Postoperative Ptosis after Cataract and Glaucoma Surgery.
- Author:
Dae Hwi AHN
1
;
Young Ghee LEE
;
Ho Kyum KIM
;
Young Jae HONG
Author Information
1. The Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Cataract;
Glaucoma;
Postoperative ptosis
- MeSH:
Anesthesia;
Cataract*;
Glaucoma*;
Hematoma;
Humans;
Incidence;
Middle Aged;
Mitomycin;
Retrospective Studies;
Silk;
Surgical Instruments;
Sutures;
Traction
- From:Journal of the Korean Ophthalmological Society
1998;39(3):598-603
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A retrospective study was done on 189 eyes of 156 patients who underwent cataract and/or glaucoma surgery to evaluate the effect of surgical technique, operation time, age of patients, mitomycin C use and superior rectus muscle injury on the incidence of postoperative ptosis. Interpalpebral fissure and levator funtion were measured preand postoperatively. All patients had topical and pin-point anesthesia. For the cataract patients, wire speculum was used and traction suture on superior rectus muscle was performed with 4-0 black silk. For the glaucoma patients, plate speculum was used and traction suture on superior rectus muscle was performed with 6-0 black silk. Decrease of the interpalpebral fissure over 2mm were observed in 7 of 115 eyes (6.0%) in cataract surgery, 5 of 51 eyes (9.8%) in glaucoma surgery and 3 of 23 eyes (13.0%) in triple surgery for cataract and glaucoma at postoperative 6 months. The variables significantly infuencing the incidence of ptosis were as follows; age of the patients (more than 50 years old. relative risk=1.7), operation time (more than 40 minutes, R.R=2.3) and mitomycin C use (R.R.=1.9). Development of superior rectus hematoma during the traction suture did not affect the incidence of postoperative ptosis.
