2016, Number 1
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ABSTRACTObjective: to characterize clinico -surgical behavior of blepharoptosis.
Methods: an analytical observational study of 95 affected eyelids was carried out in 67 patients. Gender, age, affected eye, etiology, ptosis grade, pre and postoperative palpebral aperture, surgery performed and complications were regarded.
Results: there were 40 male patients and 27 female. The mean age was 60 ± 22 years. In 39 patients it was presented unilateral type (58,2%), 32,8% had affectation in the left eye; 71,6% presented aponeurotic ptosis. The moderate degree affected the 56,7%. Aponeurotic repair was practiced in 48 patients, with mean preoperative palpebral aperture of 6,25 ± 0,6 mm and postoperative of 10,9 ± 0,6 mm; levator resection in 10 patients, with mean preoperative palpebral aperture of 5,3 ± 0,7 mm and postoperative of 9,7 ± 2,1mm; frontalis suspension in 9 patients, with mean preoperative palpebral aperture of 4.6 ± 0.7 mm and postoperative of 9,4 ± 1,4 mm; there was a statistically significant difference of the pre and postoperative palpebral aperture in each technique. There were no complications in the 89,6%.
Conclusion: blepharoptosis prevailed in male of the third age, being more frequent in left eye. Aponeurotic etiology represented the highest percent. Aponeurosis repair was the main technique performed; average palpebral aperture value was significantly higher after applying the three surgical techniques. Functional and esthetic result was evaluated as good.
Marcet MM, Meyer DR, Greenwald MJ, Roth S, Selva D. Proximal Tarsal Attachments of the Levator Aponeurosis: Implications for Blepharoptosis Repair. Ophthalmology [internet]. 2013 Sep. [citado 12 feb. 2014];120(9):[aprox. 6 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0161642013001462
Jung Y, Yoon La T. Blepharoptosis Repair through the Small Orbital Septum Incision and Minimal Dissection Technique in Patients with Coexisting Dermatochalasis. Korean J Ophthalmol [internet]. 2013 Jan. 9 [citado 21 mayo 2014];27(1):[aprox. 6 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3550305/
Cagatay HH, Ekinci M, Apil A, Arslan B, Pamukcu C, Oba ME, et al. The Use of Polypropylene Suture as a Frontalis Suspension Material in All Age Groups of Ptosis Patients. J Invest Surg [internet]. 2014 Mar. 24 [citado 25 mayo 2014];27(4):[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24661265