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Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience

PURPOSE: To assess outcomes of levator resection for the surgical correction of congenital and acquired upper lid ptosis in patients with fair to good levator function and evaluation of the relationship between demographic data and success of this operation. METHODS: In a retrospective study, medica...

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Autores principales: Abrishami, Alireza, Bagheri, Abbas, Salour, Hossein, Aletaha, Maryam, Yazdani, Shahin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Ophthalmological Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268161/
https://www.ncbi.nlm.nih.gov/pubmed/22323877
http://dx.doi.org/10.3341/kjo.2012.26.1.1
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author Abrishami, Alireza
Bagheri, Abbas
Salour, Hossein
Aletaha, Maryam
Yazdani, Shahin
author_facet Abrishami, Alireza
Bagheri, Abbas
Salour, Hossein
Aletaha, Maryam
Yazdani, Shahin
author_sort Abrishami, Alireza
collection PubMed
description PURPOSE: To assess outcomes of levator resection for the surgical correction of congenital and acquired upper lid ptosis in patients with fair to good levator function and evaluation of the relationship between demographic data and success of this operation. METHODS: In a retrospective study, medical records of patients with blepharoptosis who had undergone levator resection over a 10-year period and were followed for at least 3 months were reviewed. RESULTS: Overall, 136 patients including 60 (44.1%) male and 76 (55.9%) female subjects with a mean age of 20 ± 13.8 years (range, 2 to 80 years) were evaluated, of whom 120 cases (88.2%) had congenital ptosis and the rest had acquired ptosis. The overall success rate after the first operation was 78.7%. The most common complication after the first operation was undercorrection in 26 cases (19.1%), which was more prevalent among young patients (p = 0.06). Lid fissure and margin reflex distance (MRD(1)) also increased after levator resection (p < 0.001). Age, sex, type of ptosis, amblyopia, levator function, MRD(1), lid fissure and spherical equivalent were not predictive of surgical outcomes of levator resection. CONCLUSIONS: Levator resection has a high rate of success and few complications in the surgical treatment of congenital and acquired upper lid ptosis with fair to good levator function. Reoperation can be effective in most cases in which levator resection has been performed.
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spelling pubmed-32681612012-02-10 Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience Abrishami, Alireza Bagheri, Abbas Salour, Hossein Aletaha, Maryam Yazdani, Shahin Korean J Ophthalmol Original Article PURPOSE: To assess outcomes of levator resection for the surgical correction of congenital and acquired upper lid ptosis in patients with fair to good levator function and evaluation of the relationship between demographic data and success of this operation. METHODS: In a retrospective study, medical records of patients with blepharoptosis who had undergone levator resection over a 10-year period and were followed for at least 3 months were reviewed. RESULTS: Overall, 136 patients including 60 (44.1%) male and 76 (55.9%) female subjects with a mean age of 20 ± 13.8 years (range, 2 to 80 years) were evaluated, of whom 120 cases (88.2%) had congenital ptosis and the rest had acquired ptosis. The overall success rate after the first operation was 78.7%. The most common complication after the first operation was undercorrection in 26 cases (19.1%), which was more prevalent among young patients (p = 0.06). Lid fissure and margin reflex distance (MRD(1)) also increased after levator resection (p < 0.001). Age, sex, type of ptosis, amblyopia, levator function, MRD(1), lid fissure and spherical equivalent were not predictive of surgical outcomes of levator resection. CONCLUSIONS: Levator resection has a high rate of success and few complications in the surgical treatment of congenital and acquired upper lid ptosis with fair to good levator function. Reoperation can be effective in most cases in which levator resection has been performed. The Korean Ophthalmological Society 2012-02 2012-01-14 /pmc/articles/PMC3268161/ /pubmed/22323877 http://dx.doi.org/10.3341/kjo.2012.26.1.1 Text en © 2012 The Korean Ophthalmological Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Abrishami, Alireza
Bagheri, Abbas
Salour, Hossein
Aletaha, Maryam
Yazdani, Shahin
Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience
title Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience
title_full Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience
title_fullStr Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience
title_full_unstemmed Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience
title_short Outcomes of Levator Resection at Tertiary Eye Care Center in Iran: A 10-Year Experience
title_sort outcomes of levator resection at tertiary eye care center in iran: a 10-year experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268161/
https://www.ncbi.nlm.nih.gov/pubmed/22323877
http://dx.doi.org/10.3341/kjo.2012.26.1.1
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