Abstract Listings 2025

Surgical Outcomes of Ptosis Correction in Patients with Third Cranial Nerve Palsy

Author: Nasser Alsobaie
Base Hospital / Institution: King Khaled Eye Specialist Hospital- Saudi Arabia

ePoster presentation

Abstract ID: 25-542

Purpose

The aim of this study is to evaluate the outcomes of ptosis surgery in patients with third cranial nerve palsy, focusing on functional, cosmetic, and safety measures.


Methods

This retrospective study evaluated 27 patients with ptosis resulting from third cranial nerve palsy who underwent surgical correction. Data were collected on patient demographics, etiology of third cranial nerve palsy, preoperative clinical assessments (including margin reflex distance [MRD], Bell’s phenomenon, and levator function), surgical techniques utilized, and postoperative outcomes. Outcome measures included ptosis improvement, patient satisfaction, and incidence of complications.


Results

Gender, etiology, surgical approach, exposure keratopathy, diplopia, and residual ptosis significantly influence overall patient satisfaction with ptosis surgery outcomes in individuals with third nerve palsy.


Conclusion

Ptosis secondary to third cranial nerve palsy highlights the complex challenges in surgical correction due to associated ocular motility disorders, aberrant regeneration, and variable levator dysfunction. Despite advancements in surgical approaches, the optimal strategy for managing ptosis in this population remains underexplored. This study might help to establish evidence-based guidelines and enhance clinical outcomes.


Additional Authors

First name Last name Base Hospital / Institution
Shahad Alruwaili King Khaled Eye Specialist Hospital- Saudi Arabia
Hamad Alsuliman King Khaled Eye Specialist Hospital- Saudi Arabia

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