Comparative study on conjoint fascial sheath suspension and levator muscle resection for moderate or severe congenital ptosis

VernacularTitle:联合筋膜鞘悬吊术与提上睑肌缩短术治疗先天性中重度上睑下垂对比
Author: Wei, LIN ; Yang, XU ; Fei-Lun, YE
Publication Type:Journal Article
Keywords: ptosis; conjoint fascial sheath suspension; levator muscle resection; normalization rate
From: International Eye Science 2016;16(6):1193-1195
CountryChina
Language:Chinese
Abstract: ?AIM:To compare the curative effect of conjoint fascial sheath( CSF) suspension and levator muscle resection for moderate or severe congenital ptosis.?METHODS: Forty - three patients ( 74 eyes ) with moderate or severe ptosis were treated by CSF suspension or levator muscle resection randomly, and followed up for 6mo. The normalization rates of the two operations were then compared by statistical method, and the complications of the two operations were analyzed.?RESULTS: The two operations appeared no significant difference on the normalization rate for moderate congenital ptosis (P>0. 05), while the normalization rate of CSF suspension on severe congenital ptosis was significantly higher than that of levator muscle resection (P<0. 05). Less complication was happened in the CSF suspension group than in the levator muscle resection group.?CONCLUSION:CSF suspension is more effective on the treatment of severe congenital ptosis than levator muscle resection, and has advantages such as less trauma, repeatable, and less complication.