May 2005
Volume 46, Issue 13
ARVO Annual Meeting Abstract  |   May 2005
Management of Severe Congenital Ptosis With Supramaximal Levator Muscle Resection
Author Affiliations & Notes
  • J. Fonseca Jiménez
    General Ophthalmology, Hospital Maxico, La Uruca, Costa Rica
  • S. Hernandez Carmona
    Oculoplastic, Hospital Nacional Ninos, San Jose, Costa Rica
  • Footnotes
    Commercial Relationships  J. Fonseca Jiménez, None; S. Hernandez Carmona, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2005, Vol.46, 670. doi:
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      J. Fonseca Jiménez, S. Hernandez Carmona; Management of Severe Congenital Ptosis With Supramaximal Levator Muscle Resection . Invest. Ophthalmol. Vis. Sci. 2005;46(13):670.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract: : Purpose: Sling frontalis technique has become the gold standard surgical method for treating congenital ptosis with poor levator function. We tried to demonstrate that supramaximal levator muscle resection is a good alternative surgical technique for patients with severe congenital ptosis. Methods: Retrospective nonrandomized interventional series with a total of 37 patients with severe congenital ptosis (levator function less than 5mm) who were treated from 1998 to 2003 in Hospital Nacional de Ninos. Results:24 boys (66%) and 13 girls (33%)were treated. The procedure consists of resecting the levator aponeurosis up to Whitnal ligament and suture it to the tarsus. All patients improved with surgery; 19 patients (51%) achieved symmetric results, 2 patients had a difference of 1mm between the two eyes and 16 patients had a final result of 2mm of asymmetry. Only one patient asked for retreatment and the final result was 1mm of asymmetry Conclusions: Supramaximal levator aponeurosis resection is a good technique that has proven to have good results in severe congenital ptosis. The advantages ot this technique are its simplicity and repeatability.

Keywords: eyelid 

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