Analysis of Postoperative Complications in Blepharoptosis.

Oh, Chang Hyun; Park, Dae Hwan; Kim, Peter Chan Woo; Shim, Jeong Su; Lee, Yong Jig

Search: J Korean Soc Plast Reconstr Surg Search

CLOSE

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2009;36(6):743-749.
Published online November 1, 2009.

Analysis of Postoperative Complications in Blepharoptosis.

Chang Hyun Oh, Dae Hwan Park, Peter Chan Woo Kim, Jeong Su Shim, Yong Jig Lee

Department of Plastic and Reconstructive Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea. dhpark@cu.ac.kr

Abstract

PURPOSE
Many researches about various surgical method for blepharoptosis have already been introduced. But researches for complications after blepharoptosis correction is relatively insufficient. So, this study was performed to recognize common complications that arise depending on the severity of blepharoptosis, levator function and surgical method. METHODS: 250 patients who have undergone surgical treatment for blepharoptosis from 1987 to 2006 were analyzed in this study. Patients were categorized according to severity of blepharoptosis, levator function and surgical method that has been used. Complications after blepharoptosis correction were analyzed. RESULT: There occurred complications in 64 patients. The specifics are as following; undercorrection 22, asymmetry 13, overcorrection 12, lagophthalmos 4, abnormal eyelid contour 4, exposure keratitis 3, ectropion 2, inclusion cyst 2, infection 1 and conjunctival prolapse 1. Among above patients, 3 patients had two kinds of complications. 21 patients underwent secondary surgery due to complication.
CONCLUSION
Evaluating the outcomes of the secondary surgery, the early correction was better than the late correction. The most of the complications were recovered through conservative and surgical treatments. The most of the complications (47 patients) were undercorrection, asymmetry, overcorrection and took 73.4% of the total complications. As the blepharoptosis became severe or levator function became poorer, the rate of complications became higher. According to the operation methods, most of the complications occurred in levator operation, frontalis transfer and OOM flap.

Keywords: Blepharoptosis; Complication

TOOLS