Long-term Follow-up of Severe Blepharoptosis.

Cho, Pil Dong; Yoo, Won Min; Park, Beyoung Yun

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):786-790.
Published online September 1, 1999.

Long-term Follow-up of Severe Blepharoptosis.

Pil Dong Cho, Won Min Yoo, Beyoung Yun Park

Abstract

In case of severe blepharoptosis, frontalis muscle suspension with fascia or frontalis transfer has been popular for decades, but these static procedures have some disadvantages such as lagophthalmos, lid lag and remnant ptosis. Twenty-six patients with severe blepharoptosis who underwent frontalis suspension, frontalis transfer, or levator resection at Yonsei University Severance Hospital from 1980 to 1988 were studied. The follow-up period of patients ranged from 10 to 18 years with a mean of 12 years. Surveys and clinical results were obtained, In our review of postoperative complications, lagophthalmos persisted in sleep and even in forced eye closure in most patients 2 to 6 months after operation. But no recurrence was noted. In conclusion, undercorrection of ptosis is more desirable than overcorrection. As well levator resection can be considered in selected cases to prevent complications.