Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
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A comparison of the clinical outcomes of anterior levator resection, simple levator plication, and modified deep levator plication for the treatment of congenital ptosis based on five years of experience
Author: Hossameldeen Elsayed Awad Elbarbary
ePoster Number: 220
This study aimed to compare the outcomes of levator resection and simple and modified deep levator plication techniques for correcting congenital ptosis.
In this prospective, comparative, and interventional case series, 45 lids were divided into three groups. It included 45 patients older than five years with congenital ptosis of mild to a moderate degree, and good to fair levator function. Levator resection was performed in group I, simple levator plication in group II, and modified deep levator plication in group III. The final assessment was conducted six months postoperatively. A successful outcome was defined as an MRD1 between 3–5 mm, an interlid MRD1 difference less than 1 mm, and a symmetrical lid contour. A partially successful outcome was determined if any of the parameters fell outside of these ranges. The surgical outcome was defined as a failure if the patient required reoperation following partially successful surgery.
For group I, the final mean MRD1 was 3.73±0.32 mm, with a mean improvement of 2.56±0.24 mm and a successful outcome rate of 93.3%. For group II, the final mean MRD1 was 2.57±0.78 mm, with a mean improvement of 1.10±0.11 mm and a successful outcome rate of 53.3%. Three patients were scheduled for reoperation due to recurrence, with a failure rate of 20%. For group III, the final mean MRD1 was 3.00±0.46 mm, with a mean improvement of 1.37±0.14 mm and a successful outcome rate of 73.3%. One lid was scheduled for reoperation because of recurrence (failure rate, 6.7%).
This study provided strong support to the stability of levator resection in correcting congenital ptosis. The problem of recurrence, which is the main drawback of levator plication, can be minimized by using the deep technique but is still less effective than levator resection. Simple levator plication is not a good choice for congenital ptosis due to its high failure rate.
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Abstract ID: 21-110