J Korean Ophthalmol Soc > Volume 50(8); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(8):1146-1151.
DOI: https://doi.org/10.3341/jkos.2009.50.8.1146    Published online August 15, 2009.
Blepharoptosis Repair by Small Cutaneous Incision and Minimal Dissection Technique.
Dong Jin Chang, Tae Yoon La
Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. laty@catholic.ac.kr
작은 피부절개창과 최소박리 수술방법에 의한 위눈꺼풀처짐의 교정
장동진ㆍ나태윤
Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
PURPOSE
To present a simple method of acquired ptosis correction by small-incision minimal dissection technique and assess the results of the operation. METHODS: The charts of 23 patients (29 eyes) with acquired ptosis who underwent ptosis correction by small-incision minimal dissection technique were reviewed. Pre and postoperative MRD1, success rate, complications and reoperation rates were investigated. RESULTS: The average of pre- and postoperative MRD1 were 0.9+/-0.9 mm and 2.7+/-0.8 mm respectively. Of the 17 patients who underwent unilateral surgery, 15 eyes (88.2%) showed successful outcomes, and of the 12 eyes who underwent bilateral surgery, 8 eyes (66.6%), 2 eyes (16.7%), and 2 eyes (16.7%) showed excellent, good, and poor outcomes, respectively. Out of 29 eyes, 25 eyes (86.2%) showed satisfactory results. Two eyelids of unsatisfactory contour were corrected by reoperation. CONCLUSIONS: Although the small-incision minimal dissection technique for ptosis correction is applicable to a restricted group of patients compared to the conventional method, this technique is very useful and efficient, and has many advantages including less tissue damage, bleeding, edema, a short operation time and rapid recovery.
Key Words: Minimal dissection;Ptosis;Small incision
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