Surgical Management of Ptosis – Visual Function and Cosmetic Outcome

Hendriati, Hendriati (2019) Surgical Management of Ptosis – Visual Function and Cosmetic Outcome. In: ICOMHER 2021, 13-14 November 2018, Padang, West Sumatera, Indonesia.

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Ptosis may cover a significant portion pupillary aperture so as to cause visual impairment. The treatment of ptosis requires accuracy of surgical techniques to implement a functional and cosmetic correction.We aim to determine the visual function and cosmetic result following the surgical correction of congenital and acquired ptosis at oculoplastic surgery subdivision department of ophthalmology M Djamil Hospital in Padang. A retrospective review of 30 eyes of 21 cases that had congenital and acquired ptosis between april 2012 and march 2015. 12 cases (14 eyes) underwent ptosis repair where 5 eyes were operated by levator resection, 7 eyes operated by frontalis suspension using fascia latta, 2 eyes operated by Y-V plasty. We analized the percentage of cause and degree of ptosis, visual function and cosmetic outcome after surgery. We found 11 (51%) cases had congenital ptosis and 10(49%) had acquired ptosis. 9 (43%) cases were bilateral and 12 (57%) cases were unilateral. Most of our patient had severe ptosis (53%) with levator function was fair in 14 (47%) eyes. Of 14 eyes underwent surgery, good visual function outcome (MRD1 ≥2mm) were achieved in 86% (6/7) eyes whom operated by frontalis suspension using fascia latta, 80% (4/5) eyes whom operated by levator resection procedure and 100% (2/2) whom operated by Y-V plasty. Good cosmetic outcome achieved in 7(58%) cases after 1 month follow up.

Item Type: Conference or Workshop Item (Paper)
Uncontrolled Keywords: congenital acquired ptosis surgery cosmetics
Subjects: R Medicine > R Medicine (General)
Depositing User: EAI Editor IV
Date Deposited: 28 Oct 2021 08:20
Last Modified: 28 Oct 2021 08:20

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