Postoperative Ptosis after Cataract and Glaucoma Surgery.

Ahn, Dae Hwi; Lee, Young Ghee; Kim, Ho Kyum; Hong, Young Jae

Original Article

Journal of the Korean Ophthalmological Society 1998;39(3):598-603.
Published online March 1, 1998.

Postoperative Ptosis after Cataract and Glaucoma Surgery.

Dae Hwi Ahn, Young Ghee Lee, Ho Kyum Kim, Young Jae Hong

The Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.

백내장 및 녹내장 수술후 발생한 안검하수

안대휘(Dae Hwi Ahn),이영기(Young Ghee Lee),김호겸(Ho Kyum Kim),홍영재(Young Jae Hong)

Abstract

A retrospective study was done on 189 eyes of 156 patients who underwent cataract and/or glaucoma surgery to evaluate the effect of surgical technique, operation time, age of patients, mitomycin C use and superior rectus muscle injury on the incidence of postoperative ptosis. Interpalpebral fissure and levator funtion were measured preand postoperatively. All patients had topical and pin-point anesthesia. For the cataract patients, wire speculum was used and traction suture on superior rectus muscle was performed with 4-0 black silk. For the glaucoma patients, plate speculum was used and traction suture on superior rectus muscle was performed with 6-0 black silk. Decrease of the interpalpebral fissure over 2mm were observed in 7 of 115 eyes (6.0%) in cataract surgery, 5 of 51 eyes (9.8%) in glaucoma surgery and 3 of 23 eyes (13.0%) in triple surgery for cataract and glaucoma at postoperative 6 months. The variables significantly infuencing the incidence of ptosis were as follows; age of the patients (more than 50 years old. relative risk=1.7), operation time (more than 40 minutes, R.R=2.3) and mitomycin C use (R.R.=1.9). Development of superior rectus hematoma during the traction suture did not affect the incidence of postoperative ptosis.

Key Words: Cataract;Glaucoma;Postoperative ptosis