Surgical Outcomes of Levator Resection in Ptosis Patients with Deep Superior Sulcus

Jong Soo Kim; Hee Bae Ahn

doi:10.3341/jkos.2014.55.12.1734

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Kim and Ahn: Surgical Outcomes of Levator Resection in Ptosis Patients with Deep Superior Sulcus

Original Article

J Korean Ophthalmol Soc 2014;55(12):1734-1738.

Published online: 2 September 2014

DOI: https://doi.org/10.3341/jkos.2014.55.12.1734

Surgical Outcomes of Levator Resection in Ptosis Patients with Deep Superior Sulcus

Jong Soo Kim, MD, Hee Bae Ahn, MD, PhD

Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea

Address reprint requests to Hee Bae Ahn, MD, PhD, Department of Ophthalmology, Dong-A University Hospital, #26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea, Tel: 82-51-240-5227, Fax: 82-51-254-1987, E-mail: hbahn@dau.ac.kr

Received 26 April 2014 Revised 20 June 2014 Accepted 5 November 2014

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.

Abstract

Purpose

To investigate the characteristics and postoperative complications of ptosis patients with deep superior sulcus following levator resection surgery.

Methods

Records of 33 ptosis patients (59 lids) with deep superior sulcus who underwent levator resection surgery from March 2008 to May 2013 were reviewed retrospectively. Operation success rate, reoperation rate, preoperative and postoperative marginal reflex distance 1 (MRD1), and levator function were compared and postoperative complications were evaluated.

Results

The patient's mean age was 65.8 years. The MRD1 was −1.0 ± 1.4 mm preoperatively, 2.5 ± 1.2 mm at 1 month after surgery, and 2.3 ± 1.1 mm at 3 months after surgery. Operation success rate was 84.8%. At 1 month after surgery, 52.5% of lids had lagophthalmos as a surgery complication but later all recovered. Additionally, 44.1% of the patients had worn therapeutic contact lenses postoperatively for 7.0 ± 12.1 days.

Conclusions

Occurrence rate of postoperative lagophthalmos was higher than in other previous studies suggesting a tendency for overcorrection in levator resection surgery for ptosis patients with deep superior sulcus. Additionally, levator resection surgery is cosmetically as well as functionally very effective for deep superior sulcus. J Korean Ophthalmol Soc 2014;55(12):1734-1738

Keywords: Deep superior sulcus, Lagophthalmos, Levator resection, Ptosis

References

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Figure 1.

(A, C, E) Preoperative findings for the deep superior sulcus patients. (B) Postoperative photographs showing that the deep superior sulcus improved. (D) Postoperative photographs showing that the deep superior sulcus partially improved. (F) Postoperative photographs showing that the deep superior sulcus was not improved.

Table 1.

Demographic characteristics of patients

Characteristic	Description
Number of patients (no. of eyes)	33 (59)
Sex (M:F)	5:28
Age (years) (range)	65.8 ± 7.1 (48-81)
Preop. LF (mm)	8.24 ± 2.6
Preop. MRD1 (mm)	−1.0 ± 1.4

Values are presented as mean ± SD unless otherwise indicated. LF = levator function; MRD1 = marginal reflex distance 1.

Table 2.

Postoperative deep superior sulcus improvement

	Deep superior sulcus	Rate (%, persons)
Total (n = 33)	Improved	30.3 (10/33)
	Partially improved	45.5 (15/33)
	Not improved	24.2 (8/33)
Success group (n = 28)	Improved	35.7 (10/28)
	Partially improved	42.9 (12/28)
	Not improved	21.4 (6/28)
Fail group (n = 5)	Improved	0.0 (0/5)
	Partially improved	60.0 (3/5)
	Not improved	40.0 (2/5)

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