Outcomes of posterior approach White line advancement /levatorpexy procedure for variable cases of ptosis in a tertiary eye hospital over 3 years experience.
Author: Nada Almadhi
Base Hospital / Institution: king khaled eye specialist hospital
ePoster presentation
Abstract ID: 24-246
Purpose
To present the outcomes of the surgical correction of congenital and acquired upper lid ptosis with fair to good levator function after posterior approach white advancement procedure in a tertiary eye center in Saudi Arabia. Also, to assess the relationship between demographics of this operation.
Methods
A retrospective analysis was conducted on cohort 45 patients (52 eyes) who had undergone posterior approach white line advancement/ levatorpexy procedure for aponeurotic ptosis and congenital ptosis with fair to good levator function over the past 3 years and were followed for at least 3 months. Inclusion. Criteria were all grades of acquired and congenital ptosis except for cases with poor levator function. Medical records were reviewed and data on demographics, pre-operative eyelid measurements, surgical details, and postoperative outcomes were collected. The main outcomes were patient satisfaction postoperatively, measurement of marginal reflex distance (MRD1), and success rate based on the lack of need for revision.
Results
Overall, 44 patients including 25 male (56.8%) and 19 female (43.2%) subjects with an overall mean of 40.56 (4-76) were evaluated, of whom thirty-one (62%) had acquired ptosis and seventeen (34%) had congenital ptosis. The overall success rate after the first operation was 74%. The most common complication after the first operation was under-correction. The difference in. pre and post-operative Eyelid height measurements was statistically significant with (p-value <0.001). Patient satisfaction in reporting subjective improvement in eyelid appearance and comfort was high with 52% being completely satisfied and 28% having significant improvement.
Conclusion
White line advancement procedure demonstrated a positive outcome in terms of eyelid position correction, aesthetic improvement, and patient satisfaction. The results suggest that the white line advancement technique is an effective surgical option for managing eyelid malposition in the Saudi population. Further prospective studies with larger sample sizes and longer follow-up periods are required to validate these findings and refine surgical approaches.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Rawan | althaqib | king khaled eye specialist hospital |
| mohammad | alsemari | king khaled eye specialist hospital |
| mazen | alsamnan | king khaled eye specialist hospital |
