Comparison between surgical outcome of levator apponeurosis resection and levator apponeurosis tucking by non absorpable sutures in cases of unilateral congenital ptosis

Abstract

Levator resection is the most common procedure that can be used in children who have congenital ptosis or in adults who have acquired ptosis. The amount of levator resected is determined preoperatively by the levator function and the level of ptosis. Dissection is often extensive and involves dissecting the levator from the underlying Muller's muscle and the conjunctiva, as well as disruption of the medial and lateral horns of the levator. Nocturnal lagophthalmos and superficial punctuate erosion were the most common complications after levator resection. The presented study compared 2 groups of patients with unilateral congenital ptosis, the first group was treated with levator resection while the other group was treated with levator tucking by non absorbable suture without resection of conjunctiva and muller's muscle.