Original Article
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Open Access
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Published: 02 January 2022
ISSN:2958-6208 (Print) ; 2958-6194 (Online)
BSAPS Journal, Volume 3, Issue 1, January 2022
Shah Md. Rajibul Islam1, Golam Rabbani2, Golam Haider3, Shah Md. Bulbul Islam4
- Assistant Professor, Army Medical College Jashore
- RMO, Holy family Red Crescent Medical College & Hospital
- Professor of Ophthalmology, Oculoplastic Surgeon
- Professor of Ophthalmology
Maj (Dr) Shah Md Rajibul Islam. MBBS. FCPS. FACS. FICS. Fellow Vitreo-Retina. Classified Ophthalmologist, CMH Jashore & Assistant Professor & HOD, Dept of Ophthalmology, Army Medical College Jashore. Contact no +8801819215339. Email: dr_rajibul_islam@yahoo.com
Abstract:
Introduction: Evaluation of the surgical outcomes of frontalis brow suspension surgery and supra maximal levator resection in ptosis with poor levator function.
Methodology: A cross-sectional, observational study from 2011 to 2018 comprising 60 patients with ptosis with levator function were divided into two groups. Patients in group A underwent supra maximal levator resection and in group B underwent frontalis brow suspension with different suspension materials. All the patients were operated upon by a single surgeon. The post operative results were deducted as Excellent (difference of MRD I with fellow eye < 1mm), Good (difference of MRD I with fellow eye 1 ≤ 2 mm) and Poor (difference of MRD I with fellow eye ≥ 2 mm).
Results: Outcome of group A; 66.67% excellent, 26.67% good and 6.67% poor. On the other hand, 46.67% were excellent, 13.33% were good and 40% were poor in group B. Deterioration occurred in both groups at 24 months. In group A it was 6.66% and in group B it was 20%. Both the groups had some complications. 6.66% under correction in group A and 40% in group B. 6.6% overcorrection and 6.6% lid notching in group A; none in Group B. Exposure keratopathy occurred 13.33% in group A and 20% in group B. Stitch granuloma occurred in 13.33% in group B whereas none in group A. All the complications were dealt with. 2 patients from group A and 6 patients from group B needed revision surgery with excellent to good results. 6 patients from group B did not undergo revision surgery as the degree of asymmetry was acceptable to the patient party. Exposure keratopathy was successfully treated with lubricants and ointments. 02 patient from group B needed extended frost suture for exposure keratopathy. Inter group difference was insignificant (p>0.05)
Conclusion: Correction of ptosis with poor levator function being challenging, surgeons opt different techniques. Frontalis brow suspension being the most preferred method. Supra maximal levator resection is a newer technique that negates the use of suspension material with good postoperative outcome
Shah Md. Rajibul Islam. (2022). Comparison of Outcome Between Frontalis Brow Suspension and Supramaximal Levator Resection in Ptosis with Poor Levator Function. BSAPS Journal, 3(1), 19
Received Date: 04Accepted Date:
Published Date:
DOI:
Ptosis, poor levator function, frontalis brow suspension, supramaximal levator resection
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