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Cosmetic outcome of three sutures levator aponeurosis tuck procedure in congenital ptosis.

Hussain I

Department of Ophthalmology, Abasin Clinic, Khattak Medical Centre, Dabgari Gardens, Peshawar -25000, Pakistan.

Objective: To determine the results of three sutures aponeurosis tuck procedure in patients with congenital ptosis. Design: A quasi-experimental study. Place and Duration of Study: Department of Ophthalmology, Khyber Teaching Hospital, Peshawar from January 2004 to January 2005. Patients and Methods: Twenty-four eyes of 20 patients (13 males and 7 females) with congenital ptosis were included in the study. All these lids had either good or fair levator function. Amount of ptosis in all lids were measured before surgery and their mean calculated. Single surgeon performed the three sutures levator aponeurosis tuck procedure on all these lids. Degree of ptosis, after surgery was measured on multiple occasions and mean of measures of last follow-up was calculated. At this stage, the patients' satisfaction level was also documented. Results: Mean amount of ptosis was 3.25 +/-0.99 mm before surgery and 0.33 +/- 0.56 mm after surgery (p < 0.0001). Satisfaction level of 18 (90%) patients was 70-90%, while in 2 (10%) patients it was 50-60%. Conclusion: Levator aponeurosis tuck procedure had good cosmetic outcome in patients with congenital ptosis having good and fair levator function in this series.

Published 29 September 2006 in J Coll Physicians Surg Pak, 16(10): 652-4.
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