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Authors:
Dr.Juma Omrani, Dr.Shaban Majdob, Dr. Mansour Jnef, Dr.Amal Elbahi, Libya
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Abstract:
To
evaluate the efficacy of the levator tucking in correction of different degrees
of congenital ptosis.
Design:
This
is a prospective interventional case series study. Patients with unilateral
ptosis or bilateral ptosis were operated upon between January 2020 and January
2021. All patients were evaluated and operated by one surgeon (Dr.Juma Omrani)
and followed up for an average period of 6 months.
Patients
and methods:
A22 eyes with ptotic eyelid of 20
patients were included in this study between January 2020 and January 2021. The
patients (15 females and 5 males of age between 4 and 18 years old) were
presented to the of Ophthalmology department Alsalam medical center, Libyan
Swiss medical center and Tripoli eye hospital. Following ophthalmological and
general evaluation 4 patients were operated upon under local anesthesia (age
between 16 and 18), 16 patients were operated upon under general anesthesia (age
between 4 and 16). Levator tucking was done through the skin side using nonabsorbable
sutures. preoperative, intra-operative and postoperative photos were
taken. Patients were followed up for an
average period of 6 months. The results were analyzed for the efficacy of the
procedure in correcting the ptotic eyelid.
Results:
22
eyelids of different degrees of ptosis underwent levator tucking; corrected in
19 cases (86%), under corrected in 2 cases (9%) and over corrected in 1 case (5%).
Conclusion:
In this procedure the levator muscle was
not severed and the horns where not cut which means there was no tissue
destruction and the anatomy of the eyelids was not disturbed that much.
Consequently, more anatomical and physiological repair was achieved. Therefore,
this technique is safe, fast, simple and effective for management of congenital
ptosis.
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