Research Article
Surgical Management of Ptosis – Visual Function and Cosmetic Outcome
@INPROCEEDINGS{10.4108/eai.13-11-2018.2283782, author={Hendriati Hendriati}, title={Surgical Management of Ptosis -- Visual Function and Cosmetic Outcome}, proceedings={Proceedings of the 1st EAI International Conference on Medical And Health Research, ICoMHER November 13-14th 2018, Padang, West Sumatera, Indonesia}, publisher={EAI}, proceedings_a={ICOMHER}, year={2019}, month={5}, keywords={congenital acquired ptosis surgery cosmetics}, doi={10.4108/eai.13-11-2018.2283782} }- Hendriati Hendriati
Year: 2019
Surgical Management of Ptosis – Visual Function and Cosmetic Outcome
ICOMHER
EAI
DOI: 10.4108/eai.13-11-2018.2283782
Abstract
Ptosis may cover a significant portion pupillary aperture so as to cause visual impairment. The treatment of ptosis requires accuracy of surgical techniques to implement a functional and cosmetic correction.We aim to determine the visual function and cosmetic result following the surgical correction of congenital and acquired ptosis at oculoplastic surgery subdivision department of ophthalmology M Djamil Hospital in Padang. A retrospective review of 30 eyes of 21 cases that had congenital and acquired ptosis between april 2012 and march 2015. 12 cases (14 eyes) underwent ptosis repair where 5 eyes were operated by levator resection, 7 eyes operated by frontalis suspension using fascia latta, 2 eyes operated by Y-V plasty. We analized the percentage of cause and degree of ptosis, visual function and cosmetic outcome after surgery. We found 11 (51%) cases had congenital ptosis and 10(49%) had acquired ptosis. 9 (43%) cases were bilateral and 12 (57%) cases were unilateral. Most of our patient had severe ptosis (53%) with levator function was fair in 14 (47%) eyes. Of 14 eyes underwent surgery, good visual function outcome (MRD1 ≥2mm) were achieved in 86% (6/7) eyes whom operated by frontalis suspension using fascia latta, 80% (4/5) eyes whom operated by levator resection procedure and 100% (2/2) whom operated by Y-V plasty. Good cosmetic outcome achieved in 7(58%) cases after 1 month follow up.
