Comparison of different operations for Severe Congenital Blepharoptosis

Abstract

Objective To analyze the effect of three operations for severe congenital blepharoptosis.Methods All 189 cases of severe congenital blepharoptosis, among which 80 cases(80 eyes)with improved suspension of frontal muscle flap, 39 cases(39 eyes)with frontal muscle suspension with allogeneic femoral fascia, other 70 cases(70 eyes)with supernormal shortening palpabralis. Results The frontal muscle suspension with allogeneic femoral fascia formed good double eyelid but with a high recurrence rate and the material was hard to get. Supernormal shortening palpabralis met the physiological requirement but easily leaded to lagophthalmos and conjunctiva procidentia. The improved suspension of frontal muscle flap hardly formed double eyelid but with a low recurrence rate, and the material was easy to get. Conclusions The three operations are all effective for Severe Congenital Blepharoptosis. The oculist should adopt the right operation according to the patients case and willing. Key words: Severe Congenital Blepharoposis; Frontal muscle suspension with allogeneic femoral fascia; Supernormal shortening palpabralis; Improved suspension of frontal muscle flap