Treatment of blepharoptosis utilizing levator palpebrae superioris muscledynamics based on sequential selection principles
Objective To investigate the postoperative outcomes and significance of using the principle of sequential selection in procedures enhancing levator palpebrae muscle function for treatment of moderate to severe congenital ptosis.Methods A retrospective analysis of 10 cases(12 eyes)of severe Simple congenital ptosis patients in Quanzhou Maternal and Child Health Hospital from November 2018 to October 2023.Surgical data involved levator shortening procedures,with sequential selection of adjunctive procedures including conjunctival tarsal resection or conjoint fascial sheath based on intraoperative correction degree.Results The corrective outcome was excellent in 9 eyes and satisfactory in 3 eyes,with minimal complications observed.Eyelid symmetry and natural morphology were achieved satisfactorily.Conclusions Sequential selection using levator muscle enhancement techniques preserves physiological dynamics for eyelid elevation,ensuring good eyelid morphology.This approach shows effective correction in patients with moderate to severe congenital ptosis with levator muscle weakness.
moderate to severe ptosissequential selection principlelevator shorteningconjoint fascial sheath suspensiontarsal resection