Abstract
The purpose of this chapter is to discuss the risk factors for ptosis surgery failure. Preoperative assessment to patients with marginal reflex distance < 0 mm, poor levator excursion, and preoperative eyelid laxity should be performed. Treatment of eyelid laxity with lateral canthoplasty or full-thickness wedge resection should be performed prior to ptosis surgery. Intraoperative swelling, bleeding, and excessive sedation may negatively influence revision outcome and should be recognized. If significant corneal exposure and lagophthalmos exist postoperatively, early intervention is necessary. If undercorrection exists, surgical revision should be delayed to allow complete resolution of postoperative swelling.
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References
Ben Simon GJ, Lee S, Schwarcz RM, McCann JD, Goldberg RA. External levator advancement vs. Muller’s muscle-conjunctival resection for correction of upper eyelid involutional ptosis. Am J Ophthalmol. 2005;140(3):426–32.
Anderson RL, Dixon RS. Aponeurotic ptosis surgery. Arch Ophthalmol. 1979;97:1123–8.
Berlin AJ, Vestal KP. Levatory aponeurosis surgery: a retrospective review. Ophthalmology. 1989;96: 1033–6.
McCulley T, Kersten RC, Kulwin DR, Feuer WJ. Outcome and influencing factors of external levator palpebrae superioris aponeurosis advancement for blepharoptosis. Ophthal Plast Reconstr Surg. 2003;19:388–93.
Shore JW, Bergin DJ, Garrett SN. Results of blepharoptosis surgery with early postoperative adjustment. Ophthalmology. 1990;97:1502–11.
Erb MH, Kersten RC, Yip CC, Hudak D, Kulwin DR, McCulley TJ. Effect of unilateral blepharoptosis repair on contralateral eyelid position. Ophthal Plast Reconstr Surg. 2004;20(6):418–22.
Tucker SM, Verhulst SJ. Stabilization of eyelid height after aponeurotic ptosis repair. Ophthalmology. 1999; 106(3):517–22.
Wladis EJ, Gausas RE. Transient descent of the contralateral eyelid in unilateral ptosis surgery. Ophthal Plast Reconstr Surg. 2008;24(5):348–51.
Linberg JV, Vasquez RJ, Chao GM. Aponeurotic ptosis repair under local anesthesia: prediction of results from operative lid height. Ophthalmology. 1988;95:1046.
Park DH, Jung JM, Choi WS, Song CH. Early postoperative adjustment of blepharoptosis. Ann Plast Surg. 2006;57(4):376–80.
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Melicher, J., Nerad, J.A. (2011). Ptosis Surgery Failure and Reoperation. In: Cohen, A., Weinberg, D. (eds) Evaluation and Management of Blepharoptosis. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92855-5_29
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DOI: https://doi.org/10.1007/978-0-387-92855-5_29
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