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Lower eyelid position after ptosis repair in patients with blepharoptosis

J Cosmet Dermatol. 2023 Dec 15. doi: 10.1111/jocd.16126. Online ahead of print.

ABSTRACT

PURPOSE: To determine the changes in the lower eyelid position, following ptosis surgery of the upper eyelid of the same eye in blepharoptosis patients.

METHODS: This prospective interventional before and after study included patients aged more than 5 years with blepharoptosis. Margin reflex distance one (MRD-1), MRD two (MRD-2), and levator function were measured before and the 6 months after the surgery.

RESULTS: Sixty patients with blepharoptosis (33 congenital and 27 acquired) were recruited. The mean age was 21.61 ± 10.82 and 59.8 ± 13.73 years in congenital and acquired groups, respectively. The mean MRD-1 improved from 1.95 ± 0.99 before treatment to 4.47 ± 0.47 after treatment (p < 0.001). The mean MRD-2 improved from 5.57 ± 0.63 before treatment to 4.95 ± 0.51 after treatment (p < 0.001). There was no statistically significant difference in MRD-1 and MRD-2 changes between the two groups (p > 0.05) There was no statistically significant correlation between MRD-2 changes and LF (r = -0.03. p = 0.83).

CONCLUSION: Present study showed a significant improvement in the condition of the lower eyelid improved after upper eyelid ptosis surgery.

PMID:38100212 | DOI:10.1111/jocd.16126

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