Cortés-Gutiérrez LE, Cortés-Salazar ÁJ, Rosales-Nieto AC, Madrid-Ferto Y, Amezcua-Equihua CI

Language: Spanish
References: 6
Page: 147-152
PDF size: 363.74 Kb.

ABSTRACT

Upper eyelid ptosis is the abnormally low level of the free edge of the upper eyelid during direct forward gaze. The normal upper eyelid ptosis is the abnormally low level of the free edge of the upper eyelid during direct forward gaze. The normal position of the eyelid is 2 mm below the superior corneal scleral limbus; it covers the upper third of the cornea and leaves the pupil completely free. Blepharoplasty is the surgical term for ptosis correction. We present two cases in which we show the technique of reinserting the aponeurosis of the elevator palpebra muscle to the tarsus. In both cases, the upper palpebral margin/corneal limbus is greater than 6 mm, with a decrease in the visual field during direct gaze. The surgical technique was performed with cutaneous access through a horizontal upper blepharoplasty incision, exposure of the elevator muscle and its aponeurosis, respecting the orbicularis muscle and the orbicularis fat pads, performing partial tarsal suspension of the elevator aponeurosis to the tarsus. Correction of ptosis was obtained with an improvement in vision; the degree of asymmetry was less than 0.3 mm. Postoperative eyelid edema resolved on the 7th day after surgery, disappearing by the 10th day, allowing a reliable assessment, at that time. The degree of the patients' satisfaction was good or very good and the visual field was complete in both patients. It is a surgical technique that offers better functional results in terms of the visual field, with a good degree of satisfaction, in case of severe ptosis.

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