Clinical efficacy of combined procedures for the surgical correction of congenital ptosis accompanied by epicanthus

Abstract

Objective To observe the effects of combined surgeries for the correction of congenital ptosis accompanied by epicanthus. Methods 80 cases (105 eyes) of congenital ptosis were analyzed in this study. 64 cases (80 eyes), with levator muscle strength more than 4 mm, were treated with suspension of frontal aponeurosis, and 16 cases (25 eyes), with levator muscle strength less than 4 mm, were treated with shorten operation of levator palpebrae superioris. Furthermore, all these patients were corrected the epicanthus at the same time. Results Except the under correction in 5 cases (8 eyes), the remaining patients were corrected satisfactorily. Postoperative palperbal fissure length was averagely increased by 2.0±1.0 mm, inner canthic diameter was averagely decreased by 4.0±2.0 mm, the eyelid height was increased by average 9.0±1.0 mm, the inclination of palpebral fissure was 12.0°±2.0°; 64 cases (80 eyes) were treated with suspension of frontal aponeurosis, postoperative recurrence were 7.5% (6/80), no postoperative recurrence were 92.5% (74/80), complication were 5.0% (4/80); 16 cases (25 eyes) were treated with shorten operation of levator palpebrae superioris, postoperative recurrence were 8.0% (2/25), and no postoperative recurrence were 8.0% (2/25); complication rates were 4.0% (1/25). Conclusions This procedure of combined surgeries can reduce the recurrence rate effectively. Moreover, the satisfactory, functional, and aesthetic results can be obtained simultaneously with this method. Key words: Congenital ptosis; Shortening operation of musculus levator palpebrae superioris; Suspension of frontal aponeurosis