the outcome and the influential factors involved in levator resection for blepharoptosis correction

نویسندگان

دیما عندلیب

dima andalib داود قره باغی

davood gharebaghi رضا نبئی

reza nabie نسیم تقدسی فر

nassim taghaddosifar

چکیده

purpose : to identify any factors that may predict successful levator resection in blepharoptosis correction methods : the hospital records of 52 consecutive patients undergoing anterior levator resection for unilateral congenital blepharoptosis were reviewed. successful result was defined a lid level within 1 mm of the fellow eye 1 year after surgery. we studied the effect of levator function, the amount of ptosis and the kind of anesthesia on the surgical outcome. results : twenty-eight patients were treated with a levator resection under local anesthesia (group 1) and 24 patients (46.2%) were treated with a levator resection under general anesthesia (group 2). the mean age was 16.37 ± 9.3 (range 4-40) years. the overall success rate was 76.9% two months after surgery and 61.5% one year after surgery. the most common complication after one year was undercorrection (38.5%). sever ptosis (p=0.002) and decreasing preoperative levator function (p=0.007) were associated with decreasing chance of success. the kind of anesthesia was not a predictor factor for surgical success (p=0.312). conclusion : the preoperative levator function and the amount of ptosis were found to be the most significant predictors of surgical outcome. the surgery under local anesthesia was not associated with a higher success rate.    iranian journal of ophthalmology 201022(2):63-66 © 2010 by the iranian society of ophthalmology

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عنوان ژورنال:
journal of current ophthalmology

جلد ۲۲، شماره ۲، صفحات ۶۳-۶۶

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