Aponeurotic Ptosis Surgery.

Chung, Pil Jae; Chung, Wha Sun

Original Article

Journal of the Korean Ophthalmological Society 1990;31(3):255-263.
Published online March 1, 1990.

Aponeurotic Ptosis Surgery.

Pil Jae Chung, Wha Sun Chung

Department of Ophthalmology, College of Medicine, Yongnam University, Daegu, Korea.

건막접근법 ( Aponeurotic Approach ) 에 의한 상안검거근절제술

정필재(Pil Jae Chung),정화선(Wha Sun Chung)

Abstract

Sixty-five levator aponeurotic surgeries were carried out to treat acquired and congenital blepharoptosis including those with very poor levator function. Margin reflex distance(MRD) was measured and postoperative drooping of the upperlid was observed carefully during the follow-up period of 6 months to 1 year. Most of these cases had a stationary level of MRD or less than 1 mm change of MRD but three cases resulted in more than 1.5 mm postoperative fall of the upperlid. This procedure also proved the excellent surgical efficacy in severe congenital ptosis with very poor levator function. In our experience, about 1 mm overcorrection at surgery provided a more satisfactory result.

Key Words: Levator aponeurotic surgery;Margin Reflex Distance(MRD);Severe congenital ptosis with very poor levator function