Complications of Ptosis Repair: Prevention and Management

  • Milad Hakimbashi
  • Don O. Kikkawa
  • Bobby S. Korn


Ptosis repair is one of the most common operations in oculofacial plastic surgery. In mild cases, eyelid ptosis can be purely cosmetic, but in severe cases, it can cause significant visual field compromise, hindering vision and resulting in amblyopia in children. Because a variety of mechanisms can cause ptosis, it is essential that the surgeon make the proper diagnosis and implement the right surgical plan to achieve the best result. Even in expert hands, however, a less than ideal result can occur. Variables exist beyond the surgeon’s control, but it is the proper recognition and management of these problems that allow for optimized outcomes even in the face of complications.

This chapter details the most frequent complications associated with the different approaches to ptosis surgery. These include: under/overcorrection, lid contour abnormalities, lid malposition, and lagophthalmos. Recommended medical and surgical solutions to deal with each specific postoperative complication are also covered.


Contour Deformity Frontalis Suspension Orbital Septum Levator Function Tarsal Plate 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Milad Hakimbashi
  • Don O. Kikkawa
    • 1
  • Bobby S. Korn
  1. 1.Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, Shiley Eye CenterUniversity of CaliforniaSan DiegoUSA

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