Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique

Purpose. To describe a modified technique of white line advancement posterior ptosis surgery and to report the success rate of the procedure. Methods. A retrospective case series of 60 patients who presented with ptosis with good levator function. The success rate was defined as an MRD1 of greater t...

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Main Authors: Fatima A. Habroosh, Habibullah Eatamadi
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/9021848
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author Fatima A. Habroosh
Habibullah Eatamadi
author_facet Fatima A. Habroosh
Habibullah Eatamadi
author_sort Fatima A. Habroosh
collection DOAJ
description Purpose. To describe a modified technique of white line advancement posterior ptosis surgery and to report the success rate of the procedure. Methods. A retrospective case series of 60 patients who presented with ptosis with good levator function. The success rate was defined as an MRD1 of greater than or equal to 3.5 mm, symmetrical eyelid position with an intereyelid height asymmetry of ≤1 mm, and a satisfactory eyelid contour at 3 months follow-up. Results. Sixty patients (91 eyelids) met the inclusion criteria. Mild postoperative complications occurred in 11 patients that resolved without surgical intervention. Seven patients had recurrence of ptosis: four patients had early recurrence and 3 had late recurrence. The success rate was 88.33% with an average follow-up of 9 months. Conclusion. This procedure is a promising technique in cosmetic and functional ptosis correction. The advantage of this posterior approach procedure is that there is no conjunctival resection; it is suitable for young patients who do not have excess eyelid skin. The procedure is quick with a short recovery period. Additionally, it can be combined with another procedure and in different pathology.
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spelling doaj-art-938d0b6d8b58476cb5a0c8b2640142ac2025-02-03T06:43:58ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/90218489021848Conjunctival Sparing Ptosis Correction by White-Line Advancement TechniqueFatima A. Habroosh0Habibullah Eatamadi1Oculoplastic Unit, Sheikh Khalifa Medical City, Abu Dhabi, UAEOculoplastic Unit, Sheikh Khalifa Medical City, Abu Dhabi, UAEPurpose. To describe a modified technique of white line advancement posterior ptosis surgery and to report the success rate of the procedure. Methods. A retrospective case series of 60 patients who presented with ptosis with good levator function. The success rate was defined as an MRD1 of greater than or equal to 3.5 mm, symmetrical eyelid position with an intereyelid height asymmetry of ≤1 mm, and a satisfactory eyelid contour at 3 months follow-up. Results. Sixty patients (91 eyelids) met the inclusion criteria. Mild postoperative complications occurred in 11 patients that resolved without surgical intervention. Seven patients had recurrence of ptosis: four patients had early recurrence and 3 had late recurrence. The success rate was 88.33% with an average follow-up of 9 months. Conclusion. This procedure is a promising technique in cosmetic and functional ptosis correction. The advantage of this posterior approach procedure is that there is no conjunctival resection; it is suitable for young patients who do not have excess eyelid skin. The procedure is quick with a short recovery period. Additionally, it can be combined with another procedure and in different pathology.http://dx.doi.org/10.1155/2020/9021848
spellingShingle Fatima A. Habroosh
Habibullah Eatamadi
Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique
Journal of Ophthalmology
title Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique
title_full Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique
title_fullStr Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique
title_full_unstemmed Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique
title_short Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique
title_sort conjunctival sparing ptosis correction by white line advancement technique
url http://dx.doi.org/10.1155/2020/9021848
work_keys_str_mv AT fatimaahabroosh conjunctivalsparingptosiscorrectionbywhitelineadvancementtechnique
AT habibullaheatamadi conjunctivalsparingptosiscorrectionbywhitelineadvancementtechnique