis / Q000601:surgery; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000151:congenital / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005143:Eyelids / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008297:Male; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome